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Federal forms, ICRs, and supporting documents

Information Collection

Psychotropic Medication Assent Notice (Form MMH-2)

IC 272297 under ICR 202603-0970-009 · OMB 0970-0641.

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

View Information Collection (IC)

Psychotropic Medication Assent Notice (Form MMH-2)
 
No Modified
 
Mandatory
 
45 CFR 410.1310

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction MMH-2 Psychotropic Medication Assent Notice MMH-2 (ENG) Psychotropic Medication Assent Notice_v1_English_CLEAN (03.19.26).docx Yes Yes Fillable Fileable
Form and Instruction MMH-2 (Spanish) Psychotropic Medication Assent Notice - Spanish MMH-2 (SPA) Psychotropic Medication Assent Notice_v1_Spanish_CLEAN (03.19.26).docx Yes Yes Fillable Fileable

Community and Social Services Social Services

09-80-0321 ORR Division of Children's Services Records  81 FR 46682

300 0
   
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 300 0 0 0 0 300
Annual IC Time Burden (Hours) 225 0 0 0 0 225
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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