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SAMHSA's Publications and Digital Products Website Registration Survey
Fast Track Generic Clearance for the Collection of Qualitative Feedback on the Substance Abuse and Mental Health Services Administration (SAMHSA) Service Delivery
OMB: 0930-0393
IC ID: 258908
OMB.report
HHS/SAMHSA
OMB 0930-0393
ICR 202301-0930-003
IC 258908
( )
Documents and Forms
Document Name
Document Type
Form SAMHSA Main Site S
SAMHSA's Publications and Digital Products Website Registration Survey
Form and Instruction
SAMHSA Main Site S SAMHSA Main Site Survey
(Attachment 2) SAMHSA Main site v3 Survey_3.15.23_.docx
Form and Instruction
SAMHSA Store Surve SAMHSA Store Survey
(Attachment 3) SAMHSA Store v2 Survey_3.15.23_.docx
Form and Instruction
(Attachment 1) SAMHSA_Web Site Registration Survey Questions_10.3.22_.docx
SAMHSA_Web Site Registration Survey Question Pool
IC Document
0930-0393 Submission_Registration for Behavioral Health Web Site and Resources 3-14-2023.docx
0930-0393 Submission Registration for Behavioral Health Web Site and Resources
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
SAMHSA's Publications and Digital Products Website Registration Survey
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
SAMHSA Main Site Survey
SAMHSA Main Site Survey
(Attachment 2) SAMHSA Main site v3 Survey_3.15.23_.docx
Yes
Yes
Fillable Fileable
Form and Instruction
SAMHSA Store Survey
SAMHSA Store Survey
(Attachment 3) SAMHSA Store v2 Survey_3.15.23_.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
Privacy Act of 1974 (Title 5 United States Code [U.S.C.] 552a)
FR Citation:
75 FR 28264
Number of Respondents:
22,000
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
22,000
0
22,000
0
0
0
Annual IC Time Burden (Hours)
6,280
0
6,280
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SAMHSA_Web Site Registration Survey Question Pool
(Attachment 1) SAMHSA_Web Site Registration Survey Questions_10.3.22_.docx
03/06/2023
0930-0393 Submission Registration for Behavioral Health Web Site and Resources
0930-0393 Submission_Registration for Behavioral Health Web Site and Resources 3-14-2023.docx
03/16/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.