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Rural Communities Opioid Response Program-Psychostimulant Support
Rural Communities Opioid Response Program (RCORP) Grantee Data
OMB: 0906-0044
IC ID: 252017
OMB.report
HHS/HRSA
OMB 0906-0044
ICR 202407-0906-002
IC 252017
( )
Documents and Forms
Document Name
Document Type
Form 2
Rural Communities Opioid Response Program-Psychostimulant Support
Form and Instruction
2 Rural Communities Opioid Response Program-Psychostimulan
RCORP-Psychostimulant Measures APPROVED (2023 Unchanged).docx
Form and Instruction
2 Rural Communities Opioid Response Program-Psychostimulan
RCORP-Psychostimulant Measures APPROVED (2023 Unchanged).docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Rural Communities Opioid Response Program-Psychostimulant Support
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
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
2
Rural Communities Opioid Response Program-Psychostimulant Support
RCORP-Psychostimulant Measures APPROVED (2023 Unchanged).docx
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:
15
Number of Respondents for Small Entity:
15
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
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
15
0
0
0
0
15
Annual IC Time Burden (Hours)
20
0
0
0
0
20
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.