Information Collection Request
Pediatric Mental Health Care Access Program National Impact Study
ICR 202404-0906-009 · OMB 0906-0097 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0906-0097 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 1 Health Professional Impact Survey |
Form and Instruction | New | Repair queued |
| Form 2 Family/Caregiver Focus Group Discussion |
Form and Instruction | New | Repair queued |
| Form 3 Family/Caregiver Demographic Questionnaire |
Form and Instruction | New | Missing upstream |
 Attachment B7 - Family-Caregiver Pilot Feedback_Final.docx |
Supplementary Document | Uploaded 2024-04-30 | Repair queued |
| Attachment B6 - HP Impact Survey Pilot Feedback_Final.docx |
Supplementary Document | Uploaded 2024-04-30 | Missing upstream |
 Attachment A12 - IRB Decision Letter.pdf |
Supplementary Document | Uploaded 2024-04-30 | Missing upstream |
| Attachment A11 - PMHCA FGD Flyer_Final.pdf |
Supplementary Document | Uploaded 2024-04-30 | Repair queued |
| Attachment A10 - PMHCA FGD Overview Guide_Final.docx |
Supplementary Document | Uploaded 2024-04-30 | Missing upstream |
| Attachment A9 - PMHCA FGD Recruitment Procedures_Final.docx |
Supplementary Document | Uploaded 2024-04-30 | Repair queued |
| Attachment A8 - PMHCA FGD Recruiter Email From JBS_Final.docx |
Supplementary Document | Uploaded 2024-04-30 | Missing upstream |
| Attachment A7 - PMHCA HP Survey Reminder Email From Program_Final.docx |
Supplementary Document | Uploaded 2024-04-30 | Repair queued |
| Attachment A6 - PMHCA HP Survey Participation Email From Program_Final.docx |
Supplementary Document | Uploaded 2024-04-30 | Repair queued |
| Attachment A5 - PMHCA HP Survey Reminder Email From JBS_Final.docx |
Supplementary Document | Uploaded 2024-04-30 | Repair queued |
| Attachment A4 - PMHCA HP Survey Participation Email From JBS_Final.docx |
Supplementary Document | Uploaded 2024-04-30 | Repair queued |
| Attachment A1 - Legislation_Final.docx |
Supplementary Document | Uploaded 2024-04-30 | Repair queued |
| Attachment A2 - 60-day FRN Publication_Final.pdf |
Supplementary Document | Uploaded 2024-04-30 | Missing upstream |
| Supporting Statement B- MCHB- PMHCA- New- 04302024.docx |
Supporting Statement B | Uploaded 2024-04-30 | Repair queued |
| Supporting Statement A- MCHB- PMHCA- New- 04302024.docx |
Supporting Statement A | Uploaded 2024-04-30 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 267354 |  Health Professional Impact Survey |
Form and Instruction | New | |
| 267352 | Family/Caregiver Focus Group Discussion |
Form and Instruction | New | |
| 267351 | Family/Caregiver Demographic Questionnaire |
Form and Instruction | New |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/HRSA |
| OMB Control No | 0906-0097 |
| 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 |