Information Collection Request

Regulations to Implement SAMHSA's Charitable Choice Statutory Provisions: 42 CFR Parts 54 and 54a

ICR 202203-0930-006 · OMB 0930-0242 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Supporting Statement A 4Nov2021 clean.docx Supporting Statement A Uploaded 2022-03-28 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
7655 42 CFR Parts 54 Instruction Modified
192280 42 CFR Parts 54 a Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 09/30/2022
2,077 2,077
1,845 1,845
0 58,783





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
42 CFR Parts 54
42 CFR Parts 54 a

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,077 2,077 0 0 0 0
Annual Time Burden (Hours) 1,845 1,845 0 0 0 0
Annual Cost Burden (Dollars) 0 58,783 0 -58,783 0 0


Reginfo record details
  No