SAMHSA Immediate Call For Reviewers

SAMHSA Online Application for Peer Grant Reviewers

Form Approved
OMB No. 0930-0255
Expires: August 31, 2013

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)
1 Choke Cherry Road
Room 3-1053
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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* Consumer supporter (provide support in a nonprofessional capacity)

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Remember to also send us your resume

Email Resume to:

Regular Mail to:
Office of Review
1 Choke Cherry Road
Room 3-1053
Rockville, MD 20857

NOTE: This form does not email your resume. You must do that separately, after you've finished filling out this form.

If you are finished, please click the button below to submit yourapplication. Thank you.

Last updated: 04/28/2011