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Teacher Mental Health Literacy Survey
Now Is the Time (NITT) - Project AWARE (Advancing Wellness and Resilience in Education) - State Education Agencies (SEA) National Evaluation
OMB: 0930-0364
IC ID: 222157
OMB.report
HHS/SAMHSA
OMB 0930-0364
ICR 201606-0930-005
IC 222157
( )
Documents and Forms
Document Name
Document Type
Form Teacher MH Literac
Teacher Mental Health Literacy Survey
Form and Instruction
Teacher MH Literac Teacher MH Literacy Survey
Attachment 6_Teacher MH Literacy Survey_03-22-16.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Teacher Mental Health Literacy Survey
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
Form and Instruction
Teacher MH Literacy Survey
Teacher MH Literacy Survey
Attachment 6_Teacher MH Literacy Survey_03-22-16.docx
Yes
Yes
Fillable Fileable
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:
10,368
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
10,368
0
10,368
0
0
0
Annual IC Time Burden (Hours)
5,184
0
5,184
0
0
0
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.