OMB
.report
Search
I-TF Online State Add Update Form
National Substance Use and Mental Health Services Survey (N-SUMHSS) [CBHSQ]
OMB: 0930-0386
IC ID: 243263
OMB.report
HHS/SAMHSA
OMB 0930-0386
ICR 202311-0930-001
IC 243263
( )
Documents and Forms
Document Name
Document Type
Form I-TF Online State
I-TF Online State Add Update Form
Form and Instruction
I-TF Online State I-TF Online State Add Update Form
Attachment H. I-TF Online State Add Update Form final.docx
Form and Instruction
I-TF Online State I-TF Online State Add Update Form
Attachment H. I-TF Online State Add Update Form final.docx
Form and Instruction
Attachment H1. I-TF Online State Add Update Form - Track Changes final.pdf
I-TF Online State Add Update Form - Tracked
IC Document
Attachment H1. I-TF Online State Add Update Form - Track Changes final.pdf
I-TF Online State Add Update Form - Tracked
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
I-TF Online State Add Update Form
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
I-TF Online State Add Update Form
I-TF Online State Add Update Form
Attachment H. I-TF Online State Add Update Form final.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:
FR Citation:
Number of Respondents:
61
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
3,050
0
-1,150
0
0
4,200
Annual IC Time Burden (Hours)
244
0
-92
0
0
336
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
I-TF Online State Add Update Form - Tracked
Attachment H1. I-TF Online State Add Update Form - Track Changes final.pdf
11/30/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.