OMH Grantee

Implementation of an Internet & Paper-Based Uniform Data Set for OMH-funded Activities

OMB: 0990-0275

IC ID: 10408

Documents and Forms
Document Name
Document Type
Other-form
Information Collection (IC) Details

View Information Collection (IC)

OMH Grantee
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-form 0990-0275_Attachments.docx No No Paper Only

Health Health Care Services

 

100 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 400 0 100 0 0 300
Annual IC Time Burden (Hours) 600 0 -750 0 0 1,350
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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