Block Grant Application

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

OMB: 0930-0168

IC ID: 7545

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

View Information Collection (IC)

Block Grant Application
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction BG Application BG Application FY2026-2027_BG Application_clean final revised version 4_23_25.docx Yes Yes Fillable Fileable
Form and Instruction SUBG Report SUBG Report FY2026-2027_SUBG_Report clean final 4_23_25.docx Yes Yes Fillable Fileable
Form and Instruction MHGB Report MHBG Report FY2026-2027_MHBG Report_clean final revised version 4_23_25.docx Yes Yes Fillable Fileable

Health Health Care Services

Block Grant   75 FR 28264

119 0
   
State, Local, and Tribal Governments
 
   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 119 0 0 0 0 119
Annual IC Time Burden (Hours) 33,493 0 0 0 0 33,493
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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