Information Collection

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

IC 190421 under ICR 201206-0930-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Youth-Instruments The Nat'l Eval. of theComprehensive Community MH Services for Children - Youth	Form and Instruction
Youth-Instruments Youth-Instruments Youth--Instruments.pdf	Form and Instruction
Youth--Other.pdf Youth--Other	IC Document

IC Title:

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

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	Youth-Instruments	Youth-Instruments	Youth--Instruments.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,986

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	31,091	-7,098	38,189
Annual IC Time Burden (Hours)	6,088	1,683	4,405
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Youth--Other	Youth--Other.pdf	09/10/2012

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