Information Collection Request
Evaluation of the Maternal and Child Health Bureau Pediatric Mental Health Care Access Program and the Screening and Treatment for Maternal Depression and Related Behavioral Disorders Program
ICR 202210-0906-004 · OMB 0906-0074 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0906-0074 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 2 PMHCA Practice Level Survey |
Form and Instruction | New | Repair queued |
| Form 1 HP Survey 2021 |
Form and Instruction | New | Repair queued |
 Supporting Statement A_final.docx |
Supporting Statement A | Uploaded 2022-10-31 | Repair queued |
| Supporting Statement B_final.docx |
Supporting Statement B | Uploaded 2022-10-27 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 256701 |  2021 PMHCA Program Implementation SSI |
Other-Semi Structured Interview | New | |
| 256696 | FGD |
Other- | New | |
| 256695 | 2021 PMHCA Program Implementation Survey |
Other- | New | |
| 256694 | PMHCA Practice Level Survey |
Form and Instruction | New | |
| 256687 | HP Survey 2021 |
Form and Instruction | New | |
| 256686 | 2018/2019 PMHCA/2018 MDRBD Care Coordinator SSI |
Other-Semi Structured Interview | New | |
| 256685 | 2021 PMHCA Care Coordinator SSI |
Instruction | New | |
| 256680 | Champion and Community Resources SSI |
Other-Semi Structured Interveiw | New |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/HRSA |
| OMB Control No | 0906-0074 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |