National Maternal Mental Health Hotline

Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration

OMB: 0906-0084

IC ID: 271017

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Other-Data Dictionary
Other-Data Dictionary
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

National Maternal Mental Health Hotline
 
Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction A_0906-0084_MCHB_Hotline_Script_Redline 03052025.docx Yes Yes Fillable Fileable
Other-Data Dictionary B_0906-0084_MCHB_Hotline_Data Dictionary_Redline 03052025.xlsx Yes Yes Fillable Fileable

Health Health Care Services

 

33,000 0
   
Individuals or Households
 
   100 %

  Requested 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 33,000 0 0 0 0 33,000
Annual IC Time Burden (Hours) 9,660 0 0 0 0 9,660
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic IC Memo - NMMHH Generic IC Memo - NMMHH.docx 09/17/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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