Information Collection Request

2021 Behavioral Health Workforce Surveys

ICR 202110-0930-003 · OMB 0930-0387 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Provider Survey Qu 2021 Survey of Behavioral Health Workforce Providers Form and Instruction Unchanged Repair queued
Form Employer Survey Qu 2021 Survey of Behavioral Health Workforce Employers Form and Instruction Unchanged Repair queued
0930-0387 Nonsubstantive Change Justification to increase incentive.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-10-08 Available
SS-A_Clean_Behavioral Health Workforce Surveys_OMB_FINAL.docx Supporting Statement A Uploaded 2021-07-21 Available
SS-B_Clean_Behavioral Health Workforce Surveys_OMB_FINAL.docx Supporting Statement B Uploaded 2021-07-21 Repair queued

IC Document Collections

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

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
07/31/2024 07/31/2024
7,800 7,800
1,950 1,950
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 Employer Survey Questionnaire 7/21/2021 Employer Survey Questionnaire 7/21/2021
2021 Survey of Behavioral Health Workforce Providers Provider Survey Questionnaire 7/21/2021 Provider Survey Questionnaire 7/21/2021

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 7,800 0 0 0 0
Annual Time Burden (Hours) 1,950 1,950 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No