Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
RCORP – Child and Adolescent Behavioral Health Modified 18 9 0 Form and Instruction 6 RCORP-CABH Measures
RCORP – Neonatal Abstinence Syndrome Modified 164 379 0 Form and Instruction 7 RCORP-NAS Measures
RCORP – Overdose Response Modified 141 79 0 Form and Instruction 5 RCORP-Overdose Response Measures
RCORP –Impact (NEW) New 19 22 0 Form and Instruction 8 RCORP –Impact PIMS
Rural Communities Opioid Response Program – Behavioral Health Care Support Modified 58 117 0 Form and Instruction 4 RCORP-BHS Measures
Rural Communities Opioid Response Program – MAT Access Modified 11 21 0 Form and Instruction 3 RCORP-MAT Access Measures.pdf
Rural Communities Opioid Response Program-Implementation Modified 580 719 0 Form and Instruction 1a Implementation Measures
Form and Instruction 1b MAT Expansion Measures
Form and Instruction 1c NAS Measures
Rural Communities Opioid Response Program-Psychostimulant Support Modified 15 20 0 Form and Instruction 2 RCORP - Psychostimulant Support Measures.docx
Total burden requested under this ICR: 1006 1366 0  
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