Harm Reduction Data Collection Form

Harm Reduction Grant Program Target Setting and Quarterly Aggregate Reporting Instrument

OMB: 0930-0391

IC ID: 254585

Information Collection (IC) Details

View Information Collection (IC)

Harm Reduction Data Collection Form
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Harm Reduction Data Collection Form Harm Reduction Data Collection Form Attachment A HR OMB Data Collection Form REVISED 05202022-clean.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Harm Reduction Data Collection Form  75 FR 28264

23 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved 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 115 0 115 0 0 0
Annual IC Time Burden (Hours) 72 0 72 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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