Information Collection Request

Rural Communities Opioid Response Program (RCORP) Grantee Data

ICR 202306-0906-002 · OMB 0906-0044 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 4 Rural Communities Opioid Response Program – Behavioral Health Care Support Form and Instruction New Available
Form 4 Rural Communities Opioid Response Program – Behavioral Health Care Support Form and Instruction New Repair queued
Form 3 Rural Communities Opioid Response Program – MAT Access Form and Instruction New Available
Form 3 Rural Communities Opioid Response Program – MAT Access Form and Instruction New Repair queued
Form 2 Rural Communities Opioid Response Program-Psychostimulant Support Form and Instruction Modified Available
Form 2 Rural Communities Opioid Response Program-Psychostimulant Support Form and Instruction Modified Repair queued
Form 1c NAS Measures Form and Instruction Modified Available
Form 1b MAT Expansion Measures Form and Instruction Modified Available
Form 1a Implementation Measures Form and Instruction Modified Available
Form 1a Rural Communities Opioid Response Program-Implementation/Neonatal Abstinence Syndrome/MAT Expansion Form and Instruction Modified Repair queued
Supporting Statement A Instructions 30 day FRN 06132023 61523.docx Supporting Statement A Uploaded 2023-06-30 Repair queued
RCORP authorizing legislation.docx Supplementary Document Uploaded 2022-03-07 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
260925 Rural Communities Opioid Response Program – Behavioral Health Care Support Form and Instruction NewRural Communities Opioid Response Program – Behavioral Health Care Support
260925 Rural Communities Opioid Response Program – Behavioral Health Care Support Form and Instruction New
260924 Rural Communities Opioid Response Program – MAT Access Form and Instruction NewRural Communities Opioid Response Program – MAT Access
260924 Rural Communities Opioid Response Program – MAT Access Form and Instruction New
252017 Rural Communities Opioid Response Program-Psychostimulant Support Form and Instruction ModifiedRural Communities Opioid Response Program-Psychostimulant Support
252017 Rural Communities Opioid Response Program-Psychostimulant Support Form and Instruction Modified
237084 Rural Communities Opioid Response Program-Implementation/Neonatal Abstinence Syndrome/MAT Expansion Form and Instruction ModifiedNAS Measures
237084 Rural Communities Opioid Response Program-Implementation/Neonatal Abstinence Syndrome/MAT Expansion Form and Instruction ModifiedMAT Expansion Measures
237084 Rural Communities Opioid Response Program-Implementation/Neonatal Abstinence Syndrome/MAT Expansion Form and Instruction ModifiedImplementation Measures
237084 Rural Communities Opioid Response Program-Implementation/Neonatal Abstinence Syndrome/MAT Expansion Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2026 36 Months From Approved 04/30/2025
664 0 595
877 0 739
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Rural Communities Opioid Response Program – Behavioral Health Care Support 4
Rural Communities Opioid Response Program – MAT Access 3
Rural Communities Opioid Response Program-Implementation/Neonatal Abstinence Syndrome/MAT Expansion 1a, 1b, 1c ,   ,  
Rural Communities Opioid Response Program-Psychostimulant Support 2

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 664 595 0 69 0 0
Annual Time Burden (Hours) 877 739 0 138 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No