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National Evaluation of the Comprehensive Mental Health Services for Children and their families prog
National Evaluation of the Comprehensive Mental Health Services for Children and their families program: Phase V
OMB: 0930-0280
IC ID: 43646
OMB.report
HHS/SAMHSA
OMB 0930-0280
ICR 200703-0930-002
IC 43646
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0280 can be found here:
2009-08-10 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form Attachments
National Evaluation of the Comprehensive Mental Health Services for Children and their families prog
Form and Instruction
Attachments Attachments
Attachments.zip
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
National Evaluation of the Comprehensive Mental Health Services for Children and their families prog
Agency IC Tracking Number:
Is this a Common Form?
IC Status:
Modified
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
Attachments
Attachments
Attachments.zip
No
No
Paper Only
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:
27
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
27
0
-545
0
0
572
Annual IC Time Burden (Hours)
27,936
0
23,280
0
0
4,656
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.