OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Primary and Behavioral Health Care Integration Program

OMB 0930-0340 · HHS/SAMHSA.

OMB 0930-0340

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form Quarterly Report Grantee - Quarterly ReportsForm and Instruction
Form Physical Health In Client-level interview-Physical Health IndicatorsForm and Instruction
PBHCI-SS-A-10-6-2015.docSupporting Statement A
PBHCI-SS-B-3 25 15.docSupporting Statement B
Grantee - Quarterly Reports Form and Instruction
Client-level interview-Physical Health Indicators Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201506-0930-002 Revision of a currently approved collection 2015-06-18 Approved with change
201408-0930-003 Revision of a currently approved collection 2014-08-19 Approved without change
201404-0930-001 Revision of a currently approved collection 2014-04-03 Approved with change