Information Collection

National Evaluation of the Comprehensive Mental Health Services for Children and their families program: Phase V

IC 43646 under ICR 200702-0930-001 · OMB 0930-0280.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0280 can be found here:

Documents and Forms

Document Name Document Type
Form Attachments National Evaluation of the Comprehensive Mental Health Services for Children and their families program: Phase V Form and Instruction
Attachments Attachments Attachments.zip Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Evaluation of the Comprehensive Mental Health Services for Children and their families program: Phase V	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Attachments	Attachments	Attachments.zip		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 572	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	572	-76,675	77,247
Annual IC Time Burden (Hours)	4,656	-18,624	23,280
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.