Information Collection

Inventory Of Mental Health Facilities

IC 111824 under ICR 197912-0930-001 · OMB 0930-0009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0009 can be found here:

Documents and Forms

Document Name Document Type

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Information Collection (IC) Details

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IC Title:	INVENTORY OF MENTAL HEALTH FACILITIES	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

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	ADM 25-1				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,180	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,180	430	1,750
Annual IC Time Burden (Hours)	1,090	240	850
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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