Information Collection

Identification of Current Infant and Early Childhood Mental Health Consultation (IECMHC) Services and Points of Contact Across the U.S. and U.S. Territories.

IC 277174 under ICR 202611-0970-004 · OMB 0970-0531.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1- IECMHC Scan Survey Draft_v1_ Provider_For Sharing_10.2.24_clean version.docx	Other-Survey
2 - OCC survey_10.3.24_clean version.docx	Other-Survey
3 - IECMHC Scan Survey-Draft-v1-Head Start_ 10.18.24_clean version.docx	Other-Survey
4 - Interview Protocol Description_10.3.24_clean version.docx	Other-Interview Protocol
SSA - Formative for ACF Program Support_IECMHC GenIC_10.21.24_clean version.docx SSA - Prog Supp GenIC: IECMHC Services and Points of Contact Across the U.S. and U.S. Territories	IC Document
NOA_OCC - IECMHC Services and POCs_ProgSupp GenIC_0970-0531_10.23.24.pdf NOA - Prog Supp GenIC: IECMHC Services and Points of Contact Across the U.S. and U.S. Territories	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Identification of Current Infant and Early Childhood Mental Health Consultation (IECMHC) Services and Points of Contact Across the U.S. and U.S. Territories.

Agency IC Tracking Number:

OCC

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	Yes	Yes	Fillable Fileable
Other-Survey	Yes	Yes	Fillable Fileable
Other-Survey	Yes	Yes	Fillable Fileable
Other-Interview Protocol	Yes	Yes	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 271

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	271	271
Annual IC Time Burden (Hours)	159	159
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA - Prog Supp GenIC: IECMHC Services and Points of Contact Across the U.S. and U.S. Territories		08/22/2025
NOA - Prog Supp GenIC: IECMHC Services and Points of Contact Across the U.S. and U.S. Territories		08/22/2025

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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