Financial Mapping Interview

Children’s Mental Health Initiative National Evaluation

OMB: 0930-0375

IC ID: 226024

Information Collection (IC) Details

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Financial Mapping Interview
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Financing Plan Survey and Interviews Financing Plan Survey and Interviews Attachment 5 CMHI Financing Plan Survey and Interviews 10-06-2016.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

225 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 225 0 225 0 0 0
Annual IC Time Burden (Hours) 95 0 95 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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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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