Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Rural Communities Opioid Response Program – Behavioral Health Care Support New 58 117 0 Form and Instruction 4
Rural Communities Opioid Response Program – MAT Access New 11 21 0 Form and Instruction 3
Rural Communities Opioid Response Program-Implementation/Neonatal Abstinence Syndrome/MAT Expansion Modified 580 719 0 Form and Instruction 1a
Form and Instruction 1b
Form and Instruction 1c
Rural Communities Opioid Response Program-Psychostimulant Support Modified 15 20 0 Form and Instruction 2
Total burden requested under this ICR: 664 877 0  
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