Otp

2011 Opioid Treatment Program (OTP) Survey

OMB: 0930-0319

IC ID: 195867

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

OTP
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 2011 OTP Questionnaire 2011 OTP Questionnaire Attach A OTP Survey.pdf Yes Yes Paper Only

Health Public Health Monitoring

 

1,200 0
   
State, Local, and Tribal Governments
 
   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 1,200 0 1,200 0 0 0
Annual IC Time Burden (Hours) 996 0 996 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment F OTP ONLINE INSTRUCTIONS Attachment F OTP ONLINE INSTRUCTIONS.docx 12/23/2010
Attachment G OTP FAQS Attachment G OTP FAQS.docx 12/23/2010
Attachment H OTP Reminder Postcard Attachment H OTP Reminder Postcard.docx 12/23/2010
Attachment I OTP RemindLetter Attachment I OTP RemindLtr.docx 12/23/2010
Attachment J Thank You Letter Attachment J Thank You Letter.docx 12/23/2010
Attach A Rev_OTP Survey clean Attach A Rev_OTP Survey clean.docx 02/28/2011
Attach B 2011 OTP Alert Letter Attach B 2011 OTP Alert Letter.doc 02/28/2011
Attach C 2011 OTP CoverLtr Attach C 2011 OTP CoverLtr.doc 02/28/2011
Attach D 2011 OTP-SOTA letter Attach D 2011 OTP-SOTA letter.docx 02/28/2011
Attach E 2011 OTP AATOD Endorsement Attach E 2011 OTP AATOD Endorsement.docx 02/28/2011
Attach K OTP Table Shells - OTP shells AG Attach K OTP Table Shells - OTP shells AG.doc 02/28/2011
Attach K OTP Table Shells - OTP shells AG Attach K OTP Table Shells - OTP shells AG.doc 02/28/2011
Attach L cover page screen shots Attach L cover page screen shots.doc 02/28/2011
Attach L__devnssats2011.mathematica.net_ALL Attach L__devnssats2011.mathematica.net_ALL.PDF 02/28/2011
Attach M 2011 OTP Pretest Report-Combined Final Attach M 2011 OTP Pretest Report-Combined Final.docx 02/28/2011
Attach M cover page pretest report Attach M cover page pretest report.doc 02/28/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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