Evaluation of the CMHS/CSAT Collaborative Program on Homeless Families: Women with Psychiatric, Substance Use, or Co-occuring Disorders and Their Dependent Children

ICR 200106-0930-005

OMB: 0930-0223

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0930-0223 200106-0930-005
Historical Active
HHS/SAMHSA
Evaluation of the CMHS/CSAT Collaborative Program on Homeless Families: Women with Psychiatric, Substance Use, or Co-occuring Disorders and Their Dependent Children
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 09/13/2001
Retrieve Notice of Action (NOA) 06/29/2001
Approved consistent with memo dated 8/28/01, including lower incentive payments than had been proposed in the package for Phoenix AZ and Worcester MA ($30, $35, $40 and $50 for Phoenix; $20, $30, $40, and $50 for Worcester) and changes to the instrument. SAMHSA must also report back to OMB on the response rates for each of the sites at the conclusion of the study.
  Inventory as of this Action Requested Previously Approved
09/30/2004 09/30/2004
2,280 0 0
3,032 0 0
0 0 0

This is a multi-site study of services for homeless mothers with psychiatric and/or substance abuse disorders who are caring for their dependent children. The cross-site evaluation will assess the overall effectiveness of eight comprehensive, time-limited multi-faceted interventions, and identify the active ingredients within the interventions that are associated with positive outcomes. Interviews will be conducted with participating women at baseline and at 3-, 9-, and 15-months after baseline.

None
None


No

  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 2,280 0 0 2,280 0 0
Annual Time Burden (Hours) 3,032 0 0 3,032 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.
06/29/2001


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