Substance Abuse Prevention and Treatment Block Grant Synar Report Format, FY 2014-2016

ICR 201603-0930-008

OMB: 0930-0222

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2016-03-31
Supporting Statement A
2016-03-31
IC Document Collections
IC ID
Document
Title
Status
7625 Modified
ICR Details
0930-0222 201603-0930-008
Historical Active 201303-0930-001
HHS/SAMHSA 19076
Substance Abuse Prevention and Treatment Block Grant Synar Report Format, FY 2014-2016
Revision of a currently approved collection   No
Regular
Approved without change 06/20/2016
Retrieve Notice of Action (NOA) 04/01/2016
  Inventory as of this Action Requested Previously Approved
06/30/2019 36 Months From Approved 06/30/2016
59 0 59
1,062 0 1,062
0 0 0

This is the annual report format to implement regulations at 45 CFR96.130 regarding States' compliance with Section 1926 of the Public Health Service Act (42 USC 300x-26) related to sale or distribution of tobacco products to minors.

US Code: 42 USC 1926 Name of Law: State law Regarding Sale of Tobacco Products to Individuals Under Age of 18
  
None

Not associated with rulemaking

  80 FR 80782 12/28/2015
81 FR 18632 03/31/2016
Yes

1
IC Title Form No. Form Name
Annual Synar Report Format Report Report

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 59 59 0 0 0 0
Annual Time Burden (Hours) 1,062 1,062 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$220,000
No
No
No
No
No
Uncollected
Summer King 2402761243

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/01/2016


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