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Form I-BHS Facility App I-BHS Facility App I-BHS Facility Application Form
National Substance Use and Mental Health Services Survey (N-SUMHSS)
Attachment A2 I-BHS Facility Application Form
I-BHS Facility Application
OMB: 0930-0386
OMB.report
HHS/SAMHSA
OMB 0930-0386
ICR 202008-0930-002
IC 243265
Form I-BHS Facility App I-BHS Facility App I-BHS Facility Application Form
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0930-0386 can be found here:
2023-11-30 - Revision of a currently approved collection
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Attachment A2- I-BHS Facility Application Form
File Type
application/pdf
File Modified
2020-06-24
File Created
2018-05-22
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