Champion Semi-Structured Interview

Evaluation of the Maternal and Child Health Bureau Pediatric Mental Health Care Access and Screening and Treatment for Maternal Mental Health and Substance Use Disorders Programs Project

OMB: 0906-0105

IC ID: 271504

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Champion Semi-Structured Interview
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1K Attachment 1K - Champion SSI PMHCA Attachment B7 - Champion SSI, V2, 2021-2023 PMHCA_NON-APPROVED_OMB.docx Yes Yes Fillable Fileable
Form and Instruction 1C Attachment 1C - Champion SSI MMHSUD Attachment B15 - Champion SSI, V2, 2023 MMHSUD_NON-APPROVED_OMB.docx Yes Yes Fillable Fileable
Form and Instruction 1C 1C_MCHB_0906-0105_MMHSUD Champion SSI_Redline 1C_MCHB_0906-0105_MMHSUD Champion SSI_Redline.docx Yes Yes Fillable Fileable
Form and Instruction 1K 1K_MCHB_0906-0105_PMHCA Champion SSI_Redline.docx 1K_MCHB_0906-0105_PMHCA Champion SSI_Redline.docx Yes Yes Fillable Fileable

Health Health Care Services

 

67 67
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested 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 67 0 0 0 0 67
Annual IC Time Burden (Hours) 34 0 0 0 0 34
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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