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I-bhs
National Survey of Substance Abuse Treatment Services (N-SSATS)
OMB: 0930-0106
IC ID: 191112
OMB.report
HHS/SAMHSA
OMB 0930-0106
ICR 202006-0930-001
IC 191112
( )
Documents and Forms
Document Name
Document Type
Form I-BHS Online State
I-BHS
Form and Instruction
I-BHS Online State I-BHS Online State Add Update Form
Attachment A1 I-BHS Online State Add_Update Forms.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
I-BHS
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
I-BHS Online State Add Update Form
I-BHS Online State Add Update Form
Attachment A1 I-BHS Online State Add_Update Forms.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:
56
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
4,200
0
0
0
0
4,200
Annual IC Time Burden (Hours)
336
0
0
0
0
336
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.