OMB.report

Federal forms, ICRs, and supporting documents

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 Name
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All Historical Document Collections

201610-0930-003 Approved without change	Revision of a currently approved collection	2016-10-19
201403-0930-006 Approved without change	Revision of a currently approved collection	2014-03-17
201103-0930-004 Approved with change	New collection (Request for a new OMB Control Number)	2011-03-30