Web Site Registration

Registration for Behavioral Health Web Site and Resources

OMB: 0930-0313

IC ID: 194259

Information Collection (IC) Details

View Information Collection (IC)

Web Site Registration
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Screenshot of second web registration form Screenshot of second web registration form Screenshot of second web registration form.jpg Yes Yes Fillable Printable
Form and Instruction Screenshot of first web registration form Screenshot of first web registration form Screenshot of first web registration form.jpg Yes Yes Fillable Printable

Health Public Health Monitoring

 

38,605 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 38,605 0 0 -2,595 0 41,200
Annual IC Time Burden (Hours) 1,286 0 0 -74 0 1,360
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SAMHSA Data collection questions and Values Attachment 4 - SAMHSA Data collection questions and Values 3.13 FINAL.doc 06/12/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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