OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

2019-22 National Mental Health Services Survey (N-MHSS)

OMB 0930-0119 · HHS/SAMHSA.

OMB 0930-0119

The 2019-22 N-MHSS differs from the previous version of the survey in the following ways: (a) to facilitate completing the survey online, definitions of terms and other survey information will be offered at the survey website; (b) the eligibility criteria for inclusion in the survey, previously outlined in a flyer accompanying the survey, have now been incorporated into the questionnaire as screening questions; and (c) the questionnaire has been reorganized for greater simplicity and shortened by eliminating several questions identified as no longer relevant.

The latest form for 2019-22 National Mental Health Services Survey (N-MHSS) expires 2023-01-31 and is listed under ICR 201910-0930-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form Full Scale - Paper Facilities Universe in 2020 and 2022Form and Instruction
Form Locator Survey Locator Survey 2021Form and Instruction
Form Locator Survey New Facilities 2017-19Form and Instruction
Attachment A.10_2020 N-MHSS Definitions Packet_1_9_2020.docx Supplementary Document
Attachment A.9_2020 N-MHSS Frequently Asked Questions (FAQs)_1_9_2020.docx Supplementary Document
Attachment A.7_2020 N-MHSS Cover Letter (First Mailing)_1_9_2020.docx Supplementary Document
Attachment A.6_2020 N-MHSS Advance Letter_1_9_2020.docx Supplementary Document
Attachment A.4_2021 N-MHSS Web Screens for Online Questionnaire_1_9_2020.docx Supplementary Document
Attachment A.3_2020 N-MHSS Web Screens for Online Questionnaire_1_9_2020.docx Supplementary Document
Attachment A.2a_Changes to Questionnaire_2019 and 2021 N-MHSS_1-9-2020.docx Supplementary Document
Attachment A.2_2021 N-MHSS-Locator Survey Paper Questionnaire_also for Between-Survey Update_1_9_2020.docx Supplementary Document
Attachment A.1a_Changes to Questionnaire_2018 and 2020 N-MHSS_1-9-2020.docx Supplementary Document
Attachment A.1_2020 N-MHSS (Full-Scale) Paper Questionnaire_1_9_2020.docx Supplementary Document
Others.pdf Supplementary Document
Letters.pdf Supplementary Document
WebScreens.pdf Supplementary Document
Changes.pdf Supplementary Document
2020 N-MHSS_OMB SS_Part B_10.29.19.docxSupporting Statement B
2020 N-MHSS_OMB SS_Part A_10.29.19.docxSupporting Statement A
Facilities Universe in 2020 and 2022 Form and Instruction
Locator Survey 2021 Form and Instruction
New Facilities 2017-19 Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201910-0930-002 Revision of a currently approved collection 2019-12-02 Approved with change
201612-0930-001 Revision of a currently approved collection 2016-12-15 Approved without change
201605-0930-001 No material or nonsubstantive change to a currently approved collection 2016-05-05 Approved without change
201311-0930-002 Revision of a currently approved collection 2013-11-27 Approved without change
201205-0930-001 Revision of a currently approved collection 2012-05-04 Approved without change
200912-0930-001 Revision of a currently approved collection 2009-12-10 Approved without change
200801-0930-002 Revision of a currently approved collection 2008-01-09 Approved without change
200503-0930-002 Revision of a currently approved collection 2005-03-18 Approved with change
200206-0930-002 Revision of a currently approved collection 2002-06-07 Approved without change
200012-0930-002 Revision of a currently approved collection 2000-12-06 Approved without change
199803-0930-001 Reinstatement with change of a previously approved collection 1998-03-26 Approved without change
199505-0930-001 No material or nonsubstantive change to a currently approved collection 1995-05-22 Approved with change
199412-0930-004 Reinstatement with change of a previously approved collection 1994-12-21 Approved without change
199206-0930-001 Revision of a currently approved collection 1992-06-23 Approved without change
199005-0930-001 Reinstatement with change of a previously approved collection 1990-05-14 Approved without change
198904-0930-007 No material or nonsubstantive change to a currently approved collection 1989-04-26 Approved with change
198805-0930-002 Revision of a currently approved collection 1988-05-19 Approved without change
198712-0930-002 Reinstatement with change of a previously approved collection 1987-12-16 Approved without change
198604-0930-001 New collection (Request for a new OMB Control Number) 1986-04-15 Approved without change

OMB Details

Facilities Universe in 2020 and 2022

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
FormNameElectronic accessType
Form Full Scale - CATIFull Scale - CATIFillable FileableForm and instruction
Form Full Scale - PaperFull Scale - PaperFillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.