Screening Verification

National Mental Health Study (NMHS) Field Test

OMB: 0930-0380

IC ID: 227431

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Screening Verification
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Screening Verification Script Screening Verification Script NMHS OMB_PDF 06.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

142 0
   
Individuals or Households
 
   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 142 0 142 0 0 0
Annual IC Time Burden (Hours) 10 0 10 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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