Information Collection Request

2021 Behavioral Health Workforce Surveys

ICR 202104-0930-001 · OMB 0930-0387 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form ProviderSurvey_Que 2021 Survey of Behavioral Health Workforce Providers Form and Instruction New Repair queued
Form EmployerSurvey_Que 2021 Survey of Behavioral Health Workforce Employers Form and Instruction New Repair queued
04 Prac_Data_Surveys_OMB Justification_PART A.docx Supporting Statement A Uploaded 2021-04-13 Repair queued
05 Prac_Data_Surveys_OMB Justification_PART B.docx Supporting Statement B Uploaded 2021-04-13 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
246779 2021 Survey of Behavioral Health Workforce Providers Form and Instruction New
246778 2021 Survey of Behavioral Health Workforce Employers Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
7,800 0
1,950 0
0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
2021 Survey of Behavioral Health Workforce Employers EmployerSurvey_Questionaire EmployerSurvey_Questionaire
2021 Survey of Behavioral Health Workforce Providers ProviderSurvey_Questionaire ProviderSurvey_Questionaire

table that charts list of burden
  Total Request 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 7,800 0 0 7,800 0 0
Annual Time Burden (Hours) 1,950 0 0 1,950 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No