Mental Health Client/Consumer Outcome Measures and Infrastructure, Prevention and Promotion Indicators

OMB 0930-0285

SAMHSA and its Centers will use the data collected for annual reporting required by GPRMA, to describe and understand changes in outcomes from baseline to follow-up to discharge. SAMHSA’s report for each fiscal year will include actual results of performance monitoring for the three preceding fiscal years. Information collected through this request will allow SAMHSA to report on the results of these performance outcomes as well as be consistent with SAMHSA-specific performance domains, and to assess the accountability and performance of its discretionary grant programs. The additional information collected through this request will allow SAMHSA to improve its ability to assess the impact of its programs on key outcomes of interest and to gather vital diagnostic information about clients served by CMHS discretionary grant programs.

The latest form for Mental Health Client/Consumer Outcome Measures and Infrastructure, Prevention and Promotion Indicators expires 2022-02-28 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form Client Level Measu CMHS NOMS Data Collection Tool Form and Instruction
Form IPP Indicators Infrastructure, Prevention, and Promotion Indicators Form and Instruction
202404 Supporting Statement A (SSA)_0930-0285.docx Supporting Statement A
CMHS NOMS Data Collection Tool Form and Instruction
Infrastructure, Prevention, and Promotion Indicators Form and Instruction

All Historical Document Collections

202410-0930-001	Revision of a currently approved collection	2024-10-02
202302-0930-001 Approved with change	No material or nonsubstantive change to a currently approved collection	2023-02-14
202208-0930-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-08-16
202207-0930-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-07-27
202203-0930-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-03-07
202201-0930-004 Approved without change	Revision of a currently approved collection	2022-01-20
201802-0930-002 Approved with change	Revision of a currently approved collection	2018-09-27
201612-0930-003 Approved without change	Revision of a currently approved collection	2016-12-12
201512-0930-002 Approved with change	Revision of a currently approved collection	2015-12-22
201302-0930-002 Approved with change	Extension without change of a currently approved collection	2013-02-20
201109-0930-006 Approved with change	Revision of a currently approved collection	2011-09-30
201003-0930-005 Approved without change	Revision of a currently approved collection	2010-03-30
200701-0930-001 Approved with change	New collection (Request for a new OMB Control Number)	2007-01-04

OMB Details

Client-Level

Federal Enterprise Architecture: Health - Public Health Monitoring

Form Section H	Section H	Fillable Fileable	Form and instruction
Form Child Tool	Child Tool	Fillable Fileable	Form and instruction
Form Adult Tool	Adult Tool	Fillable Fileable	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.