Rural Communities Opioid Response Program (RCORP) Grantee Data

Forms and Documents

Document	Type	Status	Availability
Form 7 (Revised) Attachment E_RCORP-NAS Measures - Proposed Revision	Form and Instruction	Modified	Available
Form 7 RCORP NAS DRAFT PIMS Measures FINAL 07092024	Form and Instruction	Modified	Available
Form 7 RCORP – Neonatal Abstinence Syndrome (NEW)	Form and Instruction	Modified	Repair queued
Form 6 (Revised) Attachment C_RCORP-CABH Measures -Proposed Revision	Form and Instruction	Modified	Repair queued
Form 6 RCORP CABH DRAFT PIMS Measures FINAL 07092024	Form and Instruction	Modified	Available
Form 6 RCORP – Child and Adolescent Behavioral Health (NEW)	Form and Instruction	Modified	Repair queued
Form 5 (Revised) Attachment F_RCORP-Overdose Response Measures - Proposed Revision	Form and Instruction	Modified	Available
Form 5 RCORP Overdose Response FINAL 07092024	Form and Instruction	Modified	Available
Form 5 RCORP – Overdose Response (NEW)	Form and Instruction	Modified	Repair queued
Form 4 (Revised) Attachment B_RCORP-BHS Measures - Proposed Revision	Form and Instruction	Modified	Repair queued
Form 4 Rural Communities Opioid Response Program – Behavioral Health Care Support	Form and Instruction	Modified	Available
Form 4 Rural Communities Opioid Response Program – Behavioral Health Care Support	Form and Instruction	Modified	Repair queued
Form 3 (Revised) Attachment D_RCORP-MAT Access Measures - Proposed Revision	Form and Instruction	Modified	Available
Form 3 Rural Communities Opioid Response Program – MAT Access	Form and Instruction	Modified	Repair queued
Form 3 Rural Communities Opioid Response Program – MAT Access	Form and Instruction	Modified	Repair queued
Form 2 (Revised) Attachment A_RCORP - Psychostimulant Support Measures.docx	Form and Instruction	Modified	Available
Form 2 Rural Communities Opioid Response Program-Psychostimulant Support	Form and Instruction	Modified	Available
Form 2 Rural Communities Opioid Response Program-Psychostimulant Support	Form and Instruction	Modified	Repair queued
Form 1c NAS Measures	Form and Instruction	Modified	Repair queued
Form 1b MAT Expansion Measures	Form and Instruction	Modified	Repair queued
Form 1a Implementation Measures	Form and Instruction	Modified	Repair queued
Form 1a Rural Communities Opioid Response Program-Implementation	Form and Instruction	Modified	Missing upstream
FORHP 0906-0044 OMB NonSubstantive Change Request RCORP - 07222025.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-07-22	Repair queued
FORHP 0906-0044 OMB NonSubstantive Change Request RCORP - 07222025.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-07-22	Missing upstream
Supporting Statement A Instructions 30 day FRN Final 07122024.docx	Supporting Statement A	Uploaded 2024-07-15	Repair queued
Supporting Statement A Instructions 30 day FRN Final 07122024.docx	Supporting Statement A	Uploaded 2024-07-15	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
269426	RCORP – Neonatal Abstinence Syndrome (NEW)	Form and Instruction	Modified	Attachment E_RCORP-NAS Measures - Proposed Revision
269426	RCORP – Neonatal Abstinence Syndrome (NEW)	Form and Instruction	Modified	RCORP NAS DRAFT PIMS Measures FINAL 07092024
269426	RCORP – Neonatal Abstinence Syndrome (NEW)	Form and Instruction	Modified
269425	RCORP – Child and Adolescent Behavioral Health (NEW)	Form and Instruction	Modified	Attachment C_RCORP-CABH Measures -Proposed Revision
269425	RCORP – Child and Adolescent Behavioral Health (NEW)	Form and Instruction	Modified	RCORP CABH DRAFT PIMS Measures FINAL 07092024
269425	RCORP – Child and Adolescent Behavioral Health (NEW)	Form and Instruction	Modified
269424	RCORP – Overdose Response (NEW)	Form and Instruction	Modified	Attachment F_RCORP-Overdose Response Measures - Proposed Revision
269424	RCORP – Overdose Response (NEW)	Form and Instruction	Modified	RCORP Overdose Response FINAL 07092024
269424	RCORP – Overdose Response (NEW)	Form and Instruction	Modified
260925	Rural Communities Opioid Response Program – Behavioral Health Care Support	Form and Instruction	Modified	Attachment B_RCORP-BHS Measures - Proposed Revision
260925	Rural Communities Opioid Response Program – Behavioral Health Care Support	Form and Instruction	Modified	Rural Communities Opioid Response Program – Behavioral Health Care Support
260925	Rural Communities Opioid Response Program – Behavioral Health Care Support	Form and Instruction	Modified
260924	Rural Communities Opioid Response Program – MAT Access	Form and Instruction	Modified	Attachment D_RCORP-MAT Access Measures - Proposed Revision
260924	Rural Communities Opioid Response Program – MAT Access	Form and Instruction	Modified	Rural Communities Opioid Response Program – MAT Access
260924	Rural Communities Opioid Response Program – MAT Access	Form and Instruction	Modified
252017	Rural Communities Opioid Response Program-Psychostimulant Support	Form and Instruction	Modified	Attachment A_RCORP - Psychostimulant Support Measures.docx
252017	Rural Communities Opioid Response Program-Psychostimulant Support	Form and Instruction	Modified	Rural Communities Opioid Response Program-Psychostimulant Support
252017	Rural Communities Opioid Response Program-Psychostimulant Support	Form and Instruction	Modified
237084	Rural Communities Opioid Response Program-Implementation	Form and Instruction	Modified	NAS Measures
237084	Rural Communities Opioid Response Program-Implementation	Form and Instruction	Modified	MAT Expansion Measures
237084	Rural Communities Opioid Response Program-Implementation	Form and Instruction	Modified	Implementation Measures
237084	Rural Communities Opioid Response Program-Implementation	Form and Instruction	Modified

