Provider Group-Behavioral Health Preventive Care

Behavioral Health Preventive Care Assissment Focus Group

OMB: 0917-0032

IC ID: 188808

Information Collection (IC) Details

View Information Collection (IC)

Provider Group-Behavioral Health Preventive Care
 
No New
 
Voluntary
 
5 CFR 1320.5

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction no form number Provider Questions Provider Questions (final) 10-10-08.doc No No Paper Only

Health Public Health Monitoring

 

3 0
   
Individuals or Households
 
   30 %

  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 30 0 30 0 0 0
Annual IC Time Burden (Hours) 60 0 60 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

© 2024 OMB.report | Privacy Policy