Retrieving and Refiling Records - Public Agencies

State Unintentional Drug Overdose Reporting System (SUDORS)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1128 can be found here:

Documents and Forms

Document Name Document Type
Retrieving and Refiling Records - Public Agencies Form
Retrieving and Refiling Records - SUDORS Att E. Retrieving and refiling records_1128_SUDORS.pdf Form

Information Collection (IC) Details

IC Title:	Retrieving and Refiling Records - Public Agencies	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NA	Retrieving and Refiling Records - SUDORS	Att E. Retrieving and refiling records_1128_SUDORS.pdf	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	33,100	33,100
Annual IC Time Burden (Hours)	16,550	16,550
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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