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PAIMI 42CFR Part51
Protection and Advocacy for Individuals with Mental Illness Regulations -- 45 CFR Part 51
OMB: 0930-0172
IC ID: 254646
OMB.report
HHS/SAMHSA
OMB 0930-0172
ICR 202206-0930-003
IC 254646
( )
Documents and Forms
Document Name
Document Type
Attachment A - PAIMI_Rules_42CFR_Part51 - 10052021.docx
PAIMI 42CFR Part51
IC Document
Attachment A - PAIMI_Rules_42CFR_Part51 - 10052021.docx
PAIMI 42CFR Part51
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
PAIMI 42CFR Part51
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
42 CFR 51
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
PAIMI 42CFR Part51
FR Citation:
75 FR 28264
Number of Respondents:
57
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
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
57
0
57
0
0
0
Annual IC Time Burden (Hours)
196
0
196
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
PAIMI 42CFR Part51
Attachment A - PAIMI_Rules_42CFR_Part51 - 10052021.docx
07/14/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.