CMHS Client -Level Data

Common Data Platform

OMB: 0930-0346

IC ID: 213379

Information Collection (IC) Details

View Information Collection (IC)

CMHS Client -Level Data
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CoC Questions CoC Questions Attachment 8 CoC Questions Final 12 19 2014 .docx Yes Yes Fillable Fileable
Form and Instruction CMHS Instrument CMHS Instrument Attachment 1 Final CMHS Instrument 1.12.15.docx Yes Yes Fillable Fileable
Form and Instruction PBHCI SECTION H PBHCI SECTION H Attachment 2 PBHCI SECTION H FINAL CDP.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

35,845 0
   
State, Local, and Tribal Governments
 
   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 98,157 0 0 0 0 98,157
Annual IC Time Burden (Hours) 33,958 0 0 0 0 33,958
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMHS CSAT Manual Attachment 10 CMHS CSAT Manual 11 19.docx 11/19/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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