Email Invitation for OD2A Survey

Evaluation of the Overdose Data to Action Technical Assistance Hub

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1355 can be found here:

Documents and Forms

Document Name Document Type
Att 7. Email Invitation 3.25.21.pdf Other-Email
Att 7. Email Invitation 3.25.21.pdf Other-Email

Information Collection (IC) Details

IC Title:	Email Invitation for OD2A Survey	Agency IC Tracking Number:	0920-21BL

Is this a Common Form? No		IC Status: New

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
Other-Email			Att 7. Email Invitation 3.25.21.pdf		Yes	No	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 440	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	440	440
Annual IC Time Burden (Hours)	15	15
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.