Att4b TOM Kits GenIC 0923-0047 NOA 20190510

Attachment 5. TOM Kits GenIC 0923-0047 NOA

NOTICE OF OFFICE OF MANAGEMENT AND BUDGET ACTION
Date

05/10/2019

Department of Health and Human Services
Agency for Toxic Substances and Disease Registry
FOR CERTIFYING OFFICIAL:

Edwin Simcox

FOR CLEARANCE OFFICER:

Debbie Kramer

In accordance with the Paperwork Reduction Act, OMB has taken action on your request received
05/02/2019
ACTION REQUESTED: Generic IC
Distribution of Traceable Opioid Material§ Kits across U.S. Laboratories
IC TITLE:
ICR REFERENCE NUMBER:

201810-0923-002

AGENCY ICR TRACKING NUMBER:
TITLE:

19457

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

LIST OF INFORMATION COLLECTIONS: See next page
OMB ACTION: Approved without change
OMB CONTROL NUMBER:

0923-0047

The agency is required to display the OMB Control Number and inform respondents of its legal significance in
accordance with 5 CFR 1320.5(b).
EXPIRATION DATE: 01/31/2022

BURDEN:

DISCONTINUE DATE:

RESPONSES

HOURS

COSTS

Previous

24,900

21,225

0

New

24,900

21,225

0

Change due to New Statute

0

0

0

Change due to Agency Discretion

0

0

0

Change due to Agency Adjustment

0

0

0

Change due to PRA Violation

0

0

0

Difference

TERMS OF CLEARANCE:

Terms of the Generic ICR remain in effect.

OMB Authorizing Official:

Neomi Rao
Administrator,
Office Of Information And Regulatory Affairs

IC Title

Form No.

List of ICs
Form Name

CFR Citation

Wildfire Guide
0923-0047
Wildfire Guide
Assessment Interview
Assessement Interview
Distribution of
0923-0047
Traceable Opioid
Traceable Opioid
Material* Kit Questions
Material§ Kits across
U.S. Laboratories
Total Hours Actually Used for Information Collections Under Currently Approved ICR:

Hrs/$/Resp
110 / 0 / 110
200 / 0 / 2,000

310