ICR Documents

Supporting Statement A Document Date Uploaded CCBHC-E CSE OMB Package - Supporting Statement A.docx 02/26/2025 Supporting Statement B Document Date Uploaded CCBHC-E CSE OMB Package - Supporting Statement B_Final .docx 01/24/2025 Supplementary Documents Title Document Document Type Date Uploaded GPO Interview Consent Attachment C2 GPO Interview Consent.docx Supplementary Document 12/13/2024 Consumer and Family Member Consent Attachment D2 Consumer and Family Member Organization Interview Consent.docx Supplementary Document 12/13/2024 Grantee Project Director Consent Attachment E2 Grantee Project Director Interview Consent.docx Supplementary Document 12/13/2024 Clinic Leadership Consent Attachment F2 Clinic Leadership Interview Consent.docx Supplementary Document 12/13/2024 Clinic Staff Consent Attachment G2 Clinic Staff Interview Consent.docx Supplementary Document 12/13/2024 Clinic Partner Organization Consent Attachment H2 Clinic Partner Organization Interview Consent.docx Supplementary Document 12/13/2024 Adult Consent Attachment I2 Adult Client Focus Group Consent.docx Supplementary Document 12/13/2024 Youth Assent Attachment J2 Youth Client Focus Group Assent.docx Supplementary Document 12/13/2024 Youth Parent Consent Attachment J2a Youth Client Focus Group Parental Consent.docx Supplementary Document 12/13/2024 Client Wellness Interview Consent Attachment L2 Client Wellness Interview Questions SAMPLE Consent.docx Supplementary Document 12/13/2024 Parent Caregiver Consent Attachment K2 Parent Caregiver of Youth Client Focus Group Consent.docx Supplementary Document 12/13/2024 Grantee Web Survey Reminder Attachment A2 Grantee Web Survey Reminder Email.docx Supplementary Document 12/13/2024 Interview Email Communication Attachment C4 Interview email communications.docx Supplementary Document 12/13/2024 Site Visit Email Communication Attachment F4 Site visit email communications.docx Supplementary Document 12/13/2024 Site Visit Schedule Attachment F5 Site Visit Schedule.docx Supplementary Document 12/13/2024 Focus Group Sign-In Sheet Attachment I4 Focus Group Sign-In Sheet.docx Supplementary Document 12/13/2024 GPO Interview Introductory Script Attachment C3 GPO Interview Introduction Script.docx Supplementary Document 12/13/2024 Consumer and Family Member Script Attachment D3 Consumer and Family Member Organization Interview Introduction Script.docx Supplementary Document 12/13/2024 Grantee Project Director Script Attachment E3 Grantee Project Director Interview Introduction Script.docx Supplementary Document 12/13/2024 Clinic Leadership Script Attachment F3 Clinic Leadership Interview Introduction Script.docx Supplementary Document 12/13/2024 Clinic Staff Script Attachment G3 Clinic Staff Interview Introduction Script.docx Supplementary Document 12/13/2024 Clinic Partner Organization Script Attachment H3 Clinic Partner Organization Interview Introduction Script.docx Supplementary Document 12/13/2024 Adult Focus Group Script Attachment I3 Adult Client Focus Group Introduction Script.docx Supplementary Document 12/13/2024 Youth Focus Group Script Attachment J3 Youth Client Focus Group Introduction Script.docx Supplementary Document 12/13/2024 Parent Caregiver Script Attachment K3 Parent Caregiver of Youth Client Focus Group Introduction Script.docx Supplementary Document 12/13/2024 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received Friedman, Jeffrey PC_202412-0930-003_011025_053635_1.pdf Central Nassau Guidance and Counseling Services Other -- Reginfo.gov Simple 01/10/2025 01/10/2025 Harkness, Tina PC_202412-0930-003_010825_091934_1.pdf Other -- Reginfo.gov Simple 01/08/2025 01/08/2025 Anonymous PC_202412-0930-003_011325_102129_1.pdf Other -- Reginfo.gov Simple 01/13/2025 01/13/2025 Ragona, Lindsay PC_202412-0930-003_011325_095037_1.pdf Project Director Central Nassau Guidance & Counseling Services Other -- Reginfo.gov Simple 01/13/2025 01/13/2025 Anonymous CCBHC Public Comment Matrix_111324.xlsx Other -- Multiple 12/13/2024 12/13/2024 Dunham, Rochelle PC_202412-0930-003_011025_011833_1.pdf Other -- Reginfo.gov Simple 01/10/2025 01/10/2025 Anonymous CCBHC 30-DAY Public Comment Matrix Response.xlsx Other -- Simple 01/24/2025 01/24/2025 Evaluator, CCBHC PC_202412-0930-003_011025_095525_1.pdf Other -- Reginfo.gov Simple 01/10/2025 01/10/2025 Taylor, Reyna PC_202412-0930-003_011325_010726_1.pdf SAMHSA Notice CCBHC-E Data Collection_National Council Comment_1.13.25.pdf Other -- Reginfo.gov Simple 01/13/2025 01/13/2025 Barton, Sarah PC_202412-0930-003_011025_042149_1.pdf Public Comment Evaluation Activities .docx Other -- Reginfo.gov Simple 01/10/2025 01/10/2025