View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	SAMHSA Walk for Recovery	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SAMHSA Walk for Recovery form	SAMHSA Walk for Recovery form	SAMHSA Walk for Recovery instrument.pdf		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 350	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	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	350	0	350	0	0	0
Annual IC Time Burden (Hours)	53	0	53	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
SAMHSA Walk for Recovery FastTrack Submission	0930-0393 Fast Track Generic _ Submission Template 02-24-2023 Walk for Recovery_.docx	08/22/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.