Information Collection

Annual Reports for PATH)

IC 7600 under ICR 201508-0930-002 · OMB 0930-0205.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0205 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Annua lReport Manu Annual Report Manual Annual Reports for PATH)	Form and Instruction
Annua lReport Manu Annual Report Manual Attachment A-AnnualReportManual_March2015.docx	Form and Instruction
Attachment C Data Advisory Committee Members Consulted.pdf Data Advisory Committee Members Consulted	IC Document
Attachment D Comments.pdf Comments	IC Document
Attachment E SAMHSA's Response to the Comments.pdf SAMHSA's Responses	IC Document

IC Title:

Annual Reports for PATH)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Annua lReport Manual				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 548

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	548	-11	0	559
Annual IC Time Burden (Hours)	10,960	0	-7,206	18,166
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Data Advisory Committee Members Consulted		09/26/2012
Comments		09/26/2012
SAMHSA's Responses		09/26/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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