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Drug Abuse Warning Network
Drug Abuse Warning Network (DAWN)
OMB: 0930-0078
IC ID: 270179
OMB.report
HHS/SAMHSA
OMB 0930-0078
ICR 202408-0930-001
IC 270179
( )
Documents and Forms
Document Name
Document Type
Form DAWN Activity Repo
Drug Abuse Warning Network
Form and Instruction
DAWN Activity Repo DAWN Activity Report Form
Appendix B DAWN Activity Report Form_202408.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Drug Abuse Warning Network
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
DAWN Activity Report Form
DAWN Activity Report Form
Appendix B DAWN Activity Report Form_202408.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:
143
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
143
0
143
0
0
0
Annual IC Time Burden (Hours)
3,961
0
3,961
0
0
0
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.