OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Behavioral Health Information Technologies Survey

OMB 0930-0352 · HHS/SAMHSA.

OMB 0930-0352

Latest Forms, Documents, and Supporting Material

Document Name
Form BHITS BHIT Survey Form and Instruction
Attachment 6_ScrennShots._5_27_15pdf Supplementary Document
Attachment 5_GranteeLetter_2_27_15.doc Supplementary Document
Attachment 4_Pilot_Protocol_Schedule_Documents-2_27_15.docx Supplementary Document
Attachment 3_Survey Question Crosswalk to Research Question and Domain_052215.docx Supplementary Document
Attachment 2_Data Dictionary-Key-Terms-Definitions_2_27_15.docx Supplementary Document
OMB SS-A__5_28_15.docx Supporting Statement A
Attachment_8_ResponsetoPublicComment.docx Supplementary Document
Attachment_7_PublicComment.docx Supplementary Document
OMB SS-B_7_23_15..docx Supporting Statement B
BHIT Survey Form and Instruction

All Historical Document Collections

201505-0930-001

Approved with change

New collection (Request for a new OMB Control Number)

2015-06-01