OMB control number
National Resource Center for Mental Health Promotion and Youth Violence Prevention
OMB 0930-0374 · HHS/SAMHSA.
OMB 0930-0374
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form Case Study Intervi Case Study Interview | Form and Instruction |
| Form Annual Performance Annual Performance Survey | Form and Instruction |
| Form Site Visit Assessm Site Visit Assessment Survey | Form and Instruction |
| Form Site Visit Assessm Site Visit Assessment Inteview | Form and Instruction |
| Form Needs Assessment Needs Assessment Survey | Form and Instruction |
| Form Needs Assessment Needs Assessment Focus Groups | Form and Instruction |
| NRC OMB Supporting Statement Part A 3.15.17.docx | Supporting Statement A |
| NRC OMB Supporting Statement Part B 3.13.17.docx | Supporting Statement B |
 Case Study Interview |
Form and Instruction |
| Annual Performance Survey |
Form and Instruction |
| Site Visit Assessment Survey |
Form and Instruction |
| Site Visit Assessment Inteview |
Form and Instruction |
| Needs Assessment Survey |
Form and Instruction |
| Needs Assessment Focus Groups |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201703-0930-003 | New collection (Request for a new OMB Control Number) | 2017-03-15 | Approved without change |