Protection and Advoccy of Individuals With Mental Illness (PAIMI) Annual Program Performance Report

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Report Report	Form	Modified	Available
Form ACR ACR	Form	Modified	Available
0169 SS 5.30.17.docx	Supporting Statement A	Uploaded 2017-05-30	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
7549	Annual Program Performance Report	Form	Modified	Report
7549	Annual Program Performance Report	Instruction	Modified
197697	Advisory Council Report	Form	Modified	ACR

ICR Details

OMB Control No: 0930-0169	ICR Reference No: 201705-0930-004
Status: Historical Active	Previous ICR Reference No: 201406-0930-002
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Protection and Advoccy of Individuals With Mental Illness (PAIMI) Annual Program Performance Report
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/17/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/02/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2020	36 Months From Approved	09/30/2017
Responses	114	0	114
Time Burden (Hours)	2,052	0	2,052
Cost Burden (Dollars)	0	0	0

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Abstract: The PAIMI formula grant program provides funds to support activities on behalf of individuals with mental illness. Recipients of program funding are required by law to report annually such information as the number of indivdiuals served, types of facilities involved, and their priorities, activities and accomplishments. The PAIMI Annual Program Performance Report must also include a separate report prepared by the PAIMI Advisory Council describing its activities and assessing the operation of the protection and advocacy system.

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Authorizing Statute(s): US Code: 42 USC 520 Name of Law: CMHS
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 16602	04/05/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 25610	06/02/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Advisory Council Report	ACR	ACR
Annual Program Performance Report	Report	Report

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	114	114	0	0	0	0
Annual Time Burden (Hours)	2,052	2,052	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $75,513

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/02/2017

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