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Addressing the Opioid Crisis in Communities of Color
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-discussion guide No   Paper Only
Other-Discussion Guide No   Paper Only
Other-Consent form No   Paper Only

Health Health Care Services

 

64 0
   
State, Local, and Tribal Governments
 
   50 %

  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 64 0 64 0 0 0
Annual IC Time Burden (Hours) 96 0 96 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
coversheet 01/14/2020
SS-A 03/13/2020
SS-B 01/14/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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