Information Collection

1994 Inventory Of Mental Health Organizations And General Hospital Mental Health Services

IC 111988 under ICR 199412-0930-004 · OMB 0930-0119.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	1994 INVENTORY OF MENTAL HEALTH ORGANIZATIONS AND GENERAL HOSPITAL MENTAL HEALTH SERVICES	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.	Available Electronically?	Can Be Submitted Electronically?
Form	106-1	Yes	Yes
Form	106-2	Yes	Yes
Form	106-3	Yes	Yes
Form	104-4	Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,787	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 20 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	5,211	5,211
Annual IC Cost Burden (Dollars)	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.