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ATTC - TA - Post Event
National Cross-Site Assessment of Addiction Technology Transfer Centers (ATTC) Network
OMB: 0930-0216
IC ID: 46701
OMB.report
HHS/SAMHSA
OMB 0930-0216
ICR 201304-0930-002
IC 46701
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0216 can be found here:
2016-08-25 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form Post Event Forms
ATTC - TA - Post Event
Form and Instruction
Post Event Forms Post Event Forms
PostEvent.zip
Form and Instruction
GPRA GPRA
GPRA.zip
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
ATTC - TA - Post Event
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
Post Event Forms
Post Event Forms
PostEvent.zip
Yes
Yes
Paper Only
Form and Instruction
GPRA
GPRA
GPRA.zip
Yes
Yes
Paper Only
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:
5,000
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
10 %
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
5,000
0
0
0
0
5,000
Annual IC Time Burden (Hours)
600
0
0
0
0
600
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.