EVALUATION OF THE HHS ACCESS TO COMMUNITY CARE AND EFFECTIVE SERVICES AND SUPPORTS (ACCESS) PROGRAM

ICR 199505-0930-003

OMB: 0930-0164

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0930-0164 199505-0930-003
Historical Active 199402-0930-001
HHS/SAMHSA
EVALUATION OF THE HHS ACCESS TO COMMUNITY CARE AND EFFECTIVE SERVICES AND SUPPORTS (ACCESS) PROGRAM
No material or nonsubstantive change to a currently approved collection   No
Emergency 05/31/1995
Approved with change 05/31/1995
Retrieve Notice of Action (NOA) 05/31/1995
  Inventory as of this Action Requested Previously Approved
06/30/1997 06/30/1997 04/30/1997
9,135 0 9,135
8,832 0 8,798
0 0 0

COMHS IS REQUESTING CONCEPT CLEARANCE FOR AN EVALUATION STUDY THAT WILL ASSESS SERVICES INTEGRATION (SI) APPROACHES FOR HOMELESS PERSONS WITH SERVERE MENTAL ILLNESSES. SI SITES WILL BE CONTRASTED WITH COMPARISON SITES TO ASSESS THE IMPACT OF SI. CASE STUDIES WILL DESCRIBE APPROACH TO SI, PROCESS BY WHICH SI TAKES PLACE, AND FACTORS THAT INFLUENCE SI.

None
None


No

1
IC Title Form No. Form Name
EVALUATION OF THE HHS ACCESS TO COMMUNITY CARE AND EFFECTIVE SERVICES AND SUPPORTS (ACCESS) PROGRAM

  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 9,135 9,135 0 0 0 0
Annual Time Burden (Hours) 8,832 8,798 0 34 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
05/31/1995


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