Annual Program Performance Report

Protection and Advoccy of Individuals With Mental Illness (PAIMI) Annual Program Performance Report

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0169 can be found here:

Documents and Forms

Document Name Document Type
Form PAIMI Report Annual Program Performance Report Form and Instruction
PAIMI Report PAIMI Reprot Attachment 2-PPR rev FY 2015 - 2017 3-31-14P.docx Form and Instruction
Attachment A PAIMI PPR mailing letter 4.8.11.docx Attachment A PAIMI PPR mailing letter IC Document
Attachment C Comment.pdf Attachment C Comment IC Document

Information Collection (IC) Details

IC Title:	Annual Program Performance Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PAIMI Report	PAIMI Reprot	Attachment 2-PPR rev FY 2015 - 2017 3-31-14P.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 57	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	57	57
Annual IC Time Burden (Hours)	1,482	1,482
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment A PAIMI PPR mailing letter	Attachment A PAIMI PPR mailing letter 4.8.11.docx	04/26/2011
Attachment C Comment	Attachment C Comment.pdf	04/15/2011

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