Information Collection

Nat'll Eval. of the Comprehensive MH Services for Children and Their Families Program - Caregivers

IC 43646 under ICR 200908-0930-002 · OMB 0930-0280.

Documents and Forms

Document Name Document Type
Form Instruments Nat'll Eval. of the Comprehensive MH Services for Children and Their Families Program - Caregivers Form and Instruction
Instruments Instruments CMHI Phase V OMB Re-Submission_INSTRUMENTS.zip Form and Instruction
CMHI Phase V OMB Re-Submission_ATTACHMENTS.zip Attachments IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Nat'll Eval. of the Comprehensive MH Services for Children and Their Families Program - Caregivers	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	Instruments	Instruments	CMHI Phase V OMB Re-Submission_INSTRUMENTS.zip		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,810	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	7,224	7,197	27
Annual IC Time Burden (Hours)	17,049	-10,887	27,936
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Attachments	CMHI Phase V OMB Re-Submission_ATTACHMENTS.zip	08/05/2009

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