EBP Self-Assessment Part 1

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

OMB: 0930-0339

IC ID: 208312

Information Collection (IC) Details

View Information Collection (IC)

EBP Self-Assessment Part 1
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Self-Assessment_Part_1_and_2 Self-Assessment_Part_1_and_2 Attachment 3_EBP_Self-Assessment_Part_1_and_2.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

36 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 108 0 -19 0 0 127
Annual IC Time Burden (Hours) 63 0 -11 0 0 74
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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