State Prevention Needs Assessment: Alcohol and Other Drugs

ICR 199804-0930-001

OMB: 0930-0185

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0930-0185 199804-0930-001
Historical Active
HHS/SAMHSA
State Prevention Needs Assessment: Alcohol and Other Drugs
Existing collection in use without an OMB Control Number   No
Regular
Approved without change 06/16/1998
Retrieve Notice of Action (NOA) 04/16/1998
  Inventory as of this Action Requested Previously Approved
06/30/2001 06/30/2001
35,641 0 0
25,026 0 0
0 0 0

Data are collected to assess risk and protective factors for substance abuse use, prevention service needs, and substance abuse prevalence. These needs assessment studies will permit cross State comparisons and assist Federal response to GPRA.

None
None


No

1
IC Title Form No. Form Name
State Prevention Needs Assessment: Alcohol and Other Drugs

  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 35,641 0 0 35,641 0 0
Annual Time Burden (Hours) 25,026 0 0 25,026 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
04/16/1998


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