Facilities Universe in 2014 and 2016

2014-16 National Mental Health Services Survey (N-MHSS)

OMB: 0930-0119

IC ID: 7528

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
IC Document
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IC Document
IC Document
IC Document
IC Document
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IC Document
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IC Document
Information Collection (IC) Details

View Information Collection (IC)

Facilities Universe in 2014 and 2016
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 2014 N-MHSS (Full-Scale) Paper Questionnaire 2014 N-MHSS (Full-Scale) Paper Questionnaire Attachment A1 - 2014 N-MHSS (Full-Scale) Paper Questionnaire.docx Yes Yes Fillable Printable

Health Public Health Monitoring

 

17,000 0
   
Private Sector Not-for-profit institutions
 
   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 17,000 0 2,000 0 0 15,000
Annual IC Time Burden (Hours) 12,750 0 6,450 0 0 6,300
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
2014 N-MHSS CATI Questionnaire Attachment A4 - 2014 N-MHSS CATI Questionnaire.docx 11/25/2013
2014 N-MHSS Web Screens for Online Questionnaire Attachment A3 - 2014 N-MHSS Web Screens for Online Questionnaire.docx 11/25/2013
2014 N-MHSS Advance Letter Attachment A5 - 2014 N-MHSS Advance Letter.docx 11/25/2013
2014 N-MHSS Cover Letter (First Mailing) and Online Questionnaire Access Instructions_Pg 1 Attachment A6 - 2014 N-MHSS Cover Letter (First Mailing) and Online Questionnaire Access Instructions_Pg 1.doc 11/25/2013
2014 N-MHSS Cover Letter (First Mailing) and Online Questionnaire Access Instructions_Pg 2 Attachment A6 - 2014 N-MHSS Cover Letter (First Mailing) and Online Questionnaire Access Instructions_Pg 2.docx 11/25/2013
2014 N-MHSS First Thank You-Reminder Letter Attachment A7 - 2014 N-MHSS First Thank You-Reminder Letter.docx 11/25/2013
2014 N-MHSS Second Thank You-Reminder Letter Attachment A8 - 2014 N-MHSS Second Thank You-Reminder Letter.docx 11/25/2013
2014 N-MHSS Cover Letter (Second Mailing) and Online Questionnaire Access Instructions_Pg 1 Attachment A9 - 2014 N-MHSS Cover Letter (Second Mailing) and Online Questionnaire Access Instructions_Pg 1.docx 11/25/2013
2014 N-MHSS Cover Letter (Second Mailing) and Online Questionnaire Access Instructions_Pg 2 Attachment A9 - 2014 N-MHSS Cover Letter (Second Mailing) and Online Questionnaire Access Instructions_Pg 2.docx 11/25/2013
2014 N-MHSS Thank You Notification for Completed Surveys Attachment A10 - 2014 N-MHSS Thank You Notification for Completed Surveys.docx 11/25/2013
2014 N-MHSS Online Information Site Materials_FAQs Attachment A11 - 2014 N-MHSS Online Information Site Materials_FAQs.docx 11/25/2013
2014 N-MHSS Online Information Site Materials_Page 1 Attachment A11 - 2014 N-MHSS Online Information Site Materials_Page 1.docx 11/25/2013
List of Expert Panel Members_Nov 2011 Attachment A12 - List of Expert Panel Members_Nov 2011.docx 11/25/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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