Information Collection Request

Mental Health Client/Consumer Outcome Measures and Infrastructure, Prevention and Promotion Indicators

ICR 202302-0930-001 · OMB 0930-0285 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0930-0285 can be found here:

Forms and Documents

Document	Type	Status	Availability
Form CMHS NOMS Data Col CMHS NOMS Data Collection Tool	Form and Instruction	Unchanged	Missing upstream
Form IPP Indicators Infrastructure, Prevention, and Promotion Indicators	Form and Instruction	Unchanged	Repair queued
0930-0285 CMHS NOMs Client Level Measures Data Collection Tool - MAI-SI Revisions.docx	Supplementary Document	Uploaded 2023-02-14	Repair queued
0930-0285 CMHS NOMs Client Level Measures Data Collection Tool.docx	Supplementary Document	Uploaded 2023-02-14	Repair queued
0930-0285 CMHS GPRA No Material or Nonsubstantive Change Justification_ 20230103.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-02-14	Repair queued
CMHS IPP Indicators - revisions.docx	Supplementary Document	Uploaded 2022-08-16	Repair queued
CMHS IPP Indicators_8-16-2022_Clean.docx	Supplementary Document	Uploaded 2022-08-16	Repair queued
SPANISH CMHS NOMs Client Level Measures Data Collection Tool.docx	Supplementary Document	Uploaded 2022-08-16	Repair queued
CMHS NOMs Client Level Measures Data Collection Tool - revisions.docx	Supplementary Document	Uploaded 2022-08-16	Repair queued
0930-0285 CMHS GPRA No Material or Nonsubstantive Change Justification_ 8-16-2022.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-08-16	Repair queued
CMHS NOMs Client Level Measures Data Collection Tool_Clean.docx	Supplementary Document	Uploaded 2022-08-16	Repair queued
0930-0285 CMHS GPRA No Material or Nonsubstantive Change Justification_ 7-27-2022.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-07-27	Repair queued
0930-0285 CMHS GPRA No Material or Nonsubstantive Change Justification_ Final.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-03-07	Repair queued
Attachment E_CMHS Programs_SPARS Data_06-01-2021.xlsx	Supplementary Document	Uploaded 2022-01-19	Repair queued
Attachment D_NOMS Table of Changes_10-22-2021.docx	Supplementary Document	Uploaded 2022-01-19	Repair queued
Attachment C - GPRA Public Comments Response Matrix_MEB SD_FINAL.xlsx	Supplementary Document	Uploaded 2022-01-19	Repair queued
CMHS Supporting Statement A (SSA)_11-17-2021.docx	Supporting Statement A	Uploaded 2022-01-19	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
46632	CMHS NOMS Data Collection Tool	Form and Instruction	Unchanged
192393	Infrastructure, Prevention, and Promotion Indicators	Form and Instruction	Unchanged

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/SAMHSA
OMB Control No	0930-0285
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202208-0930-004
Agency Tracking No	18877
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31