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OMB Control No: 0930-0169	ICR Reference No: 202607-0930-003
Status: Received in OIRA	Previous ICR Reference No: 202509-0930-006
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Protection and Advocacy of Individuals With Mental Illness (PAIMI) Annual Program Performance Report
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 07/22/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	08/31/2026
Responses	114	114
Time Burden (Hours)	1,710	1,710
Cost Burden (Dollars)	0	0

Annual Cost to Federal Government: $178,922

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Alicia Broadus 240 276-0166 alicia.broadus@samhsa.hhs.gov

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