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SAMHSA Program to Advance Recovery Knowledge Training and Technical Assistance Request Form
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SPARK TTA Request Form SPARK TTA Request Form 4.24.2024_SPARK Training and Technical Assistance Request Form_per DTM-G.pdf Yes Yes Fillable Fileable
Form and Instruction SPARK TTA Request Form (Microsoft Image Preview) SPARK TTA Request Form (Microsoft Image Preview) SAMHSA SPARK Training Technical Assistance Request Form_Microsoft Image (Preview).pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

Privacy Act of 1974 (Title 5 United States Code [U.S.C.] 552a)  75 FR 28264

130 0
   
State, Local, and Tribal Governments
 
   0 %

  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 130 0 130 0 0 0
Annual IC Time Burden (Hours) 13 0 13 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SPARK TTA Request Form Generic Request rev 4.24.2024_Fast-Track-Generic_Submission_SPARK6_v3 clean noComments.docx 04/29/2024
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