DBHNA Follow-up

Disaster Technical Assistance Center Disaster Mental Health Needs Assessment and Customer Satisfaction Survey

OMB: 0930-0325

IC ID: 197110

Information Collection (IC) Details

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DBHNA Follow-up
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Follow-Up Phone Interview Guide Follow-Up Phone Interview Guide Attachment A3 NAS 2013 Follow-Up Phone Interview Guide.docx Yes Yes Fillable Printable

Health Illness Prevention

 

50 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 50 0 -200 0 0 250
Annual IC Time Burden (Hours) 38 0 -25 0 0 63
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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