Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
2018/2019 PMHCA/2018 MDRBD Care Coordinator SSI Unchanged 28 14 0 Other-Semi Structured Interview
2021 PMHCA Care Coordinator SSI Unchanged 24 24 0 Instruction
2021 PMHCA Program Implementation SSI Unchanged 24 24 0 Other-Semi Structured Interview
2021 PMHCA Program Implementation Survey Unchanged 24 24 0 Other-
Champion and Community Resources SSI Unchanged 204 102 0 Other-Semi Structured Interveiw
Other-Semi Structured Interview
Other-Semi Structured Interview
Other-Semi Structured Interview
FGD Unchanged 52 52 0 Other-
Other-
HP Survey 2021 Unchanged 8031 6023 0 Form and Instruction 1 HP Survey
PMHCA Practice Level Survey Unchanged 2950 2213 0 Form and Instruction 2 Practice Level Survey
Total burden requested under this ICR: 11337 8476 0  
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