ADM KNOWLEDGE OUTCOME OF PRIMARY CARE RESIDENTS

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Forms and supporting documents for this ICR

Document	Type	Status	Availability

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IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
111978	ADM KNOWLEDGE OUTCOME OF PRIMARY CARE RESIDENTS		Migrated

ICR Details

OMB Control No:	ICR Reference No: 198506-0930-002
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: ADM KNOWLEDGE OUTCOME OF PRIMARY CARE RESIDENTS
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Disapproved	Conclusion Date: 09/06/1985
	Date Received in OIRA: 06/11/1985
Terms of Clearance: THIS REQUEST FOR CLEARANCE IS NOT APPROVED PURSUANT TO 5 CFR 1320.4[b] THERE IS NO DIRECT FEDERAL BENEFIT FROM OR USE FOR THE DATA COLLECTED A PRIMARY CARE RESIDENTs KNOWLEDGE OF SPECIFIC ALCOHOL, DRUG ABUSE, AN MENTAL HEALTH. IN THE ABSENCE OF SUCH A DIRECT USE, THIS REQUEST FOR CLEARANCE DOES NOT SATISFY THE PAPERWORK REDUCTION ACTs PRACTICAL UTILITY CRITERION.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: PHYSICIAN. TESTING. TO EVALUATE THE EFFECTS OF DIFFERENT PRIMARY CAR PHYSICIAN PROGRAM TYPES IN TERMS OF RESIDENT PERFORMANCE AND DIAGNOSIS AND PREVENTION OF MENTAL DISORDERS. THIS PROJECT WILL HAVE SIGNIFICAN IMPLICATIONS FOR PRIMARY CARE AND PSYCHIATRIC RESEARCHERS AND EDUCATOR PROGRAM PLANNERS AND EVALUATORS IN DEVELOPING AND ASSESSING PROGRAMS RELATED TO MENTAL HEALTH PREVENTION.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
ADM KNOWLEDGE OUTCOME OF PRIMARY CARE RESIDENTS

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 06/11/1985

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