OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Community MH Services BG and SAPT BG Application Guidance and Instructions FY 2022-2023

ICR 202209-0930-006 · OMB 0930-0168 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form FFY 2022-2023 Bloc Block Grant Application Form and Instruction Unchanged Available
MHBG Table 6 clean 9-26-2022.docx Supplementary Document Uploaded 2022-09-28 Repair queued
MHBG Table 2 clean 9-26-2022.docx Supplementary Document Uploaded 2022-09-28 Repair queued
OMB Plan MHBG updated tables 2 & 6 to include Safer Communities Act funding 9-26-2022.docx Supplementary Document Uploaded 2022-09-28 Repair queued
0930-00168 MHBG _ No Material or Nonsubstantive Change_9-28-2022.docx Justification for No Material/Nonsubstantive Change Uploaded 2022-09-28 Available
Block Grant Emergency Change Supporting 8-26-2021_CLEAN.docx Supplementary Document Uploaded 2021-08-26 Missing upstream
2020-2021 Report MHBG edits 8-11-21_.docx Supplementary Document Uploaded 2021-08-19 Missing upstream
FY 2020-2021SABG Report 8-2021 _.docx Supplementary Document Uploaded 2021-08-19 Missing upstream
Block Grant Emergency Change Supporting 8-4-2021.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-08-19 Missing upstream
2022 MHBG Table 6- Addition of COVID and ARP columns.docx Supplementary Document Uploaded 2021-06-17 Repair queued
2022 MHBG Table 2 ARP Mock up with date change.docx Supplementary Document Uploaded 2021-06-17 Repair queued
Mockups for Tables 4-5a-5b-5c-6 for SABG Application-Plan 6-16-2021.docx Supplementary Document Uploaded 2021-06-17 Repair queued
Proposed Change to FY 2022-2023 MHBG-SABG Application Table 2-State Agency Planned Expenditure for COVID-19 Relief Funds 04012021 FINAL edits 4-8-21.docx Supplementary Document Uploaded 2021-06-17 Repair queued
MHBG Plan Table 2 mockup for COVID Expeditures.docx Supplementary Document Uploaded 2021-06-17 Missing upstream
2020-2021 MHBG Table 6- Addition of COVID column.docx Supplementary Document Uploaded 2021-06-17 Repair queued
Proposed Change to FY 2022-2023 MHBG-SABG Application Table 2-State Agency Planned Expenditure for COVID-19 Relief Funds 04012021 FINAL.docx Supplementary Document Uploaded 2021-04-20 Repair queued
Block Grant Emergency Change Supporting 4-14-2021_CLEAN.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-04-20 Missing upstream
BG Supporting Statement A (SSA) Clean 9.21.21_.docx Supporting Statement A Uploaded 2022-01-05 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
7545 Block Grant Application Form and Instruction Unchanged
ICR Details
0930-0168 202209-0930-006
Received in OIRA 202201-0930-001
HHS/SAMHSA
Community MH Services BG and SAPT BG Application Guidance and Instructions FY 2022-2023
No material or nonsubstantive change to a currently approved collection   No
Regular 09/28/2022
  Requested Previously Approved
03/31/2025 03/31/2025
119 119
33,493 33,493
0 0
SAMHSA's SAPTBG and MHSBG are designed to provide States with the flexibility to design and implement activities and services to address the complex needs of individuals, families, and communities impacted by mental disorders, substance use disorders and associated problems. The goals of the Block Grant programs are consistent with SAMHSA's vision for a high-quality, self-directed, and satisfying life in the community for everyone in America.
US Code: 42 USC 1917 Name of Law: Application for Grant - MH
   US Code: 42 USC 1932 Name of Law: Application for Grant - SAPT
  
None
Not associated with rulemaking
  86 FR 60057 10/29/2021
87 FR 466 01/05/2022
No
1
IC Title Form No. Form Name
Block Grant Application FFY 2022-2023 Block Grant Application FFY 2022-2023 Block Grant Application
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 119 119 0 0 0 0
Annual Time Burden (Hours) 33,493 33,493 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
There is an approximate change in burden of approximately 2 hours per participant to allow for changes in planning and reporting due to the additional supplemental money awarded in FFY 2021. This accounts for approximately 0.5 hours per section of application (both for MHBG and SABG) and the same for the changes to the respective reports.
$1,997,772
No
    No
    No
No
No
No
Yes
Carlos Graham 204 276-0361 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/28/2022