Information Collection

The Nat'l Eval. of theComprehensive Community MH Services for Children - Caregivers

IC 190420 under ICR 200908-0930-003 · OMB 0930-0307.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0307 can be found here:

Documents and Forms

Document Name Document Type
Form Instruments The Nat'l Eval. of theComprehensive Community MH Services for Children - Caregivers Form and Instruction
Instruments Instruments 6-2-09 Instruments.zip Form and Instruction
6-2-09 Attachments.zip Attachments IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	The Nat'l Eval. of theComprehensive Community MH Services for Children - Caregivers	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	6-2-09 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: 7,550	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
Annual Number of Responses for this IC	78,572	78,572
Annual IC Time Burden (Hours)	14,953	14,953
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachments	6-2-09 Attachments.zip	08/06/2009

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