State Official Interviews

Evaluation of the Extension of the Certified Community Behavioral Health Clinic (CCBHC) Demonstration Program

OMB: 0990-0485

IC ID: 255614

Documents and Forms
Document Name
Document Type
Other-Interview Protocol
Other-Interview Protocol
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

State Official Interviews
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Interview Protocol Attachment A. CCBHC State Official Interview Protocol_Year 2.docx No   Fillable Fileable

Health Public Health Monitoring

 

27 0
   
State, Local, and Tribal Governments
 
   0 %

  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 27 0 27 0 0 0
Annual IC Time Burden (Hours) 27 0 27 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CCBHC State Official Interview Protocol Year 3 Attachment B. CCBHC State Official Interview Protocol_Year 3.docx 08/25/2022
CCBHC State Official Interview Protocol Year 4 Attachment C. CCHBC State Official Interview Protocol_Year 4.docx 08/25/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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