OMB control number
Disaster Technical Assistance Center Disaster Mental Health Needs Assessment and Customer Satisfaction Survey
OMB 0930-0325 · HHS/SAMHSA.
OMB 0930-0325
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form SAMHSA DTAC CFS e-Communications Recipient | Form and Instruction |
| Form State-Territory DBHNAS (State/Territory) | Form and Instruction |
| Form Local Provider DBHNAS (Local Provider) | Form and Instruction |
| Form Follow-Up Phone In DBHNA Follow-up | Form and Instruction |
| 0325 DTAC CFS OMB Justification A 101816.docx | Supporting Statement A |
| 0325 DTAC CFS OMB Justification B 062716.docx | Supporting Statement B |
 e-Communications Recipient |
Form and Instruction |
| DBHNAS (State/Territory) |
Form and Instruction |
| DBHNAS (Local Provider) |
Form and Instruction |
| DBHNA Follow-up |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201610-0930-003 | Revision of a currently approved collection | 2016-10-19 | Approved without change | |
| 201403-0930-006 | Revision of a currently approved collection | 2014-03-17 | Approved without change | |
| 201103-0930-004 | New collection (Request for a new OMB Control Number) | 2011-03-30 | Approved with change |