View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0930-0383	ICR Reference No: 202205-0930-001
Status: Historical Inactive	Previous ICR Reference No: 201812-0930-002
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Technology Transfer Center (TTC) Program Monitoring
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted	Conclusion Date: 08/02/2022
	Date Received in OIRA: 05/24/2022
Terms of Clearance: For a non-substantive chance you should not be changing the expiration date. Please resubmit with the original expiration date.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		05/31/2022	08/31/2022
Responses	0	0	128,250
Time Burden (Hours)	0	0	19,988
Cost Burden (Dollars)	0	0	0

Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Event Description Form	Event Description Form
Follow-up Forms	Follow-up Form - International, Follow-up Form - Domestic	,
Post Event Forms	Post Event Form - International, Post Event Form - Domestic	,

Annual Cost to Federal Government: $78,234

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? No

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

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