ICR Documents

Supporting Statement A Document Date Uploaded Supporting Statement A_10162024.docx 10/16/2024 Supporting Statement B Document Date Uploaded Supporting Statement B_09092024.docx 10/09/2024 Supplementary Documents Title Document Document Type Date Uploaded Attachment A1 - Legislation_Final OMB Attachment A1 - Legislation_Final OMB.docx Supplementary Document 10/09/2024 Attachment A3 - 60-day FRN Comments and Responses 7-31-24 Attachment A3 - 60-day FRN Comments and Responses 7-31-24.docx Supplementary Document 10/09/2024 Attachment A2_60 Day FRN Attachment A2_60 Day FRN - PMHCA and MMHSUDS.pdf Supplementary Document 10/09/2024 Attachment A4 - Behavioral Health Consultation Provider SSI Notification Email - JBS_Final Attachment A4 - Behavioral Health Consultation Provider SSI Notification Email - JBS_Final.docx Supplementary Document 10/09/2024 Attachment A5 - Behavioral Health Consultation Provider SSI Notification Email - Awardee_Final Attachment A5 - Behavioral Health Consultation Provider SSI Notification Email - Awardee_Final.docx Supplementary Document 10/09/2024 Attachment A6 - Behavioral Health Consultation Provider SSI Participation Email - JBS_Final Attachment A6 - Behavioral Health Consultation Provider SSI Participation Email - JBS_Final.docx Supplementary Document 10/09/2024 Attachment A7 - Behavioral Health Consultation Provider SSI Participation Email - Awardee_Final Attachment A7 - Behavioral Health Consultation Provider SSI Participation Email - Awardee_Final.docx Supplementary Document 10/09/2024 Attachment A8 - Behavioral Health Consultation Provider SSI Reminder Email - JBS_Final Attachment A8 - Behavioral Health Consultation Provider SSI Reminder Email - JBS_Final.docx Supplementary Document 10/09/2024 Attachment A9 - Behavioral Health Consultation Provider SSI Reminder Email - Awardee_Final Attachment A9 - Behavioral Health Consultation Provider SSI Reminder Email - Awardee_Final.docx Supplementary Document 10/09/2024 Attachment A10 - Care Coordinator SSI Notification Email - JBS_Final Attachment A10 - Care Coordinator SSI Notification Email - JBS_Final.docx Supplementary Document 10/09/2024 Attachment A11 - Care Coordinator SSI Notification Email - Awardee_Final Attachment A11 - Care Coordinator SSI Notification Email - Awardee_Final.docx Supplementary Document 10/09/2024 Attachment A12 - Care Coordinator SSI Participation Email - JBS_Final Attachment A12 - Care Coordinator SSI Participation Email - JBS_Final.docx Supplementary Document 10/09/2024 Attachment A13 - Care Coordinator SSI Participation Email - Awardee_Final Attachment A13 - Care Coordinator SSI Participation Email - Awardee_Final.docx Supplementary Document 10/09/2024 Attachment A14 - Care Coordinator SSI Reminder Email - JBS_Final Attachment A14 - Care Coordinator SSI Reminder Email - JBS_Final.docx Supplementary Document 10/09/2024 Attachment A15 - Care Coordinator SSI Reminder Email - Awardee_Final Attachment A15 - Care Coordinator SSI Reminder Email - Awardee_Final.docx Supplementary Document 10/09/2024 Attachment A16 - Champion SSI Email Notification - JBS_Final Attachment A16 - Champion SSI Email Notification - JBS_Final.docx Supplementary Document 10/09/2024 Attachment A17 - Champion SSI Email Notification - Awardee_Final Attachment A17 - Champion SSI Email Notification - Awardee_Final.docx Supplementary Document 10/09/2024 Attachment A18 - Champion SSI Participation Email - JBS_Final Attachment A18 - Champion SSI Participation Email - JBS_Final.docx Supplementary Document 10/09/2024 Attachment A19 - Champion SSI Participation Email - Awardee_Final Attachment A19 - Champion SSI Participation Email - Awardee_Final.docx Supplementary Document 10/09/2024 Attachment A20 - Champion SSI Reminder Email - JBS_Final Attachment A20 - Champion SSI Reminder Email - JBS_Final.docx Supplementary Document 10/09/2024 Attachment A21 - Champion SSI Reminder Email - Awardee_Final Attachment A21 - Champion SSI Reminder Email - Awardee_Final.docx Supplementary Document 10/09/2024 Attachment A22 - Community Resources SSI Email Notification - JBS_Final Attachment A22 - Community Resources SSI Email Notification - JBS_Final.docx Supplementary Document 10/09/2024 Attachment A23 - Community Resources SSI Email Notification - Awardee_Final Attachment A23 - Community Resources SSI Email Notification - Awardee_Final.docx Supplementary Document 10/09/2024 Attachment A24 - Community Resources SSI Participation - JBS_Final Attachment A24 - Community