SPECIAL STUDY: MODELS OF PATIENT ADVOCACY

ICR 198004-0930-007

OMB: 0930-0064

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
111870
Migrated
ICR Details
0930-0064 198004-0930-007
Historical Active
HHS/SAMHSA
SPECIAL STUDY: MODELS OF PATIENT ADVOCACY
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 05/30/1980
Retrieve Notice of Action (NOA) 04/29/1980
  Inventory as of this Action Requested Previously Approved
10/31/1980 10/31/1980
262 0 0
109 0 0
0 0 0

THIS PROJECT STUDIES THE CHARACTERISTICS OF A VARIETY OF PATIENT ADVOCACY DEMONSTRATION PROGRAMS IN RELATION TO THE MENTALLY ILL AND DEVELOPMENTALLY DISABLED.

None
None


No

1
IC Title Form No. Form Name
SPECIAL STUDY: MODELS OF PATIENT ADVOCACY

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 262 0 0 0 262 0
Annual Time Burden (Hours) 109 0 0 0 109 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/29/1980


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