View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0930-0384	ICR Reference No: 202110-0930-002
Status: Historical Active	Previous ICR Reference No: 201812-0930-001
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: State Opioid Response (SOR) and Tribal Opioid Response (TOR) Program Data Collection and Performance Measurement
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: 11/18/2021
	Date Received in OIRA: 10/12/2021
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2024	36 Months From Approved	06/30/2022
Responses	636	0	1,436
Time Burden (Hours)	191	0	244
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	636	1,436	-800
Annual Time Burden (Hours)	191	244	-53
Annual Cost Burden (Dollars)	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: A decrease in respondents created a decrease in total burden hours. There remains a 53.20 hour decrease in burden, despite addition of new items to the instrument.

Annual Cost to Federal Government: $108,837

Does this IC contain surveys, censuses, or employ statistical methods? No

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? No

Agency Contact: Carlos Graham 204 276-0361 carlos.graham@samhsa.hhs.gov

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