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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.