JOINT AHA-NIMH INVENTORY OF GENERAL HOSPITAL PSYCHIATRIC SERVICES

ICR 198108-0930-006

OMB: 0930-0066

Federal Form Document

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Name
Status
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ICR Details
0930-0066 198108-0930-006
Historical Active 198103-0930-002
HHS/SAMHSA
JOINT AHA-NIMH INVENTORY OF GENERAL HOSPITAL PSYCHIATRIC SERVICES
No material or nonsubstantive change to a currently approved collection   No
Emergency 08/31/1981
Approved with change 08/31/1981
Retrieve Notice of Action (NOA) 08/31/1981
  Inventory as of this Action Requested Previously Approved
12/31/1981 12/31/1981 09/30/1981
5,800 0 5,800
1,425 0 1,425
0 0 0

THE INVENTORY, WHICH IS FUNDED EQUALLY BY NIMH AND AHA, WILL COLLECT INFORMATION ON SEPARATE PSYCHIATRIC SERVICES IN NON-FEDERAL GENERAL AN V.A. HOSPITALS. THE INFORMATION WILL BE USED TO PROVIDE NATIONAL ESTIMATES ON THE CHARACTERISTICS OF THESE FACILITIES AND TO SERVE AS A SAMPLING FRAME FOR FUTURE SAMPLE SURVEYS.

None
None


No

1
IC Title Form No. Form Name
JOINT AHA-NIMH INVENTORY OF GENERAL HOSPITAL PSYCHIATRIC SERVICES ADM 25-2

  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 5,800 5,800 0 0 0 0
Annual Time Burden (Hours) 1,425 1,425 0 0 0 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.
08/31/1981


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