Rural Health Opioid Program

Rural Health Opioid Program Grant Performance Measures

OMB: 0906-0037

IC ID: 231350

Information Collection (IC) Details

View Information Collection (IC)

Rural Health Opioid Program
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 RHOP draft PIMS.docx RHOP draft PIMS.docx Yes Yes Fillable Fileable

Health Health Care Services

 

10 10
   
Private Sector Not-for-profit institutions
 
   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 10 0 0 0 0 10
Annual IC Time Burden (Hours) 110 0 0 0 0 110
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
0906-0037 RHOP OMB Number and Expiration 0906-0037 RHOP OMB Number and Expiration.jpg 10/24/2018
0906-0037 RHOP Burden Statement 0906-0037 RHOP Burden Statement.jpg 10/24/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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