EBP Self-Assessment Part 2

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

OMB: 0930-0339

IC ID: 208313

Information Collection (IC) Details

View Information Collection (IC)

EBP Self-Assessment Part 2
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction EBP Self-Assessment Part 1 and Part 2 EBP Self-Assessment Part 1 and Part 2 Attachment 03_EBP Self-Assessment Part 1 and Part 2.docx Yes Yes Fillable Printable

Health Health Care Services

 

87 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 87 0 87 0 0 0
Annual IC Time Burden (Hours) 44 0 44 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
EBP Web Consent Attachment 08_EBP Web 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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