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Annual Synar Report Format
Substance Abuse Prevention and Treatment Block Grant Synar Report Format, FY 2020-2022
OMB: 0930-0222
IC ID: 7625
OMB.report
HHS/SAMHSA
OMB 0930-0222
ICR 201901-0930-003
IC 7625
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0222 can be found here:
2022-01-06 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
FINAL FFY 2019 ASR Instructions_4.22.19.docx
Instruction
ASR ASR
FINAL FFY 2019 ASR_4.22.19.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Annual Synar Report Format
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:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
FINAL FFY 2019 ASR Instructions_4.22.19.docx
Yes
Yes
Fillable Fileable
Form
ASR
ASR
FINAL FFY 2019 ASR_4.22.19.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
59
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 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
59
0
0
0
0
59
Annual IC Time Burden (Hours)
1,062
0
0
0
0
1,062
Annual IC Cost Burden (Dollars)
0
0
0
0
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.