Organizational Capacity Assessment - Annual Reporting

Monitoring and Reporting for the Overdose Data to Action Cooperative Agreement

OMB: 0920-1283

IC ID: 238171

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Organizational Capacity Assessment - Annual Reporting
 
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Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Overdose Prevention Capacity Assessment Tool Att 3b Overdose Prevention Capacity Assessment Tool.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

66 0
   
State, Local, and Tribal Governments
 
   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 66 0 66 0 0 0
Annual IC Time Burden (Hours) 66 0 66 0 0 0
Annual IC Cost Burden (Dollars) 2,200 0 2,200 0 0 0

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