Resources SSI Participation - JBS_Final.docx Supplementary Document 10/09/2024 Attachment A25 - Community Resources SSI Participation - Awardee_Final Attachment A25 - Community Resources SSI Participation - Awardee_Final.docx Supplementary Document 10/09/2024 Attachment A26 - Community Resources SSI Reminder Email - JBS_Final Attachment A26 - Community Resources SSI Reminder Email - JBS_Final.docx Supplementary Document 10/09/2024 Attachment A27 - Community Resources SSI Reminder Email - Awardee_Final Attachment A27 - Community Resources SSI Reminder Email - Awardee_Final.docx Supplementary Document 10/09/2024 Attachment A28 - Health Professional Survey Notification Email - JBS_Final Attachment A28 - Health Professional Survey Notification Email - JBS_Final.docx Supplementary Document 10/09/2024 Attachment A29 - Health Professional Survey Notification Email - Awardee_Final Attachment A29 - Health Professional Survey Notification Email - Awardee_Final.docx Supplementary Document 10/09/2024 Attachment A30 - Health Professional Survey Participation Email - JBS_Final Attachment A30 - Health Professional Survey Participation Email - JBS_Final.docx Supplementary Document 10/09/2024 Attachment A31 - Health Professional Survey Participation Email - Awardee_Final Attachment A31 - Health Professional Survey Participation Email - Awardee_Final.docx Supplementary Document 10/09/2024 Attachment A32 - Health Professional Survey Reminder Email - JBS_Final Attachment A32 - Health Professional Survey Reminder Email - JBS_Final.docx Supplementary Document 10/09/2024 Attachment A33 - Health Professional Survey Reminder Email - Awardee_Final Attachment A33 - Health Professional Survey Reminder Email - Awardee_Final.docx Supplementary Document 10/09/2024 Attachment A34 - Practice-Level Survey Notification Email - JBS_Final Attachment A34 - Practice-Level Survey Notification Email - JBS_Final.docx Supplementary Document 10/09/2024 Attachment A35 - Practice Survey Notification Email - Awardee_Final Attachment A35 - Practice Survey Notification Email - Awardee_Final.docx Supplementary Document 10/09/2024 Attachment A36 - Practice Survey Participation Email - JBS_Final Attachment A36 - Practice Survey Participation Email - JBS_Final.docx Supplementary Document 10/09/2024 Attachment A37 - Practice Survey Participation Email - Awardee_Final Attachment A37 - Practice Survey Participation Email - Awardee_Final.docx Supplementary Document 10/09/2024 Attachment A38 - Practice Survey Reminder Email - JBS_Final Attachment A38 - Practice Survey Reminder Email - JBS_Final.docx Supplementary Document 10/09/2024 Attachment A39 - Practice Survey Reminder Email - Awardee_Final Attachment A39 - Practice Survey Reminder Email - Awardee_Final.docx Supplementary Document 10/09/2024 Attachment A40 - Program Implementation SSI Notification Email - JBS_Final Attachment A40 - Program Implementation SSI Notification Email - JBS_Final.docx Supplementary Document 10/09/2024 Attachment A41 - Program Implementation SSI Participation Email - JBS_Final Attachment A41 - Program Implementation SSI Participation Email - JBS_Final.docx Supplementary Document 10/09/2024 Attachment A42 - Program Implementation SSI Reminder Email - JBS_Final Attachment A42 - Program Implementation SSI Reminder Email - JBS_Final.docx Supplementary Document 10/09/2024 Attachment A43 - Program Implementation Survey Email Notification - JBS_Final Attachment A43 - Program Implementation Survey Email Notification - JBS_Final.docx Supplementary Document 10/09/2024 Attachment A44 - Program Implementation Survey Participation Email - JBS_Final Attachment A44 - Program Implementation Survey Participation Email - JBS_Final.docx Supplementary Document 10/09/2024 Attachment A45 - Program Implementation Survey Reminder Email - JBS_Final Attachment A45 - Program Implementation Survey Reminder Email - JBS_Final.docx Supplementary Document 10/09/2024 Attachment A46_AG19-001 Expedited Review Approval IRB Letter 7-23-2024 AG19-001 Expedited Review Approval Letter 7-23-2024.docx Supplementary Document 10/09/2024 Attachment B17 - Pilot Testing Feedback Attachment B17 - Pilot Testing Feedback.docx Supplementary Document 10/09/2024 05202025 1_NonSubstantive Change Memo - OMB 0906-0105_HRSA Clean_051620255002 05202025 1_NonSubstantive Change Memo - OMB 0906-0105_HRSA Clean_051620255002.docx Justification for No Material/Nonsubstantive Change 05/30/2025 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received