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Mental Health Service Professional Demonstration Grant Program Application
Mental Health Service Professional Demonstration Grant Program Application
OMB: 1810-0772
IC ID: 254959
OMB.report
ED/OESE
OMB 1810-0772
ICR 202208-1810-001
IC 254959
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1810-0772 can be found here:
2022-10-04 - New collection (Request for a new OMB Control Number)
Documents and Forms
Document Name
Document Type
Mental Health Service Professional Demonstration Grant Program Application
Form
1810-new_MHSP Application Package_7-29.docx
Form
1810-new_84.184X MHSP Application Package.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Mental Health Service Professional Demonstration Grant Program Application
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
N/A
N/A
1810-new_84.184X MHSP Application Package.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Education
Subfunction:
Elementary, Secondary, and Vocational Education
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
500
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
500
500
0
0
0
0
Annual IC Time Burden (Hours)
20,000
20,000
0
0
0
0
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.