Cost Interview

Evaluation of Programs to Provide Services to Persons Who Are Homeless with Mental and /or Substance Use Disorders

OMB: 0930-0339

IC ID: 208311

Information Collection (IC) Details

View Information Collection (IC)

Cost Interview
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Discussion Guide_Cost Questionnaire Discussion Guide_Cost Questionnaire Attachment 02_SV Discussion Guide_Cost Questionnaire.docx Yes Yes Fillable Printable

Health Health Care Services

 

60 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 60 0 60 0 0 0
Annual IC Time Burden (Hours) 120 0 120 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Staff and Client SiteVisit Consent. Attachment 06 and 07_Staff and Client SiteVisit Consent.docx 08/19/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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