Information Collection Request

Generic Clearance for Grant Program Monitoring Activities

ICR 202306-0930-004 · OMB 0930-0395 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMHS FPR Template CMHS FPR Template Form and Instruction New Repair queued
Form PPR PSM Template PPR PSM Template Form and Instruction New Repair queued
Form PPR Template PPR Template Form and Instruction New Repair queued
Form CCBHC Planning, De CCBHC Planning, Development & Implementation Form Form and Instruction New Repair queued
Form CCBHC Improvement CCBHC Improvement and Advancement (IA) Template Form and Instruction New Repair queued
Form PPR Template PPR Template Form and Instruction New Repair queued
Form PPR Instrument PPR Instrument Form and Instruction New Repair queued
Form Services Program P Services Program PPR Template Form and Instruction New Repair queued
Form TTA Program PPR Te TTA Program PPR Template Form and Instruction New Repair queued
Form IPP Program PPR Te IPP Program PPR Template Form and Instruction New Repair queued
Form SEP PPR Instrument SEP PPR Instrument Form and Instruction New Repair queued
Form ED-ALT Collection ED-ALT Collection Template Form and Instruction New Repair queued
Form SMaRT Instrument SMaRT Instrument Form and Instruction New Repair queued
Form SAP-PPR SAP-PPR Form and Instruction New Repair queued
Form Rural EMS Training Rural EMS Training Program Monitoring Report Form and Instruction New Repair queued
Form CCBHC-E PPR CCBHC-E PPR Form and Instruction New Repair queued
Form TTA Program PPR Te TTA Program PPR Template Form and Instruction New Repair queued
Form IPP Program PPR Te IPP Program PPR Template Form and Instruction New Repair queued
Form Programmatic Progr Programmatic Progress Report Template Form and Instruction New Repair queued
Form ED-ALT Collection ED-ALT Collection Template Form and Instruction New Repair queued
Form OBHE Standard Prog OBHE Standard Progress Report Form and Instruction New Repair queued
Form CMHS PPR Template CMHS PPR Template Form and Instruction New Available
0930-NEW Generic Clearance for Grant Monitoring _ Attachment A - Submission Template.docx Supplementary Document Uploaded 2023-06-28 Repair queued
0930-NEW Generic Clearance for Grant Monitoring _Supporting Statement (SSA).docx Supporting Statement A Uploaded 2023-06-29 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
280687 CMHS Final Progress Report (FPR) Form and Instruction NewCMHS FPR Template
280686 CMHS Programmatic Progress Report (PPR) Form and Instruction NewPPR PSM Template
280686 CMHS Programmatic Progress Report (PPR) Form and Instruction NewPPR Template
280685 CMHS Certified Community Behavioral Health Clinic (CCBHC) Final Progress Report (FPR) Form and Instruction NewCCBHC Planning, Development & Implementation Form
280685 CMHS Certified Community Behavioral Health Clinic (CCBHC) Final Progress Report (FPR) Form and Instruction NewCCBHC Improvement and Advancement (IA) Template
280684 CMHS Certified Community Behavioral Health Clinic (CCBHC) Programmatic Progress Report (PPR) (Revised) Form and Instruction NewPPR Template
277759 Programmatic Progress Report (PPR) for the Center for Mental Health Services (CMHS) Certified Community Behavioral Health Clinic Expansion Grants programs (CCBHC-E). Form and Instruction NewPPR Instrument
277757 Programmatic Progress Report (PPR) for the Center for Mental Health Services (CMHS) programs providing direct client services (referred to as Client Services hereafter). Form and Instruction NewServices Program PPR Template
277756 Programmatic Progress Report (PPR) for the Center for Mental Health Services (CMHS) programs conducting either (1) Infrastructure Development, Mental Health Prevention and Promotion (IPP) activities, Form and Instruction NewTTA Program PPR Template
277756 Programmatic Progress Report (PPR) for the Center for Mental Health Services (CMHS) programs conducting either (1) Infrastructure Development, Mental Health Prevention and Promotion (IPP) activities, Form and Instruction NewIPP Program PPR Template
277755 Supported Employment Program (SEP) Programmatic Progress Report (PPR) Form and Instruction NewSEP PPR Instrument
276261 Emergency Department Alternatives to Opioids Program (ED-ALT) Form and Instruction NewED-ALT Collection Template
273639 Syndemic Approach to Prevention (SAP) Form and Instruction NewSMaRT Instrument
273639 Syndemic Approach to Prevention (SAP) Form and Instruction NewSAP-PPR
272555 Rural Emergency Medical Services (EMS) Form and Instruction NewRural EMS Training Program Monitoring Report
271693 Programmatic Progress Report (PPR) for the Center for Mental Health Services (CMHS) Certified Community Behavioral Health Clinic Expansion Grants programs (CCBHC-E). Form and Instruction NewCCBHC-E PPR
270527 Programmatic Progress Report (PPR) for Infrastructure Development, Mental Health Prevention and Promotion (IPP) or Training and Technical Assistance (TTA) Form and Instruction NewTTA Program PPR Template
270527 Programmatic Progress Report (PPR) for Infrastructure Development, Mental Health Prevention and Promotion (IPP) or Training and Technical Assistance (TTA) Form and Instruction NewIPP Program PPR Template
269438 Programmatic Progress Report Template Form and Instruction NewProgrammatic Progress Report Template
267701 Emergency Department Alternatives to Opioids Program (ED-ALT) Form and Instruction NewED-ALT Collection Template
265664 OBHE Programmatic Progress Reports Form and Instruction NewOBHE Standard Progress Report
264639 Supported Employment Program (SEP) Programmatic Progress Report (PPR) Form and Instruction NewCMHS PPR Template

