OMB control number
Evaluation of the Extension of the Certified Community Behavioral Health Clinic (CCBHC) Demonstration Program
OMB 0990-0485 ยท HHS/HHSDM.
OMB 0990-0485
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 30-day FRN template updated CCBHC 9 2 22.docx | Supplementary Document |
| CCBHC Evaluation OMB_SuppStatementA v2 9 2 22.docx | Supporting Statement A |
| 6. 60-Day FRN CCBHC Eval 2022 v2.docx | Supplementary Document |
 Published 60-day FRN_CCBHC.pdf | Supplementary Document |
| omb83-i ccbhc 2022.pdf | Supplementary Document |
| 2. CCBHC Evaluation OMB_SuppStatementB v2.docx | Supporting Statement B |
 CCBHC Survey |
Other-Survey Instrument Year One |
| Client Focus Groups |
Other-Focus Group Protocol |
| CCBHC Leadership Interviews |
Other-Interview Protocol |
| State Official Interviews |
Other-Interview Protocol |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202208-0990-007 | New collection (Request for a new OMB Control Number) | 2022-09-13 | Approved without change |