2022 PMHCA Program Implementation Survey

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

OMB: 0906-0074

IC ID: 258760

Information Collection (IC) Details

View Information Collection (IC)

2022 PMHCA Program Implementation Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 3A 2022 PMHCA Program Implementation Survey Attachment B3 - Program Implementation Survey PMHCA3 - Copy.docx Yes Yes Fillable Fileable

Health Health Care Services

 

5 0
   
Private Sector Not-for-profit institutions
 
   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 15 0 15 0 0 0
Annual IC Time Burden (Hours) 5 0 5 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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