State Opioid Response (SOR) and Tribal Opioid Response (TOR) Program Data Collection and Performance Measurement

OMB 0930-0384

OMB 0930-0384

There will be up to 359 award recipients (states, territories, and tribal entities) in these grant programs. Grantee-level data will include information related to naloxone purchases and distribution. This grantee-level information will be collected quarterly. All funded states/territories and tribal entities will also be required to collect and report client-level data on individuals who are receiving opioid treatment services to ensure program goals and objectives are being met. Client-level data will include information such as: demographic information, services planned/received, mental health/substance use disorder diagnoses, medical status, employment status, substance use, legal status, and psychiatric status/symptoms. Client level data will be collected at intake/baseline, three months post intake, six months post intake, and at discharge.

The latest form for State Opioid Response (SOR) and Tribal Opioid Response (TOR) Program Data Collection and Performance Measurement expires 2022-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

© 2021 OMB.report | Privacy Policy