Rural Communities Opioid Response Program (RCORP) Grantee Data

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 8 RCORP –Impact PIMS	Form and Instruction	New	Repair queued
Form 8 RCORP –Impact (NEW)	Form and Instruction	New	Repair queued
Form 7 RCORP-NAS Measures	Form and Instruction	Modified	Repair queued
Form 7 RCORP – Neonatal Abstinence Syndrome	Form and Instruction	Modified	Repair queued
Form 6 RCORP-CABH Measures	Form and Instruction	Modified	Repair queued
Form 6 RCORP – Child and Adolescent Behavioral Health	Form and Instruction	Modified	Repair queued
Form 5 RCORP-Overdose Response Measures	Form and Instruction	Modified	Available
Form 5 RCORP – Overdose Response	Form and Instruction	Modified	Repair queued
Form 4 RCORP-BHS Measures	Form and Instruction	Modified	Available
Form 4 Rural Communities Opioid Response Program – Behavioral Health Care Support	Form and Instruction	Modified	Repair queued
Form 3 RCORP-MAT Access Measures.pdf	Form and Instruction	Modified	Available
Form 3 Rural Communities Opioid Response Program – MAT Access	Form and Instruction	Modified	Repair queued
Form 2 RCORP - Psychostimulant Support Measures.docx	Form and Instruction	Modified	Available
Form 2 Rural Communities Opioid Response Program-Psychostimulant Support	Form and Instruction	Modified	Missing upstream
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	Repair queued
Supporting Statement A_0906-0044_12302025.docx	Supporting Statement A	Uploaded 2026-01-06	Repair queued
Supporting Statement A Instructions 30 day FRN 12172025.docx	Supporting Statement A	Uploaded 2025-12-19	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
278554	RCORP –Impact (NEW)	Form and Instruction	New	RCORP –Impact PIMS
278554	RCORP –Impact (NEW)	Form and Instruction	New
269426	RCORP – Neonatal Abstinence Syndrome	Form and Instruction	Modified	RCORP-NAS Measures
269426	RCORP – Neonatal Abstinence Syndrome	Form and Instruction	Modified
269425	RCORP – Child and Adolescent Behavioral Health	Form and Instruction	Modified	RCORP-CABH Measures
269425	RCORP – Child and Adolescent Behavioral Health	Form and Instruction	Modified
269424	RCORP – Overdose Response	Form and Instruction	Modified	RCORP-Overdose Response Measures
269424	RCORP – Overdose Response	Form and Instruction	Modified
260925	Rural Communities Opioid Response Program – Behavioral Health Care Support	Form and Instruction	Modified	RCORP-BHS Measures
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	RCORP-MAT Access Measures.pdf
260924	Rural Communities Opioid Response Program – MAT Access	Form and Instruction	Modified
252017	Rural Communities Opioid Response Program-Psychostimulant Support	Form and Instruction	Modified	RCORP - Psychostimulant Support Measures.docx
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: 202512-0906-004
Status: Historical Active	Previous ICR Reference No: 202507-0906-002
Agency/Subagency: HHS/HRSA	Agency Tracking No:
Title: Rural Communities Opioid Response Program (RCORP) Grantee Data
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/11/2026
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/23/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2029	36 Months From Approved	08/31/2027
Responses	1,006	0	987
Time Burden (Hours)	1,366	0	1,344
Cost Burden (Dollars)	0	0	0

---

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.

---

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

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 40374	08/19/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 59843	12/22/2025
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 8

table that charts list of burden

IC Title	Form No.	Form Name
RCORP – Child and Adolescent Behavioral Health	6	RCORP-CABH Measures
RCORP – Neonatal Abstinence Syndrome	7	RCORP-NAS Measures
RCORP – Overdose Response	5	RCORP-Overdose Response Measures
RCORP –Impact (NEW)	8	RCORP –Impact PIMS
Rural Communities Opioid Response Program – Behavioral Health Care Support	4	RCORP-BHS Measures
Rural Communities Opioid Response Program – MAT Access	3	RCORP-MAT Access Measures.pdf
Rural Communities Opioid Response Program-Implementation	1a, 1b, 1c	Implementation Measures ,   MAT Expansion Measures ,   NAS Measures
Rural Communities Opioid Response Program-Psychostimulant Support	2	RCORP - Psychostimulant Support Measures.docx

---

ICR Summary of Burden

table that charts list 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	1,006	987	0	19	0	0
Annual Time Burden (Hours)	1,366	1,344	0	22	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: The burden has increased because of the addition of the new form.

---

Annual Cost to Federal Government: $1,194,368

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

---

Common Form ICR:  No

---

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: 12/23/2025

---