Information Collection Request

Regulations to Implement SAMHSA's Charitable Choice Statutory Provisions: 42 CFR Parts 54 and 54a

ICR 201908-0930-002 · OMB 0930-0242 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Supporting Statement CC_8.8.19.doc Supporting Statement A Uploaded 2019-08-08 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
7655 42 CFR Parts 54 Instruction Unchanged
192280 42 CFR Parts 54 a Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2022 36 Months From Approved 09/30/2019
2,077 0 2,077
1,845 0 1,845
58,783 0 58,783





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
42 CFR Parts 54
42 CFR Parts 54 a

table that charts list of burden
  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 2,077 2,077 0 0 0 0
Annual Time Burden (Hours) 1,845 1,845 0 0 0 0
Annual Cost Burden (Dollars) 58,783 58,783 0 0 0 0


Reginfo record details
  No