OMB
.report
Search
CSAT - Program-Level Data
Common Data Platform
OMB: 0930-0346
IC ID: 213390
OMB.report
HHS/SAMHSA
OMB 0930-0346
ICR 201501-0930-004
IC 213390
( )
Documents and Forms
Document Name
Document Type
Form CSAT Aggregate Too
CSAT - Program-Level Data
Form
CSAT Aggregate Too CSAT Aggregate Tool
Attachment 7 CSAT Aggregate Tool.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CSAT - Program-Level Data
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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
CSAT Aggregate Tool
CSAT Aggregate Tool
Attachment 7 CSAT Aggregate Tool.pdf
Yes
Yes
Fillable Fileable
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:
6
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
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
24
0
0
0
0
24
Annual IC Time Burden (Hours)
6
0
0
0
0
6
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.