ICR Details

OMB Control No: 0906-0044	ICR Reference No: 202507-0906-002
Status: Historical Active	Previous ICR Reference No: 202407-0906-002
Agency/Subagency: HHS/HRSA	Agency Tracking No:
Title: Rural Communities Opioid Response Program (RCORP) Grantee Data
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/28/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/23/2025
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2027	08/31/2027	08/31/2027
Responses	987	0	987
Time Burden (Hours)	1,344	0	1,344
Cost Burden (Dollars)	0	0	0

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Abstract: For this program, performance measures were developed to provide data on each RCORP initiative to enable HRSA to provide aggregate program data required by Congress under the Government Performance and Results Act of 1993. These measures cover the principal topic areas of interest to the Federal Office of Rural Health Policy (FORHP), including: (a) Provision of, and referral to, rural behavioral health care services, including Substance Use Disorder (SUD)/Opioid Use Disorder (OUD) prevention, treatment and recovery support services; (b) behavioral health care, including SUD/OUD prevention, treatment, and recovery, process and outcomes; (c) education of health care providers and community members; (d) emerging trends in rural behavioral health care needs and areas of concern; and (e) consortium strength and sustainability.

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Authorizing Statute(s): PL: Pub.L. 115 - 245 0 Name of Law: Govt. Spending Bill
   US Code: 42 USC 912(b), 711(b) Name of Law: SSA
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 38163	05/07/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 57419	07/15/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

IC Title	Form No.	Form Name
RCORP – Child and Adolescent Behavioral Health (NEW)	6, 6 (Revised)	RCORP CABH DRAFT PIMS Measures FINAL 07092024 ,   Attachment C_RCORP-CABH Measures -Proposed Revision
RCORP – Neonatal Abstinence Syndrome (NEW)	7, 7 (Revised)	RCORP NAS DRAFT PIMS Measures FINAL 07092024 ,   Attachment E_RCORP-NAS Measures - Proposed Revision
RCORP – Overdose Response (NEW)	5, 5 (Revised)	RCORP Overdose Response FINAL 07092024 ,   Attachment F_RCORP-Overdose Response Measures - Proposed Revision
Rural Communities Opioid Response Program – Behavioral Health Care Support	4, 4 (Revised)	Rural Communities Opioid Response Program – Behavioral Health Care Support ,   Attachment B_RCORP-BHS Measures - Proposed Revision
Rural Communities Opioid Response Program – MAT Access	3, 3 (Revised)	Rural Communities Opioid Response Program – MAT Access ,   Attachment D_RCORP-MAT Access Measures - Proposed Revision
Rural Communities Opioid Response Program-Implementation	1a, 1b, 1c	Implementation Measures ,   MAT Expansion Measures ,   NAS Measures
Rural Communities Opioid Response Program-Psychostimulant Support	2, 2 (Revised)	Rural Communities Opioid Response Program-Psychostimulant Support ,   Attachment A_RCORP - Psychostimulant Support Measures.docx

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	987	987	0	0	0	0
Annual Time Burden (Hours)	1,344	1,344	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $1,190,442

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/23/2025

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