Feedback on Strategies Related to Opioid Misuse

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

OMB: 0970-0401

IC ID: 233914

Information Collection (IC) Details

View Information Collection (IC)

Feedback on Strategies Related to Opioid Misuse
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Feedback Form on Strategies Related to Opioid Misuse Feedback Form on Strategies Related to Opioid Misuse.docx Yes Yes Fillable Printable

Community and Social Services Social Services

 

1,574 0
   
Private Sector Not-for-profit institutions
 
   0 %

  Requested 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 1,574 0 0 0 0 1,574
Annual IC Time Burden (Hours) 131 0 0 0 0 131
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Justification fast-track-submission-form-OHS-11-5-18.doc 11/06/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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