Reporting - Opioid Treatment Programs

Opioid Drugs in Maintenance and Detoxification Treatment of Opiate Addiction - 42 CFR Part 8

Documents and Forms

Document Name Document Type
Form SMA-162 Reporting - Opioid Treatment Programs Form and Instruction
SMA-162 SMA-162 Opioid regs OMB_FORM_SMA-162_CLEAN.docx Form and Instruction
SMA-162 SMA-162 Opioid regs OMB_FORM_SMA-162_CLEAN.docx Form and Instruction
SMA-168 SMA-168 Opioid regs OMB_FORM_SMA-168_CLEAN.docx Form and Instruction
SMA-168 SMA-168 Opioid regs OMB_FORM_SMA-168_CLEAN.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Reporting - Opioid Treatment Programs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

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	SMA-162	SMA-162	Opioid regs OMB_FORM_SMA-162_CLEAN.docx		Yes	Yes	Fillable Fileable
Form and Instruction	SMA-168	SMA-168	Opioid regs OMB_FORM_SMA-168_CLEAN.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,954	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	35,127	35,127
Annual IC Time Burden (Hours)	2,902	2,902
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.