Construction Grantee Checklist CMHC

ICR 199503-0930-003

OMB: 0930-0104

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
111949 Migrated
ICR Details
0930-0104 199503-0930-003
Historical Inactive 199202-0930-001
HHS/SAMHSA
Construction Grantee Checklist CMHC
Extension without change of a currently approved collection   No
Regular
Improperly submitted 06/06/1995
Retrieve Notice of Action (NOA) 03/31/1995
  Inventory as of this Action Requested Previously Approved
06/30/1995
0 0 0
0 0 0
0 0 0

To ensure that CMHC facilities built with Federal assistance provide mental health services for a 20-year period as required, CMHS will: 1) survey the universe of CMHC construction grantees actively fulfilling their 20-year service obligation; and 2) utilize survey results to determine appropriate follow-up, e.g., waivers, recovery activities.

None
None


No

1
IC Title Form No. Form Name
Construction Grantee Checklist CMHC SMA-101

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.
03/31/1995


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