Information Collection

National Institute of Mental Health (NIMH) Outreach Partnership Program Annual Meeting Assessment Form

IC 231708 under ICR 201802-0925-002 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 National Institute of Mental Health (NIMH) Outreach Partnership Program Annual Meeting Assessment Form	Form
1 2018 OPP Mtg Assessment Form 2018 OPP Mtg Assessment Form 6.8.18.doc	Form
Request for OMB Clearance2 - Collection of Routine Customer Feedback (OPP Annual Meeting Assessment).docx OPP Annual Meeting Assessment fast track	IC Document

IC Title:

National Institute of Mental Health (NIMH) Outreach Partnership Program Annual Meeting Assessment Form

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	2018 OPP Mtg Assessment Form	2018 OPP Mtg Assessment Form 6.8.18.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 82

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	82	82
Annual IC Time Burden (Hours)	14	14
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OPP Annual Meeting Assessment fast track	Request for OMB Clearance2 - Collection of Routine Customer Feedback (OPP Annual Meeting Assessment).docx	06/12/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.