DBHNAS (State/Territory)

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

OMB: 0930-0325

IC ID: 197112

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

DBHNAS (State/Territory)
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction State-Territory State-Territory Attachment A1 State-Territory NAS.docx Yes Yes Fillable Printable

Health Illness Prevention

 

77 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 0 0 -77 0 0 77
Annual IC Time Burden (Hours) 0 0 -39 0 0 39
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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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