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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Substance Abuse Prevention and Treatment Block Grant Synar Report Format, FY 2005-2007
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
Attachment B - 2008-2010 Annual Synar Report
Clean Copy
Att B - Proposed 2008-10 ASR Format - Clean Copy.doc
Yes
Yes
Paper Only
Form and Instruction
Attachment C - 008-2010 Annual Synar Report Format
Changes - Marked Copy
Att C - Proposed 2008-10 ASR Format - Changes Shown.doc
Yes
Yes
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
59
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
59
0
0
0
0
59
Annual IC Time Burden (Hours)
1,062
0
0
0
0
1,062
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment E - Instructions to States
Att E Instructions for Completing the FFY 2008 ASR - Changes Shown.doc
08/03/2007
Attachment F - Sample Synar Alternative Penalty
Att F - Sec 214 2004.doc
08/03/2007
Attachment D1 - Reducing Yourth Access to Tobacco Report
Att D1 FFY2008-10 ASR.pdf
08/03/2007
Attachment D2 - SAMHSA's Response to the Report
Att D2 - SAMHSA Response to final GAO Rpt 1-11-02.doc
08/03/2007
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.