OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

CCBHC frontline providers-site interview

IC 227592 under ICR 201707-0990-001 · OMB 0990-0461.

Documents and Forms
Document Name
Document Type
Other-front line interview
Information Collection (IC) Details

View Information Collection (IC)

CCBHC frontline providers-site interview
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-front line interview Attachment C CCBHC Evaluation Site Visit Interview Providers.docx No   Paper Only

Health Health Care Services

 

8 0
   
State, Local, and Tribal Governments
 
   0 %

  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 24 0 24 0 0 0
Annual IC Time Burden (Hours) 24 0 24 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.