Substance Abuse Prevention and Treatment Block Grant Synar Report Format, FY 2020-2022

ICR 201901-0930-003

OMB: 0930-0222

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2019-05-02
IC Document Collections
IC ID
Document
Title
Status
7625 Modified
ICR Details
0930-0222 201901-0930-003
Active 201603-0930-008
HHS/SAMHSA 19076
Substance Abuse Prevention and Treatment Block Grant Synar Report Format, FY 2020-2022
Extension without change of a currently approved collection   No
Regular
Approved with change 05/06/2019
Retrieve Notice of Action (NOA) 01/31/2019
  Inventory as of this Action Requested Previously Approved
05/31/2022 36 Months From Approved 06/30/2019
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

  83 FR 59390 11/23/2018
84 FR 790 01/31/2019
No

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

  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
No
Uncollected
Janet Heekin 240 276-1112 [email protected]

  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.
01/31/2019


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