OMB No. 0930-0255
Expires: August 31, 2016
Public reporting burden for this collection of information is estimated to average 1.5 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to:
SAMHSA Reports Clearance Officer
Paperwork Reduction Project (0930-0255)
5600 Fishers Lane
Rockville, Maryland 20857
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this project is 0930-0255.
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