Shared Decision-Making in Mental Health Decision Support Tools

Voluntary Customer Satisfaction Surveys to Implement Executive Order 12862 in the Substance Abuse and Mental Health Services Administration (SAMHSA)

OMB: 0930-0197

IC ID: 192574

Information Collection (IC) Details

View Information Collection (IC)

Shared Decision-Making in Mental Health Decision Support Tools
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Survey #1 Consumer View of Workbook Survey #1 Consumer View of Workbook Survey #1 Consumer View of Workbook.pdf Yes Yes Paper Only
Form and Instruction Survey #2 Provider View of Workbook Survey #2 Provider View of Workbook Survey #2 Provider View of Workbook.pdf Yes Yes Paper Only
Form and Instruction Survey #3 Consumer View of Decision Aid Survey #3 Consumer View of Decision Aid Survey #3 Consumer View of Decision Aid.pdf Yes Yes Paper Only
Form and Instruction Survey #4 Provider View of Decision Aid Survey #4 Provider View of Decision Aid Survey #4 Provider View of Decision Aid.pdf Yes Yes Paper Only

Health Health Care Services

 

724 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 724 0 0 0 0 0
Annual IC Time Burden (Hours) 171 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Memo OMBTransLet12-2010.wpd 04/12/2010
Justification OMB Justification.doc 04/12/2010
Product #1 What is Right for Me Workbook Product #1 What is Right for Me Workbook.pdf 04/12/2010
Product #2 Supporting Choice Workbook Product #2 Supporting Choice Workbook.pdf 04/12/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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