Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
RCORP – Child and Adolescent Behavioral Health (NEW) Modified 18 9 0 Form and Instruction 6
Form and Instruction 6 (Revised)
RCORP – Neonatal Abstinence Syndrome (NEW) Modified 164 379 0 Form and Instruction 7
Form and Instruction 7 (Revised)
RCORP – Overdose Response (NEW) Modified 141 79 0 Form and Instruction 5
Form and Instruction 5 (Revised)
Rural Communities Opioid Response Program – Behavioral Health Care Support Modified 58 117 0 Form and Instruction 4
Form and Instruction 4 (Revised)
Rural Communities Opioid Response Program – MAT Access Modified 11 21 0 Form and Instruction 3
Form and Instruction 3 (Revised)
Rural Communities Opioid Response Program-Implementation 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
Form and Instruction 2 (Revised)
Total burden requested under this ICR: 987 1344 0  
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