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Mandatory Guidelines for Federal Workplace Drug Testing Programs
Mandatory Guidelines for Federal Workplace Drug Testing Programs
OMB: 0930-0158
IC ID: 43644
OMB.report
HHS/SAMHSA
OMB 0930-0158
ICR 200908-0930-001
IC 43644
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0158 can be found here:
2023-03-22 - Extension without change of a currently approved collection
2021-11-16 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form Application Form
Mandatory Guidelines for Federal Workplace Drug Testing Programs
Form and Instruction
Application Form Attachment D - Application Form
OMB - Attachment D - NLCP Application form July 28,2009.pdf
Form and Instruction
OMB - Attachment A - Legislation and EO 12564.pdf
Attachment A - Authorizing Leg and Exec Order
IC Document
OMB - Attachment B - Mandatory Guidelines.pdf
Attachment B - Mandatory Guidelines
IC Document
OMB - Attachment C - Federal CCF.pdf
Attachment C - Federal CCF
IC Document
OMB - Attachment E - Section B and C- July 28,2009.pdf
Attachment E - Section B and C of the NLCP Insp. Cklst.
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Mandatory Guidelines for Federal Workplace Drug Testing Programs
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
Application Form
Attachment D - Application Form
OMB - Attachment D - NLCP Application form July 28,2009.pdf
Yes
No
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:
7,096,058
Number of Respondents for Small Entity:
0
Affected Public:
Federal Government
Percentage of Respondents Reporting Electronically:
0 %
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
28,384,168
0
0
0
0
28,384,168
Annual IC Time Burden (Hours)
1,786,809
0
0
0
0
1,786,809
Annual IC Cost Burden (Dollars)
2,090,000
0
0
0
0
2,090,000
Documents for IC
Title
Document
Date Uploaded
Attachment A - Authorizing Leg and Exec Order
OMB - Attachment A - Legislation and EO 12564.pdf
07/29/2009
Attachment B - Mandatory Guidelines
OMB - Attachment B - Mandatory Guidelines.pdf
07/29/2009
Attachment C - Federal CCF
OMB - Attachment C - Federal CCF.pdf
07/29/2009
Attachment E - Section B and C of the NLCP Insp. Cklst.
OMB - Attachment E - Section B and C- July 28,2009.pdf
07/29/2009
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.