Annual reporting - Plan Tool

MONITORING AND REPORTING SYSTEM FOR THE PRESCRIPTION DRUG OVERDOSE PREVENTION FOR STATES COOPERATIVE AGREEMENT

OMB: 0920-1155

IC ID: 222748

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

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Annual reporting - Plan Tool
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Annual reporting - Plan Tool Att. 3b Plan Tool.docm NA Yes Yes Fillable Fileable

Health Public Health Monitoring

 

29 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 29 0 29 0 0 0
Annual IC Time Burden (Hours) 116 0 116 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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