OMB control number

Protection and Advocacy of Individuals With Mental Illness (PAIMI) Annual Program Performance Report

OMB 0930-0169 · HHS/SAMHSA.

OMB 0930-0169

The PAIMI formula grant program provides funds to support activities on behalf of individuals with mental illness. Recipients of program funding are required by law to report annually such information as the number of individuals served, types of facilities involved, and their priorities, activities and accomplishments. The PAIMI Annual Program Performance Report must also include a separate report prepared by the PAIMI Advisory Council describing its activities and assessing the operation of the protection and advocacy system.

The latest form for Protection and Advocacy of Individuals With Mental Illness (PAIMI) Annual Program Performance Report expires 2026-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form PAIMI PPR Instruct PAIMI PPR Instructions Form and Instruction
Form PAIMI PPR PAIMI PPR Form and Instruction
Form PAIMI PPR Annual Program Performance Report Form and Instruction
Form PAIMI ACR PAIMI ACR Form and Instruction
Form PAIMI ACR Advisory Council Report Form and Instruction
0930-0169 No Material or Nonsubstantive Change.docx Justification for No Material/Nonsubstantive Change
0930-0169 No Material or Nonsubstantive Change.docx Justification for No Material/Nonsubstantive Change
0930-0169 PAIMI _ Public Comments Response Matrix - 3.9.2023 _ final.xlsx Supplementary Document
0930-0169 PAIMI _ Public Comments Response Matrix - 3.9.2023 _ final.xlsx Supplementary Document
0169 PAIMI_Supporting_Statement_A_(SSA)_ 5.24.2023.docx Supporting Statement A
0169 PAIMI_Supporting_Statement_A_(SSA)_ 5.24.2023.docx Supporting Statement A
Annual Program Performance Report Form and Instruction
Annual Program Performance Report Form and Instruction
Annual Program Performance Report Form and Instruction
Advisory Council Report Form and Instruction
Advisory Council Report Form and Instruction

All Historical Document Collections

202509-0930-006	No material or nonsubstantive change to a currently approved collection	2025-09-30
202306-0930-003 Approved without change	Revision of a currently approved collection	2023-06-23
201912-0930-003 Approved without change	Revision of a currently approved collection	2020-04-02
201705-0930-004 Approved without change	Extension without change of a currently approved collection	2017-06-02
201406-0930-002 Approved without change	Extension without change of a currently approved collection	2014-07-10
201105-0930-004 Approved with change	Reinstatement with change of a previously approved collection	2011-05-13
200709-0930-005 Approved without change	Revision of a currently approved collection	2007-09-24
200401-0930-003 Approved with change	Revision of a currently approved collection	2004-01-20
200302-0930-001 Approved without change	Revision of a currently approved collection	2003-02-04
199909-0930-002 Approved without change	Revision of a currently approved collection	1999-09-27
199706-0930-001 Approved without change	Revision of a currently approved collection	1997-06-25
199505-0930-002 Approved with change	No material or nonsubstantive change to a currently approved collection	1995-05-22
199403-0930-001 Approved without change	New collection (Request for a new OMB Control Number)	1994-03-31

OMB Details

Annual Program Performance Report

Federal Enterprise Architecture: Health - Public Health Monitoring

Form PAIMI PPR Instructions	PAIMI PPR Instructions	Fillable Fileable	Form and instruction
Form PAIMI PPR	PAIMI PPR	Fillable Fileable	Form and instruction

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