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Federal forms, ICRs, and supporting documents

Information Collection

National Council for Behavioral Health's Information Technology Survey

IC 226612 under ICR 201704-0955-001 · OMB 0955-0017.

Documents and Forms
Document Name
Document Type
Other-survey
Other-survey
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

National Council for Behavioral Health's Information Technology Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey Attachment 2- Survey Question Crosswalk to Research Questions_4.12.17.docx Yes Yes Fillable Fileable
Other-survey Attachment 3- Behavioral Health IT and Interoperability Survey as of 04.13.17 .docx Yes Yes Fillable Fileable

Health Health Care Services

 

533 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 533 0 533 0 0 0
Annual IC Time Burden (Hours) 178 0 178 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
key term Attachment 1 - Definitions of Key Terms and Concepts.docx 04/28/2017
Grantee letter Attachment 4-Grantee Letter and BHITS Survey Message to grantees.doc 04/28/2017
survey strategy Attachment 5- Survey Data Collection Strategy ONC BH_4.13.17.docx 04/28/2017
60 day FRN Attachment 7- Federal Register, Volume 82 Issue 31 (Thursday, February 16, 2017).htm 04/28/2017
30-day FRN Federal Register, Volume 82 Issue 77 (Monday, April 24, 2017).htm 04/28/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.