Information Collection

Protection and Advoccy of Individuals With Mental Illness (PAIMI) Annual Program Performance Report

IC 7549 under ICR 200709-0930-005 · OMB 0930-0169.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0169 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Appendix B -2b ACR Protection and Advoccy of Individuals With Mental Illness (PAIMI) Annual Program Performance Report	Form and Instruction
Appendix B -2b ACR Appendix B -2b ACR Appendix B -2b ACR section revised.doc	Form and Instruction
Appendix B - 2a - Appendix B - 2a - PPR Appendix B - 2a - PPR section - revised.doc	Form and Instruction
AppendixA-RFA-Final 7-20-06 w MD ediits.doc Appendix A - RFA	IC Document
Appendix B - 1 Letter to Funding Recipients.doc Appendix B-1 - Letter	IC Document

IC Title:

Protection and Advoccy of Individuals With Mental Illness (PAIMI) Annual Program Performance Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Appendix B -2b ACR	Appendix B -2b ACR	Appendix B -2b ACR section revised.doc		Yes	Yes	Paper Only
Form and Instruction	Appendix B - 2a - PPR	Appendix B - 2a - PPR	Appendix B - 2a - PPR section - revised.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 114

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	114	0	114
Annual IC Time Burden (Hours)	2,052	-114	2,166
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix A - RFA	AppendixA-RFA-Final 7-20-06 w MD ediits.doc	09/11/2007
Appendix B-1 - Letter	Appendix B - 1 Letter to Funding Recipients.doc	09/12/2007

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