ANNUAL CENSUS OF PATIENT CHARACTERISTICS IN STATE AND COUNTY MENTAL HOSPITAL INPATIENT SERVICES, 1994-1996

ICR 199405-0930-001

OMB: 0930-0093

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0930-0093 199405-0930-001
Historical Active 199105-0930-001
HHS/SAMHSA
ANNUAL CENSUS OF PATIENT CHARACTERISTICS IN STATE AND COUNTY MENTAL HOSPITAL INPATIENT SERVICES, 1994-1996
Revision of a currently approved collection   No
Regular
Approved without change 07/13/1994
Retrieve Notice of Action (NOA) 05/02/1994
  Inventory as of this Action Requested Previously Approved
08/31/1997 08/31/1997 06/30/1994
71 0 94
142 0 188
0 0 0

THIS VOLUNTARY DATA COLLECTION WILL PROVIDE CMHS, THE STATES, AND OTHERS WITH STATISTICS ON THE CHANGES IN THE UTILIZATION OF STATE AND COUNTY MENTAL HOSPITALS BY DIFFERENT AGE-SEX-DIAGNOSIS SUBGROUPS. THE DATA ARE NEEDED TO MEASURE VARIABILITY IN SERVICE UTILIZATION PATTERNS AND TO UNDERSTAND DEINSTITUTIONALIZATION PRACTICES IN THE UNITED STATE AND IN EACH STATE.

None
None


No

1
IC Title Form No. Form Name
ANNUAL CENSUS OF PATIENT CHARACTERISTICS IN STATE AND COUNTY MENTAL HOSPITAL INPATIENT SERVICES, 1994-1996

  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 71 94 0 0 -23 0
Annual Time Burden (Hours) 142 188 0 0 -46 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.
05/02/1994


© 2024 OMB.report | Privacy Policy