Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
CMHS Certified Community Behavioral Health Clinic (CCBHC) Final Progress Report (FPR) New 294 2352 0 Form and Instruction CCBHC Improvement and Advancement (IA) Template
Form and Instruction CCBHC Planning, Development & Implementation Form
CMHS Certified Community Behavioral Health Clinic (CCBHC) Programmatic Progress Report (PPR) (Revised) New 435 6960 0 Form and Instruction PPR Template
CMHS Final Progress Report (FPR) New 716 7160 0 Form and Instruction CMHS FPR Template
CMHS Programmatic Progress Report (PPR) New 671 6322 0 Form and Instruction PPR Template
Form and Instruction PPR PSM Template
Emergency Department Alternatives to Opioids Program (ED-ALT) New 30 1800 0 Form and Instruction ED-ALT Collection Template
Emergency Department Alternatives to Opioids Program (ED-ALT) New 1 1 0 Form and Instruction ED-ALT Collection Template
OBHE Programmatic Progress Reports New 6 18 0 Form and Instruction 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
Form and Instruction 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
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
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
Form and Instruction 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
Programmatic Progress Report Template New 365 2889 0 Form and Instruction Programmatic Progress Report Template
Rural Emergency Medical Services (EMS) New 124 62 0 Form and Instruction Rural EMS Training Program Monitoring Report
Supported Employment Program (SEP) Programmatic Progress Report (PPR) New 30 240 0 Form and Instruction CMHS PPR Template
Supported Employment Program (SEP) Programmatic Progress Report (PPR) New 1 1 0 Form and Instruction SEP PPR Instrument
Syndemic Approach to Prevention (SAP) New 24 56 0 Form and Instruction SAP-PPR
Form and Instruction SMaRT Instrument
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 4133 42906 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title