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Federal forms, ICRs, and supporting documents

Information Collection

Program Implmentation Semi-Structured Interview

IC 239854 under ICR 202206-0906-002 · OMB 0906-0052.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Program Implmentation Semi-Structured Interview
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 4-1 PMHCA Program Implementation SSI Guide_2-3-2020.docx Attachment B7 - PMHCA Program Implementation SSI Guide_2-3-2020.docx Yes Yes Fillable Fileable
Form and Instruction 4-2 MDRBD Program Implementation SSI Guide_2-3-2020.docx Attachment B8-MDRBD Program Implementation SSI Guide_2-3-2020.docx Yes Yes Fillable Fileable

Health Health Care Services

 

28 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 28 0 0 0 0 28
Annual IC Time Burden (Hours) 28 0 0 0 0 28
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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