View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0930-0378	ICR Reference No: 201810-0930-003
Status: Historical Active	Previous ICR Reference No: 201707-0930-002
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: State Targeted Response to the Opioid Crisis Grant Program Reports
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/14/2019
	Date Received in OIRA: 10/17/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2021	36 Months From Approved	09/30/2020
Responses	114	0	114
Time Burden (Hours)	969	0	912
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	114	114	0
Annual Time Burden (Hours)	969	912	57
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Currently there are 912 burden hours in the OMB inventory. SAMHSA is requesting 969 total burden hours. The request to increase the burden by 57 hours is due to the inclusion of Table E which was omitted from the original submission.

Annual Cost to Federal Government: $322,626

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Summer King 2402761243

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