Information Collection

Rural Communities Opioid Response Program (RCORP) Performance Measures

IC 237084 under ICR 201907-0906-002 · OMB 0906-0044.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0906-0044 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Rural Communities Opioid Response Program (RCORP) Performance Measures	Form and Instruction
1 FINAL RCORP Performance Measures_Rev.docx FINALRCORP Performance Measures_Rev.docx	Form and Instruction

IC Title:

Rural Communities Opioid Response Program (RCORP) Performance Measures

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	FINAL RCORP Performance Measures_Rev.docx	FINALRCORP Performance Measures_Rev.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 243

Number of Respondents for Small Entity: 220

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	486	486
Annual IC Time Burden (Hours)	2,751	2,751
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.