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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Activity Progress Report and Work Plan Tool – Annual Reporting
New
66
264
8802
Form and Instruction
n/a
Activity Progress Report and Work Plan Tool
Activity Progress Report and Work Plan Tool – Initial Population
New
22
440
14670
Form and Instruction
n/a
Activity Progress Report and Work Plan Tool
Evaluation and Performance Measuring Plan Template - Annual Reporting
New
66
264
8802
Form and Instruction
n/a
Evaluation and Performance Measuring Plan Template
Evaluation and Performance Measuring Plan Template – Initial Population
New
22
264
8800
Form and Instruction
n/a
Evaluation and Performance Measuring Plan Template
Organizational Capacity Assessment - Annual Reporting
New
66
66
2200
Form and Instruction
n/a
Overdose Prevention Capacity Assessment Tool
Organizational Capacity Assessment - Initial Population
New
22
22
733
Form and Instruction
n/a
Overdose Prevention Capacity Assessment Tool
Surveillance Data Dissemination Plan
New
22
22
733
Form and Instruction
n/a
Surveillance Data Dissemination Plan
Total burden requested under this ICR:
286
1342
44740
To view an IC, click on IC Title