OMB control number
Survey of Current and Alumni SAMHSA Fellows of the Minority Fellowship Program (MFP)
OMB 0930-0304 · HHS/SAMHSA.
OMB 0930-0304
The current SAMHSA MFP Fellows currently receiving support during their master’s-level program, doctoral-level training or psychiatric residency will be asked about their experiences in the MFP (from recruitment into the program through their participation in the various activities provided by the Grantees). The MFP Alumni who participated in the MFP during the time the program was administered by SAMHSA will be asked about their previous experiences as Fellows in the MFP and also about their subsequent involvement and leadership in their professions.
The latest form for Survey of Current and Alumni SAMHSA Fellows of the Minority Fellowship Program (MFP) expires 2027-03-31 and is listed under ICR 202401-0930-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form Alumni Fellows Alumni Fellows Survey | Form and Instruction |
| Form Current Fellows Current Fellows Survey | Form and Instruction |
| ATTACHMENT C-MFP Reminders-Surveys-3-week and 5-week Reminder emails 2023 _5-2-2023_CLEAN_MTC_9-28-23.docx | Supplementary Document |
| MFP_0304-SS-B_8-24-2023-bma-csat-mtc_CLEAN_mtc_9-13-23_CLEAN_MTC_9-28-23.docx | Supporting Statement B |
| MFP_0304-SS-A_LN_3.14.23_CLEAN_MTC_9-28-23.docx | Supporting Statement A |
 Alumni Fellows Survey |
Form and Instruction |
| Current Fellows Survey |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202401-0930-001 | Reinstatement without change of a previously approved collection | 2024-01-08 | Approved without change | |
| 201603-0930-007 | Revision of a currently approved collection | 2016-03-18 | Approved without change | |
| 201408-0930-002 | Reinstatement with change of a previously approved collection | 2014-08-19 | Approved with change | |
| 200905-0930-002 | New collection (Request for a new OMB Control Number) | 2009-05-29 | Approved with change |
OMB Details
Current Fellows Survey
Federal Enterprise Architecture: Health - Public Health Monitoring
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form Current Fellows | Current Fellows | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.