Information Collection Request

Rural Communities Opioid Response Program (RCORP) Grantee Data

ICR 202306-0906-002 · OMB 0906-0044 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0906-0044 can be found here:

Forms and Documents

Document Name	Status
Form 4 Rural Communities Opioid Response Program – Behavioral Health Care Support Form and Instruction	New
Form 3 Rural Communities Opioid Response Program – MAT Access Form and Instruction	New
Form 2 Rural Communities Opioid Response Program-Psychostimulant Support Form and Instruction	Modified
Form 1a Rural Communities Opioid Response Program-Implementation/Neonatal Abstinence Syndrome/MAT Expansion Form and Instruction	Modified
Supporting Statement A Instructions 30 day FRN 06132023 61523.docx Supporting Statement A	2023-06-30
RCORP authorizing legislation.docx Supplementary Document	2022-03-07

IC Document Collections

IC ID	Document Title	Status
260925	Rural Communities Opioid Response Program – Behavioral Health Care Support Form and Instruction	New
260924	Rural Communities Opioid Response Program – MAT Access Form and Instruction	New
252017	Rural Communities Opioid Response Program-Psychostimulant Support Form and Instruction	Modified
237084	Rural Communities Opioid Response Program-Implementation/Neonatal Abstinence Syndrome/MAT Expansion Form and Instruction	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/HRSA
OMB Control No	0906-0044
Type of Information Collection	Revision of a currently approved collection
Previous ICR Reference No	202203-0906-001
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31