Identification of Current Infant and Early Childhood Mental Health Consultation (IECMHC) Services and Points of Contact Across the U.S. and U.S. Territories.

Formative Data Collections for ACF Program Support

Documents and Forms

Document Name Document Type
1- IECMHC Scan Survey Draft_v1_ Provider_For Sharing_10.2.24_clean version.docx Other-Survey
2 - OCC survey_10.3.24_clean version.docx Other-Survey
3 - IECMHC Scan Survey-Draft-v1-Head Start_ 10.18.24_clean version.docx Other-Survey
4 - Interview Protocol Description_10.3.24_clean version.docx Other-Interview Protocol
SSA - Formative for ACF Program Support_IECMHC GenIC_10.21.24_clean version.docx SSA - Prog Supp GenIC: IECMHC Services and Points of Contact Across the U.S. and U.S. Territories IC Document
NOA_OCC - IECMHC Services and POCs_ProgSupp GenIC_0970-0531_10.23.24.pdf NOA - Prog Supp GenIC: IECMHC Services and Points of Contact Across the U.S. and U.S. Territories IC Document

Information Collection (IC) Details

IC Title:	Identification of Current Infant and Early Childhood Mental Health Consultation (IECMHC) Services and Points of Contact Across the U.S. and U.S. Territories.	Agency IC Tracking Number:	OCC

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	1- IECMHC Scan Survey Draft_v1_ Provider_For Sharing_10.2.24_clean version.docx	Yes	Yes	Fillable Fileable
Other-Survey	2 - OCC survey_10.3.24_clean version.docx	Yes	Yes	Fillable Fileable
Other-Survey	3 - IECMHC Scan Survey-Draft-v1-Head Start_ 10.18.24_clean version.docx	Yes	Yes	Fillable Fileable
Other-Interview Protocol	4 - Interview Protocol Description_10.3.24_clean version.docx	Yes	Yes	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 271	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	271	271
Annual IC Time Burden (Hours)	159	159
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA - Prog Supp GenIC: IECMHC Services and Points of Contact Across the U.S. and U.S. Territories	SSA - Formative for ACF Program Support_IECMHC GenIC_10.21.24_clean version.docx	08/22/2025
NOA - Prog Supp GenIC: IECMHC Services and Points of Contact Across the U.S. and U.S. Territories	NOA_OCC - IECMHC Services and POCs_ProgSupp GenIC_0970-0531_10.23.24.pdf	08/22/2025

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.