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Reporting - Opioid Treatment Programs
Opioid Drugs in Maintenance and Detoxification Treatment of Opiate Addiction - 42 CFR Part 8
OMB: 0930-0206
IC ID: 37857
OMB.report
HHS/SAMHSA
OMB 0930-0206
ICR 201908-0930-004
IC 37857
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0206 can be found here:
2024-08-09 - Revision of a currently approved collection
2021-10-07 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form SMA-162
Reporting - Opioid Treatment Programs
Form and Instruction
SMA-162 SMA-162
Opioid regs OMB_FORM_SMA-162_OAS approved_5.15.19.doc
Form and Instruction
SMA-168 SMA168
Opioid regs OMB_FORM_SMA-168_OAS approved_5.15.19.doc
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Reporting - Opioid Treatment Programs
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
SMA-162
SMA-162
Opioid regs OMB_FORM_SMA-162_OAS approved_5.15.19.doc
Yes
Yes
Fillable Fileable
Form and Instruction
SMA-168
SMA168
Opioid regs OMB_FORM_SMA-168_OAS approved_5.15.19.doc
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:
1,954
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
35,127
0
0
0
0
35,127
Annual IC Time Burden (Hours)
2,902
0
0
0
0
2,902
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.