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Initiative to Reduce/Eliminate Seclusion and Restraint: State Incentive Grants and Coordinating Center
Initiative to Reduce/Eliminate Seclusion and Restraint: State Incentive Grants and Coordinating Center
OMB: 0930-0271
IC ID: 7687
OMB.report
HHS/SAMHSA
OMB 0930-0271
ICR 200809-0930-001
IC 7687
( )
Documents and Forms
Document Name
Document Type
Form Attachments A-C
Initiative to Reduce/Eliminate Seclusion and Restraint: State Incentive Grants and Coordinating Center
Form and Instruction
Attachments A-C Attachments A-C
Part 2 -- A-C.doc
Form and Instruction
Part 3 --Attachments D-I.doc
Attachments D-I
IC Document
Part 4 -- Attachments J-K.doc
Attachments J-K
IC Document
SIG comments.pdf
Comments
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Initiative to Reduce/Eliminate Seclusion and Restraint: State Incentive Grants and Coordinating Center
Agency IC Tracking Number:
Is this a Common Form?
No
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 A-C
Attachments A-C
Part 2 -- A-C.doc
Yes
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:
21
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
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
364
0
-910
0
0
1,274
Annual IC Time Burden (Hours)
2,870
0
-6,832
0
0
9,702
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachments D-I
Part 3 --Attachments D-I.doc
08/18/2008
Attachments J-K
Part 4 -- Attachments J-K.doc
08/18/2008
Comments
SIG comments.pdf
08/18/2008
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.