Activity Progress Report and Work Plan Tool – Annual Reporting

Monitoring and Reporting for the Overdose Data to Action Cooperative Agreement

OMB: 0920-1283

IC ID: 238173

Information Collection (IC) Details

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Activity Progress Report and Work Plan Tool – Annual Reporting
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Activity Progress Report and Work Plan Tool Att 3c - Activity Progress Report and Work Plan Tool.xlsx 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) 264 0 264 0 0 0
Annual IC Cost Burden (Dollars) 8,802 0 8,802 0 0 0

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