State Prevention Needs Assessment Surveys: Alcohol and

ICR 200009-0930-001

OMB: 0930-0213

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
37860
Migrated
ICR Details
0930-0213 200009-0930-001
Historical Active 200004-0930-002
HHS/SAMHSA
State Prevention Needs Assessment Surveys: Alcohol and
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/06/2000
Retrieve Notice of Action (NOA) 09/06/2000
  Inventory as of this Action Requested Previously Approved
06/30/2003 06/30/2003 06/30/2003
41,553 0 41,578
31,181 0 31,226
0 0 0

The primary purpose of the needs assessment studies is to obtain information that planners can use to set priorities for resource distribution. CSAP's needs assessment contracts with States require the conduct of two surveys: a statewide student survey and community resource assessment survey. This package includes the common model protocols to be used by the three Cohort V states, along with the State-specific protocols for Michigan. State-specific protocols for Alabama and Tennessee will be transmitted as supplementary materials upon their development.

None
None


No

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

  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 41,553 41,578 0 -25 0 0
Annual Time Burden (Hours) 31,181 31,226 0 -45 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
09/06/2000


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