National Evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program: Phase Three

ICR 200003-0930-001

OMB: 0930-0209

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0930-0209 200003-0930-001
Historical Active
HHS/SAMHSA
National Evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program: Phase Three
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 05/12/2000
Retrieve Notice of Action (NOA) 03/17/2000
Approval is granted for the use of the information collection entitled, "National Evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program: Phase Three," through May 12, 2003.
  Inventory as of this Action Requested Previously Approved
08/31/2003 08/31/2003
93,826 0 0
20,046 0 0
0 0 0

The Community Mental Health Services Program for Children with Serious emotional Disturbances supports a broad array of community-based and family-centered services delivered through the system of care model. This submission is for a 5-year evaluation of services provided by grantees receiving initial support in FY 1999. Most data collection instruments and procedures are built upon those used in the evaluation of Phase II grantees. Data will be used for both national and local evaluation.

None
None


No

  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 93,826 0 0 93,826 0 0
Annual Time Burden (Hours) 20,046 0 0 20,046 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
Yes Part B of Supporting Statement
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.
03/17/2000


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