OMB control number
CABHI Evaluation Client & Stakeholder Surveys
OMB 0930-0320 ยท HHS/SAMHSA.
OMB 0930-0320
This collection was previously known as the Cross-Site Evaluation for the Grants for the Benefit of Homeless Individuals (GBHI), but is now known as the CABHI Evaluation Client & Stakeholder Surveys. These data collection activities, focused on project clients and stakeholders. The information collected through all three surveys (Baseline and 6-month Followup, and Stakeholder Survey) will provide the data necessary to conduct a complete structure, process, outcome, and cost evaluation. CABHI emphasizes the value of providing access to permanent housing and supportive services for people who are chronically homeless and have mental disorders, substance use disorders, or both. It enhances and extends the GBHI and SSH efforts by focusing on the development and expansion of local infrastructures that integrate treatment and services for mental and substance use disorders, permanent housing, and other critical services for individuals experiencing chronic homelessness.
The latest form for CABHI Evaluation Client & Stakeholder Surveys expires 2020-06-30 and is listed under ICR 201705-0930-002.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form Stakeholder Survey Stakeholder Survey | Form and Instruction |
 Form 6-Month Followup 6-Month Followup | Form and Instruction |
| Form Baseline Baseline | Form and Instruction |
| 0930_0320_OMB Supporting Statement_B 3.8.17.docx | Supporting Statement B |
| 0930_0320_OMB Supporting Statement_A 5.10.17.docx | Supporting Statement A |
 Stakeholder Survey |
Form and Instruction |
| 6-Month Followup |
Form and Instruction |
| Baseline |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201705-0930-002 | Revision of a currently approved collection | 2017-05-12 | Approved without change | |
| 201403-0930-005 | Extension without change of a currently approved collection | 2014-03-17 | Approved without change | |
| 201012-0930-002 | New collection (Request for a new OMB Control Number) | 2010-12-30 | Approved with change |
OMB Details
Baseline
Federal Enterprise Architecture: Health - Public Health Monitoring
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form Baseline | Baseline | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.