OD2A-LOCAL Annual Performance Report and Work Plan

[NCIPC] Monitoring and Reporting for the Overdose Data to Action Cooperative Agreement

OMB: 0920-1283

IC ID: 238171

Information Collection (IC) Details

View Information Collection (IC)

OD2A-LOCAL Annual Performance Report and Work Plan 0920-1283
 
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 OD2A-LOCAL Annual Performance Report and Work Plan Attachment 3g_OD2A-LOCAL Annual Performance Report and Work Plan.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

40 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 40 0 -26 0 0 66
Annual IC Time Burden (Hours) 360 0 294 0 0 66
Annual IC Cost Burden (Dollars) 0 0 -2,200 0 0 2,200

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