Implementation Findings from the National Evaluation of the Certified Community Behavioral Health Clinic Demonstration. APPENDIX B: CCBHC Demonstration Evaluation 2018 and 2019 Progress Report Templates

09/12/2020

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0461. The time required to complete this information collection is estimated to average 1 hour per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington, D.C. 20201. Attention: PRA Reports Clearance Officer.

Certified Community Behavioral Health Clinic Demonstration Annual Clinic Progress Report Demonstration Year 1

Please see the PDF version for this template.

Certified Community Behavioral Health Clinic Demonstration Evaluation Annual Progress Report: Demonstration Year 2

Please see the PDF version for this template.