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

View Information Collection (IC)

Consumer/Grantee/Clinic Interviews
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Clinic Leadership Interview Protocol Clinic Leadership Interview Protocol Attachment F Clinic Leadership Interview Protocol.docx Yes Yes Fillable Fileable
Form and Instruction Clinic Staff Interview Protocol Clinic Staff Interview Protocol Attachment G Clinic Staff Interview Protocol.docx Yes Yes Fillable Fileable
Form and Instruction Clinic Partner Organization Interview Protocol Clinic Partner Organization Interview Protocol Attachment H Clinic Partner Organization Interview Protocol.docx Yes Yes Fillable Fileable
Form and Instruction Grantee Interview Guide Grantee Interview Guide Attachment E Grantee Project Director Interview Protocol CLEAN.docx Yes Yes Fillable Fileable
Form and Instruction Consumer and Family Member Interview Guide Consumer and Family Member Interview Guide Attachment D Consumer and Family Member Organization Interview Protocol CLEAN.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

CCBHC-E  75 FR 28264

720 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 720 0 720 0 0 0
Annual IC Time Burden (Hours) 720 0 720 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.