Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Augmentation Screener New 1300 104 0 Form and Instruction Augmentation Screener Questionnaire Augmentation Screener Questionnaire
I-BHS New 4200 336 0 Form and Instruction I-BHS Online State Add Update Form I-BHS Online State Add Update Form
I-BHS Facility Application New 800 64 0 Form and Instruction I-BHS Facility Application Form I-BHS Facility Application Form
N-SUMHSS (both SU and MH) New 5000 5585 0 Form and Instruction N-SUMHSS 2021 Questionnaire N-SUMHSS 2021 Questionnaire
N-SUMHSS (either SU or MH) New 32000 21440 0 Form and Instruction N-SUMHSS 2021 Questionnaire N-SUMHSS 2021 Questionnaire
Form and Instruction N-SUMHSS 2021 Web Survey Prototype N-SUMHSS 2021 Web Survey Prototype
Form and Instruction N-SUMHSS 2021 CATI Questionnaire N-SUMHSS 2021 CATI Questionnaire
N-SUMHSS BC New 1000 580 0 Form and Instruction N-SUMHSS 2021 Between Cycles Questionnaire N-SUMHSS 2021 Between Cycles Questionnaire
Total burden requested under this ICR: 44300 28109 0  
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