Brother Your On My Mind (BYOMM) Knowledge Attitudes and Belief (KAB) (NIMHD)

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Brother Your On My Mind (BYOMM) Knowledge Attitudes and Belief (KAB) (NIMHD) Form and Instruction
1 BYOMM KAB BYOMM KAB--06-19-2019.pdf Form and Instruction
Fast Track OMB Clerarance - Updated 06-18-2019.docx Fast track BYOMM KAB IC Document

Information Collection (IC) Details

IC Title:	Brother Your On My Mind (BYOMM) Knowledge Attitudes and Belief (KAB) (NIMHD)	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	BYOMM KAB	BYOMM KAB--06-19-2019.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Previously Approved
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast track BYOMM KAB	Fast Track OMB Clerarance - Updated 06-18-2019.docx	06/21/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.