New Facilities 2017-19

2017-19 National Mental Health Services Survey (N-MHSS)

OMB: 0930-0119

IC ID: 202152

Information Collection (IC) Details

View Information Collection (IC)

New Facilities 2017-19
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Locator Survey Questionnaire Locator Survey Questionnaire Attachment A.1 2017 N-MHSS Locator Survey Questionnaire_120616.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

1,700 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 1,700 0 0 0 0 1,700
Annual IC Time Burden (Hours) 714 0 0 0 0 714
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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