Information Collection

FY 2018 Expanding Access to Quality SUD-MH/IBHS Progress Reporting

IC 207853 under ICR 202011-0915-002 · OMB 0915-0285.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0285 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 28 FY 2018 Expanding Access to Quality SUD-MH/IBHS Progress Reporting	Form and Instruction
28 FY2018 Expanding Access to Quality SUD-MH IBHS Progress FY2018 Expanding Access to Quality SUD-MH IBHS Progress Reporting.docx	Form and Instruction

IC Title:

FY 2018 Expanding Access to Quality SUD-MH/IBHS Progress Reporting

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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 and Instruction	28	FY2018 Expanding Access to Quality SUD-MH IBHS Progress Reporting.docx	FY2018 Expanding Access to Quality SUD-MH IBHS Progress Reporting.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,375

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	4,125	4,125
Annual IC Time Burden (Hours)	4,125	4,125
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.