SAMHSA/CSAT's Viral Hepatitis Information Form

Enhancing Substance Abuse Treatment Services to Address Hepatitis Infection Among Intravenous Drug Users Hepatitis Testing and Vaccine Tracking Form

0300-Public Burden Statement

SAMHSA/CSAT's Viral Hepatitis Information Form

OMB: 0930-0300

Document [doc]
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OMB No. 0930-0300

Expiration Date: xx/xx/xx



Public Burden Statement: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.  The OMB control number for this project is 0930-0300.  Public reporting burden for this collection of information is estimated to average 3 minutes per respondent, per year, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.  Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to SAMHSA Reports Clearance Officer, 1 Choke Cherry Road, Room 2-1057, Rockville, Maryland, 20857.



File Typeapplication/msword
File TitlePublic Burden Statement: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of infor
AuthorSKING
Last Modified ByDHHS
File Modified2012-12-10
File Created2012-12-10

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