OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Community-based and Other Resources Semi-Structured Interview (SSI)

IC 271505 under ICR 202505-0906-005 · OMB 0906-0105.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Community-based and Other Resources Semi-Structured Interview (SSI)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1L Attachment 1L - Community-Based and Other Resources SSI PMHCA Attachment B6 - Community-Based and Other Resources SSI, V2, 2021-2023 PMHCA_NON-APPROVED_OMB.docx Yes Yes Fillable Fileable
Form and Instruction 1D Attachment 1D - Community-Based and Other Resources SSI MMHSUD Attachment B14 - Community-Based and Other Resources SSI, V2, 2023 MMHSUD_NON-APPROVED_OMB.docx Yes Yes Fillable Fileable
Form and Instruction 1D 1D_MCHB_0906-0105_MMHSUD Community Resources SSI_Redline 1D_MCHB_0906-0105_MMHSUD Community Resources SSI_Redline.docx Yes Yes Fillable Fileable
Form and Instruction 1L 1L_MCHB_0906-0105_PMHCA Community Resources SSI_Redline 1L_MCHB_0906-0105_PMHCA Community Resources SSI_Redline.docx Yes Yes Fillable Fileable

Health Health Care Services

 

50 50
   
Private Sector Businesses or other for-profits, 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 50 0 0 0 0 50
Annual IC Time Burden (Hours) 25 0 0 0 0 25
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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