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Protection and Advoccy of Individuals With Mental Illness (PAIMI) Annual Program Performance Report
Protection and Advoccy of Individuals With Mental Illness (PAIMI) Annual Program Performance Report
OMB: 0930-0169
IC ID: 7549
OMB.report
HHS/SAMHSA
OMB 0930-0169
ICR 200709-0930-005
IC 7549
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0169 can be found here:
2023-06-23 - Revision of a currently approved collection
2020-04-02 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form Appendix B -2b ACR
Protection and Advoccy of Individuals With Mental Illness (PAIMI) Annual Program Performance Report
Form and Instruction
Appendix B -2b ACR Appendix B -2b ACR
Appendix B -2b ACR section revised.doc
Form and Instruction
Appendix B - 2a - Appendix B - 2a - PPR
Appendix B - 2a - PPR section - revised.doc
Form and Instruction
AppendixA-RFA-Final 7-20-06 w MD ediits.doc
Appendix A - RFA
IC Document
Appendix B - 1 Letter to Funding Recipients.doc
Appendix B-1 - Letter
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Protection and Advoccy of Individuals With Mental Illness (PAIMI) Annual Program Performance Report
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
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
Appendix B -2b ACR
Appendix B -2b ACR
Appendix B -2b ACR section revised.doc
Yes
Yes
Paper Only
Form and Instruction
Appendix B - 2a - PPR
Appendix B - 2a - PPR
Appendix B - 2a - PPR section - revised.doc
Yes
Yes
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:
114
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
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
114
0
0
0
0
114
Annual IC Time Burden (Hours)
2,052
0
-114
0
0
2,166
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Appendix A - RFA
AppendixA-RFA-Final 7-20-06 w MD ediits.doc
09/11/2007
Appendix B-1 - Letter
Appendix B - 1 Letter to Funding Recipients.doc
09/12/2007
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.