SUBSTANCE ABUSE, PREVENTION, AND TREATMENT BLOCK GRANT APPLICATION FORMAT -- FY 1994 AND 1995

Forms and Documents

Document	Type	Status	Availability

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Collection	Type	Status	Form
111908	SUBSTANCE ABUSE, PREVENTION, AND TREATMENT BLOCK GRANT APPLICATION FORMAT -- FY 1994 AND 1995		Migrated

ICR Details

OMB Control No: 0930-0080	ICR Reference No: 199305-0930-001
Status: Historical Active	Previous ICR Reference No: 199110-0930-003
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: SUBSTANCE ABUSE, PREVENTION, AND TREATMENT BLOCK GRANT APPLICATION FORMAT -- FY 1994 AND 1995
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/25/1993
	Date Received in OIRA: 05/27/1993
Terms of Clearance: This submission is approved for use through 6/95 or until the publication date of the final Substance Abuse Prevention and Treatment Block Grant rule, whichever date comes first. In addition, the following clarifications should be made to this submission prior to us 1) to the maximum extent feasible, hard copy or electronic versions of forms should highlight for respondents those information items which a optional or where estimates will be accepted; 2) the instructions shou be amended to provide the States the same flexibility in specifying ne risk categories and codes as with strategies/activities; and 3) hard copy and electronic forms 06A, 10A, and 10B should be amended to indicate that States must only report on those Federally determined ri categories or strategies/activities that are meaningful or appropriate in the context of the State's programs.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/1995	06/30/1995
Responses	60	0	0
Time Burden (Hours)	31,800	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: PUBLIC LAW 102-321 AUTHORIZED BLOCK GRANTS TO STATES FOR THE PURPOSE OF PROVIDING PREVENTION AND TREATMENT SERVICES. UNDER THE PROVISIONS OF THE LAW, STATES MAY RECEIVE ALLOTMENTS ONLY AFTER AN APPLICATION IS SUBMITTED AND APPROVED BY THE SECRETARY. THIS PACKAGE PROVIDES THE STATES WITH THE FORMS AND INSTRUCTIONS FOR THEIR APPLICATIONS SO THEY CAN COMPLY WITH THE REQUIREMENTS OF THE LAW AND THE REGULATIONS

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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

IC Title	Form No.	Form Name
SUBSTANCE ABUSE, PREVENTION, AND TREATMENT BLOCK GRANT APPLICATION FORMAT -- FY 1994 AND 1995

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ICR Summary of Burden

	Total Approved	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	60	0	0	60	0	0
Annual Time Burden (Hours)	31,800	0	0	31,800	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

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: 05/27/1993

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