Retrieving and Refiling Records - Data Elements

State Unintentional Drug Overdose Reporting System (SUDORS)

OMB: 0920-1128

IC ID: 227708

Information Collection (IC) Details

View Information Collection (IC)

Retrieving and Refiling Records - Data Elements 0920-1128
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a SUDORS Case Report - Retrieving and Refiling Records Att D SUDORS_Data_Elements.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

51 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 87,261 0 21,585 0 0 65,676
Annual IC Time Burden (Hours) 43,631 0 10,793 0 0 32,838
Annual IC Cost Burden (Dollars) 0 0 -897,791 0 0 897,791

Title Document Date Uploaded
Screen Shots for SUDORS Data Elements Att E. SUDORS_Data_Elements_ Screen Shots.docx 09/07/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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