Grants to Prevent Prescription Drug/Opioid Overdose-Related Deaths (PDO)

Center for Substance Abuse Prevention Online Reporting Tool (CORT)

Documents and Forms

Document Name Document Type
Form PDO Instrument Grants to Prevent Prescription Drug/Opioid Overdose-Related Deaths (PDO) Form and Instruction
PDO Instrument PDO Instrument Attachment 6. CORT - PDO Instrument.docx Form and Instruction
PDO Instrument PDO Instrument Attachment 6. CORT - PDO Instrument.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Grants to Prevent Prescription Drug/Opioid Overdose-Related Deaths (PDO)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	PDO Instrument	PDO Instrument	Attachment 6. CORT - PDO Instrument.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: PDO Collections	FR Citation: 75 FR 28264

Number of Respondents: 18	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 Agency Discretion
Annual Number of Responses for this IC	18	18
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.