Information Collection Request

Protection and Advocacy for Individuals with Mental Illness Regulations -- 45 CFR Part 51

ICR 201908-0930-003 · OMB 0930-0172 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Statement 51.10 Form Unchanged Repair queued
Form Statement 51.25(b)(3) Form Unchanged Available
Form Statement 51.23(c) Form Unchanged Available
Form Statement 51.10 Form Unchanged Available
Attachment B Response edits accepted MG 10-8-2019.docx Supplementary Document Uploaded 2019-10-10 Available
SS for PAIMI Rules ext 2019 -2022_8.13.19R.docx Supporting Statement A Uploaded 2019-08-13 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
7555 51.10 Form Unchanged
192380 51.25(b)(3) Form Unchanged
192379 51.23(c) Form Unchanged
192378 51.10 Form Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2022 36 Months From Approved 10/31/2019
142 0 142
184 0 184
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
51.10 Statement Statement
51.10 Statement Statement
51.23(c) Statement Statement
51.25(b)(3) Statement Statement

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 142 142 0 0 0 0
Annual Time Burden (Hours) 184 184 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No