Information Collection

Reporting - Accreditation Bodies

IC 191852 under ICR 202408-0930-004 · OMB 0930-0206.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SMA-163 Reporting - Accreditation Bodies	Form and Instruction
Form SMA-163 SMA-163 Reporting - Accreditation Bodies	Form and Instruction
SMA-163 SMA-163 Opioid regs OMB_FORM_SMA-163.docx	Form and Instruction
SMA-163 SMA-163 Opioid regs OMB_FORM_SMA-163.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SMA-163				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 54

Number of Respondents for Small Entity: 54

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,407	1,407
Annual IC Time Burden (Hours)	394	394
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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