Information Collection

Protection and Advocacy for Individuals with Mental Illness Regulations -- 45 CFR Part 51

IC 7555 under ICR 201002-0930-002 · OMB 0930-0172.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0172 can be found here:

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IC Title:	Protection and Advocacy for Individuals with Mental Illness Regulations -- 45 CFR Part 51	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 51.PAIMI

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 57	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 45 %

	Requested	Previously Approved
Annual Number of Responses for this IC	142	142
Annual IC Time Burden (Hours)	185	185
Annual IC Cost Burden (Dollars)	0	0

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