Grantee-Level PDMP Outcomes Module

Strategic Prevention Framework for Prescription Drugs (SPF Rx)

OMB: 0930-0377

IC ID: 241772

Information Collection (IC) Details

View Information Collection (IC)

Grantee-Level PDMP Outcomes Module
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Grantee-Level PDMP Outcomes Module Grantee-Level PDMP Outcomes Module Attachment 2 SPF-Rx Grantee-Level PDMP Outcomes Module CLEAN.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

21 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 21 0 -4 0 0 25
Annual IC Time Burden (Hours) 53 0 -90 0 0 143
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

© 2024 OMB.report | Privacy Policy