Block Grant Application

Mental Health Services Block Grant (MHBG) and the Substance Use Prevention, Treatment, and Recovery Services Block Grant (SUPTRS BG)

Documents and Forms

Document Name Document Type
Form MHBG Block Grant Application Form and Instruction
MHBG MHBG FY2026-2027_MHBG_Report.docx Form and Instruction
MHBG MHBG FY2026-2027_MHBG_Report.docx Form and Instruction
SUBG SUBG FY2026-2027_SUBG_Report.docx Form and Instruction
SUBG SUBG FY2026-2027_SUBG_Report.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Block Grant Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	MHBG	MHBG	FY2026-2027_MHBG_Report.docx		Yes	Yes	Fillable Fileable
Form and Instruction	SUBG	SUBG	FY2026-2027_SUBG_Report.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Block Grant	FR Citation: 75 FR 28264

Number of Respondents: 119	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	119	0	119
Annual IC Time Burden (Hours)	33,493	8,880	24,613
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.