OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Program-Level Instrument

IC 234465 under ICR 202606-0930-003 · OMB 0930-0384.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

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Program-Level Instrument
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SOR TOR FInal Tool SOR TOR Final Tool 20250203 SOR TOR Program Instrument Rev for Harm Reduction RL1_Updated 6.10.26.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Program-Level Instrument  75 FR 28264

378 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 945 0 0 0 0 945
Annual IC Time Burden (Hours) 274 0 0 0 0 274
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Non-Sub Change Justification Statement 0930-0384_GRPA SOR TOR Non-substantive Change Justification-OMB Passback 2-11June2026.docx 06/23/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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