Web Site Registration Survey

SAMHSA’s Publications and Digital Products Website Registration Survey

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.