Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
CBHC Site Leadership Staff-site interview New 8 16 0 Other-survey
CCBHC administrative/finance staff-site interview New 16 16 0 Other-interview
CCBHC care managers-site interview New 16 16 0 Other-interview
Other-interview
CCBHC frontline providers-site interview New 24 24 0 Other-front line interview
CCBHC site leadership staff-completion of report New 152 608 0 Other-report
State Medicaid official-telephone interview New 48 48 0 Other-evaluation
Other-interview
Other-interview
State consumer/family representative-telephone interview New 16 16 0 Other-interview
State mental health official-telephone interview New 48 48 0 Other-survey
Other-interview
Other-survey
Total burden requested under this ICR: 328 792 0  
To view an IC, click on IC Title