PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Emergency Department Alternatives to Opioids Program (ED-ALT)
New
1
1
0
Form and Instruction
ED-ALT Collection Template
ED-ALT Collection Template
Emergency Department Alternatives to Opioids Program (ED-ALT)
New
30
1800
0
Form and Instruction
ED-ALT Collection Template
ED-ALT Collection Template
OBHE Programmatic Progress Reports
New
6
18
0
Form and Instruction
OBHE Standard Progress Report
OBHE Standard Progress Report
Programmatic Progress Report (PPR) for Infrastructure Development, Mental Health Prevention and Promotion (IPP) or Training and Technical Assistance (TTA)
New
998
8082
0
Form and Instruction
IPP Program PPR Template
IPP Program PPR Template
Form and Instruction
TTA Program PPR Template
TTA Program PPR Template
Programmatic Progress Report (PPR) for the Center for Mental Health Services (CMHS) Certified Community Behavioral Health Clinic Expansion Grants programs (CCBHC-E).
New
1
1
0
Form and Instruction
PPR Instrument
PPR Instrument
Programmatic Progress Report (PPR) for the Center for Mental Health Services (CMHS) Certified Community Behavioral Health Clinic Expansion Grants programs (CCBHC-E).
New
435
6960
0
Form and Instruction
CCBHC-E PPR
CCBHC-E PPR
Programmatic Progress Report (PPR) for the Center for Mental Health Services (CMHS) programs conducting either (1) Infrastructure Development, Mental Health Prevention and Promotion (IPP) activities,
New
1
1
0
Form and Instruction
IPP Program PPR Template
IPP Program PPR Template
Form and Instruction
TTA Program PPR Template
TTA Program PPR Template
Programmatic Progress Report (PPR) for the Center for Mental Health Services (CMHS) programs providing direct client services (referred to as Client Services hereafter).
New
1
1
0
Form and Instruction
Services Program PPR Template
Services Program PPR Template
Programmatic Progress Report Template
New
365
2889
0
Form and Instruction
Programmatic Progress Report Template
Programmatic Progress Report Template
Rural Emergency Medical Services (EMS)
New
124
62
0
Form and Instruction
Rural EMS Training Program Monitoring Report
Rural EMS Training Program Monitoring Report
Supported Employment Program (SEP) Programmatic Progress Report (PPR)
New
30
240
0
Form and Instruction
CMHS PPR Template
CMHS PPR Template
Supported Employment Program (SEP) Programmatic Progress Report (PPR)
New
1
1
0
Form and Instruction
SEP PPR Instrument
SEP PPR Instrument
Syndemic Approach to Prevention (SAP)
New
24
56
0
Form and Instruction
SAP-PPR
SAP-PPR
Form and Instruction
SMaRT Instrument
SMaRT Instrument
Total Burden Actually Used for Information Collections Under Currently Approved ICR:
2017
20112
0
Total Burden Currently Requested for Information Collections Under Currently Approved ICR:
0
0
0
To view an IC, click on IC Title
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