Form DAWN Activity Repo DAWN Activity Repo DAWN Activity Report Form

DAWN Activity Report Form

Drug and Alcohol Warning Network

Public Burden Statement: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information
unless it displays a currently valid OMB control number. The OMB control number for this project is 0930-0078. Public reporting burden for
this collection of information is estimated to average 27.7 hours per year, including the time for reviewing instructions, searching existing
data sources, gathering, and maintaining the data needed, and completing and reviewing the collection of information. Send comments
regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to
SAMHSA Reports Clearance Officer, 5600 Fishers Lane, Room 15E45,Rockville, Maryland, 20857.