Annual Program Performance Report

Protection and Advoccy of Individuals With Mental Illness (PAIMI) Annual Program Performance Report

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0169 can be found here:

Documents and Forms

Document Name Document Type
Form Attachment B1 FY 2 Annual Program Performance Report Form and Instruction
Attachment B1 FY 2 Attachment B1 FY 2011 Attachment B1 FY 2011 - 2014 8.12.11-FINAL.doc Form and Instruction
Attachment A PAIMI PPR mailing letter 4.8.11.docx Attachment A PAIMI PPR mailing letter IC Document
Attachment C Comment.pdf Attachment C Comment IC Document

Information Collection (IC) Details

IC Title:	Annual Program Performance Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

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	Attachment B1 FY 2011	Attachment B1 FY 2011	Attachment B1 FY 2011 - 2014 8.12.11-FINAL.doc		Yes	Yes	Paper Only

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: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	57	57
Annual IC Time Burden (Hours)	1,482	1,482
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment A PAIMI PPR mailing letter	Attachment A PAIMI PPR mailing letter 4.8.11.docx	04/26/2011
Attachment C Comment	Attachment C Comment.pdf	04/15/2011

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