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2026 36 Months From Approved
28,000 0 0
180,000 0 0
0 0 0





Reginfo record details
17
table that charts list of burden
IC Title Form No. Form Name
CMHS Certified Community Behavioral Health Clinic (CCBHC) Final Progress Report (FPR) CCBHC Improvement and Advancement (IA) Template, CCBHC Planning, Development & Implementation Form ,  
CMHS Certified Community Behavioral Health Clinic (CCBHC) Programmatic Progress Report (PPR) (Revised) PPR Template
CMHS Final Progress Report (FPR) CMHS FPR Template
CMHS Programmatic Progress Report (PPR) PPR Template, PPR PSM Template ,  
Emergency Department Alternatives to Opioids Program (ED-ALT) ED-ALT Collection Template
Emergency Department Alternatives to Opioids Program (ED-ALT) ED-ALT Collection Template
OBHE Programmatic Progress Reports OBHE Standard Progress Report
Programmatic Progress Report (PPR) for Infrastructure Development, Mental Health Prevention and Promotion (IPP) or Training and Technical Assistance (TTA) IPP Program PPR Template, TTA Program PPR Template ,  
Programmatic Progress Report (PPR) for the Center for Mental Health Services (CMHS) Certified Community Behavioral Health Clinic Expansion Grants programs (CCBHC-E). PPR Instrument
Programmatic Progress Report (PPR) for the Center for Mental Health Services (CMHS) Certified Community Behavioral Health Clinic Expansion Grants programs (CCBHC-E). CCBHC-E PPR
Programmatic Progress Report (PPR) for the Center for Mental Health Services (CMHS) programs conducting either (1) Infrastructure Development, Mental Health Prevention and Promotion (IPP) activities, IPP Program PPR Template, TTA Program PPR Template ,  
Programmatic Progress Report (PPR) for the Center for Mental Health Services (CMHS) programs providing direct client services (referred to as Client Services hereafter). Services Program PPR Template
Programmatic Progress Report Template Programmatic Progress Report Template
Rural Emergency Medical Services (EMS) Rural EMS Training Program Monitoring Report
Supported Employment Program (SEP) Programmatic Progress Report (PPR) SEP PPR Instrument
Supported Employment Program (SEP) Programmatic Progress Report (PPR) CMHS PPR Template
Syndemic Approach to Prevention (SAP) SAP-PPR, SMaRT Instrument ,  

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 28,000 0 0 28,000 0 0
Annual Time Burden (Hours) 180,000 0 0 180,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No