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

Document Name
Form Quarterly Report Grantee - Quarterly Reports Form and Instruction
Form Physical Health In Client-level interview-Physical Health Indicators Form and Instruction
PBHCI-SS-A-10-6-2015.doc Supporting Statement A
PBHCI-SS-B-3 25 15.doc Supporting Statement B
Grantee - Quarterly Reports Form and Instruction
Client-level interview-Physical Health Indicators Form and Instruction

All Historical Document Collections

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