Information Collection

Improving Access to Overdose Treatment (ODTA)

IC 271286 under ICR 202505-0930-002 · OMB 0930-0354.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ODTA instrument Improving Access to Overdose Treatment (ODTA)	Form and Instruction
Form ODTA instrument ODTA Instrument Improving Access to Overdose Treatment (ODTA)	Form and Instruction
ODTA instrument ODTA Instrument Attachment 7. CORT - ODTA Instrument (030325).docx	Form and Instruction
ODTA instrument ODTA Instrument Attachment 7. CORT - ODTA Instrument (030325).docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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	ODTA instrument				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: ODTA Collection

FR Citation: 75 FR 28264

Number of Respondents: 8

Number of Respondents for Small Entity: 0

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	8	8
Annual IC Time Burden (Hours)	8	8
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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