View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Shared Decision-Making in Mental Health Decision Support Tools
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Survey #1 Consumer View of Workbook Yes Yes Paper Only
Form and Instruction Survey #2 Provider View of Workbook Yes Yes Paper Only
Form and Instruction Survey #3 Consumer View of Decision Aid Yes Yes Paper Only
Form and Instruction Survey #4 Provider View of Decision Aid Yes Yes Paper Only

Health Health Care Services

 

724 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 724 0 0 0 0 0
Annual IC Time Burden (Hours) 171 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Memo 04/12/2010
Justification 04/12/2010
Product #1 What is Right for Me Workbook 04/12/2010
Product #2 Supporting Choice Workbook 04/12/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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