Information Collection

Web Site Registration Survey

IC 194259 under ICR 201912-0930-001 · OMB 0930-0313.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0313 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Survey Web Site Registration Survey	Form and Instruction
Survey Survey For OMB Approval - SAMHSA-Publications-and-Digital-Products-Web-Site-Registration-Survey-2020-03-03-No-annotations.pdf	Form and Instruction

IC Title:

Web Site Registration Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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	Survey	Survey	For OMB Approval - SAMHSA-Publications-and-Digital-Products-Web-Site-Registration-Survey-2020-03-03-No-annotations.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 21,082

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	21,082	21,082
Annual IC Time Burden (Hours)	696	696
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.