OMB control number
Children’s Mental Health Initiative National Evaluation
OMB 0930-0375 · HHS/SAMHSA.
OMB 0930-0375
The purpose of the Children’s Mental Health Initiative (CMHI) National Evaluation is to assess the success of the CMHI grants in expanding and sustaining the reach of SOC values, principles, and practices. These include maximizing system-level coordination and planning, offering a comprehensive array of services, and prioritizing family and youth involvement. In order to obtain a clear picture of CMHI grant activities, this longitudinal, multi-level evaluation will measure activities and performance of grantees essential to building and sustaining effective Systems of Care (SOC)’s.
The latest form for Children’s Mental Health Initiative National Evaluation expires 2020-06-30 and is listed under ICR 201703-0930-004.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form Child and Family Child and Family Instruments | Form and Instruction |
| Form Financial Benchmar Financial Planning | Form and Instruction |
| Form Financial Mapping Benchmark Tool | Form and Instruction |
| Form Financing Plan Sur Financial Mapping Interview | Form and Instruction |
| Form Network Analysis S Network Analysis Survey | Form and Instruction |
| Form System of Care Exp SOCESS | Form and Instruction |
| Form Key Partner Interv Key Partner Interview | Form and Instruction |
| CMHI OMB SS-B 2015 10.17.16.docx | Supporting Statement B |
| CMHI OMB SS-A 2015 12.22.16.docx | Supporting Statement A |
 Child and Family Instruments |
Form and Instruction |
| Financial Planning |
Form and Instruction |
| Benchmark Tool |
Form and Instruction |
| Financial Mapping Interview |
Form and Instruction |
| Network Analysis Survey |
Form and Instruction |
| SOCESS |
Form and Instruction |
| Key Partner Interview |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201703-0930-004 | New collection (Request for a new OMB Control Number) | 2017-03-14 | Approved without change |
OMB Details
Key Partner Interview
Federal Enterprise Architecture: Health - Public Health Monitoring
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form Key Partner Interviews | Key Partner Interviews | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.