Information Collection

National Evaluation of the Comprehensive Mental Health Services for Children and their families prog

IC 43646 under ICR 200703-0930-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 prog 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 prog	Agency IC Tracking Number:

Is this a Common Form?		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: 27	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	27	-545	572
Annual IC Time Burden (Hours)	27,936	23,280	4,656
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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