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Program Implmentation Semi-Structured Interview
Evaluation of the Maternal and Child Health Bureau Pediatric Mental Health Care Access and Screening and Treatment for Maternal Depression and Related Behavioral Disorders Programs Project
OMB: 0906-0052
IC ID: 239854
OMB.report
HHS/HRSA
OMB 0906-0052
ICR 202206-0906-002
IC 239854
( )
Documents and Forms
Document Name
Document Type
Form 4-1
Program Implmentation Semi-Structured Interview
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
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
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
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
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Program Implmentation Semi-Structured Interview
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
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
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
28
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions, Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
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
Documents for IC
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.