FY 1996 COMMUNITY MENTAL HEALTH SERVICES BLOCK GRANT APPLICATION, VOLUNTARY FORMAT AND CONTENT

ICR 199502-0930-002

OMB: 0930-0168

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
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ICR Details
0930-0168 199502-0930-002
Historical Active 199312-0930-001
HHS/SAMHSA
FY 1996 COMMUNITY MENTAL HEALTH SERVICES BLOCK GRANT APPLICATION, VOLUNTARY FORMAT AND CONTENT
Extension without change of a currently approved collection   No
Regular
Approved without change 05/02/1995
Retrieve Notice of Action (NOA) 02/23/1995
This information collection is approved under the following conditions: OMB is extending clearance for one year in anticipation of CMHS regulations and/or legislative changes that will modify the collection. OMB reiterates the expectation, as clarified in the February 2, 1995 memorandum, that SAMHSA will continue its outreach to affected constituences, and incorporate their comments and recommendations in the development of policy for this program.
  Inventory as of this Action Requested Previously Approved
06/30/1996 06/30/1996 05/31/1995
59 0 0
18,880 0 18,880
0 0 0

THE ADAMHA REORGANIZATION ACT (42 U.S.C. 300 X 1-9) AUTHORIZED BLOCK GRANTS TO STATES FOR THE PURPOSE OF PROVIDING COMMUNITY MENTAL HEALTH SERVICES. UNDER PROVISION OF THE LAW, STATES MAY RECEIVE ALLOTMENTS ONLY AFTER AN APPLICATION IS APPROVED BY THE SECRETARY. THIS SUBMISSION PROVIDES THE FORMAT AND INSTRUCTIONS FOR STATE APPLICATIONS AND REPORTING.

None
None


No

1
IC Title Form No. Form Name
FY 1996 COMMUNITY MENTAL HEALTH SERVICES BLOCK GRANT APPLICATION, VOLUNTARY FORMAT AND CONTENT

  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 59 0 0 59 0 0
Annual Time Burden (Hours) 18,880 18,880 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.
02/23/1995


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