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Follow-Up -- Control Group
Mental Health Treatment Study (MHTS)
OMB: 0960-0726
IC ID: 187991
OMB.report
SSA
OMB 0960-0726
ICR 200901-0960-004
IC 187991
( )
Documents and Forms
Document Name
Document Type
Final Follow-Up Questionnaire--Revised Version.doc
Other-Survey
Follow-Up Questionnaire Sections.doc
Follow-Up Questionnaire -- Current Version
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Follow-Up -- Control Group
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
Other-Survey
Final Follow-Up Questionnaire--Revised Version.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,117
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
80 %
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
1,117
0
0
1,117
0
0
Annual IC Time Burden (Hours)
559
0
0
559
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Follow-Up Questionnaire -- Current Version
Follow-Up Questionnaire Sections.doc
05/06/2009
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.