Survey of Persons Requesting "Hablemos en Confianza" and "Activity Book" Substance Abuse Prevention Materials

ICR 200011-0930-002

OMB: 0930-0218

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0930-0218 200011-0930-002
Historical Active
HHS/SAMHSA
Survey of Persons Requesting "Hablemos en Confianza" and "Activity Book" Substance Abuse Prevention Materials
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/15/2001
Retrieve Notice of Action (NOA) 11/20/2000
Approved consistent with changes described in SAMHSA memo of 1-9-01.
  Inventory as of this Action Requested Previously Approved
02/28/2002 02/28/2002
1,000 0 0
250 0 0
0 0 0

"Hablemos en Confianza" and the "Activity Book" were developed to respond to the documented need for culturally, language, and age appropriate materials for Hispanics/Latinos. The thematic across these Spanish language materials is substance abuse prevention targeting Hispanic/Latino younger populations and their parents and care givers (person responsible for the child). The purpose of this survey is to obtain information to assess the quality of the materials regarding cultural adequacy and clarity, as well as the short-term impact of the messages. This information will be instrumental in highlighting areas that......

None
None


No

1
IC Title Form No. Form Name
Survey of Persons Requesting "Hablemos en Confianza" and "Activity Book" Substance Abuse Prevention Materials

  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 1,000 0 0 1,000 0 0
Annual Time Burden (Hours) 250 0 0 250 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.
11/20/2000


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