State mental health official-telephone interview

Evaluation of the Certified Community Behavioral Health Clinic Demonstration

OMB: 0990-0461

IC ID: 227606

Information Collection (IC) Details

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State mental health official-telephone interview
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey Attachment J CCBHC Evaluation End State BH Official Interview.docx No   Paper Only
Other-survey Attachment F CCBHC Evaluation Baseline State BH Official Interview.docx No   Paper Only
Other-interview Attachment H CCBHC Evaluation Midpoint State BH Official Interview.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 48 0 48 0 0 0
Annual IC Time Burden (Hours) 48 0 48 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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