Information Collection

RCORP – Neonatal Abstinence Syndrome

IC 269426 under ICR 202512-0906-004 · OMB 0906-0044.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0906-0044 can be found here:

Documents and Forms

Document Name Document Type
Form 7 RCORP – Neonatal Abstinence Syndrome Form and Instruction
Form 7 RCORP-NAS Measures RCORP – Neonatal Abstinence Syndrome Form and Instruction
7 RCORP-NAS Measures RCORP-NAS Measures.pdf Form and Instruction
7 RCORP-NAS Measures RCORP-NAS Measures.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	RCORP â Neonatal Abstinence Syndrome	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	7	RCORP-NAS Measures	RCORP-NAS Measures.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 41	Number of Respondents for Small Entity: 41

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	164	164
Annual IC Time Burden (Hours)	379	379
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.

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