Evaluation of the Center for Substance Abuse Prevention's Underage Drinking Prevention Public Education Program

ICR 200210-0930-001

OMB: 0930-0240

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0930-0240 200210-0930-001
Historical Active
HHS/SAMHSA
Evaluation of the Center for Substance Abuse Prevention's Underage Drinking Prevention Public Education Program
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 12/04/2002
Retrieve Notice of Action (NOA) 10/01/2002
Approved for use through 12/2005 under the condition that SAMHSA submits for OMB review information on comparison site selections and justifications as discussed in SAMHSA's note to OMB dated 12/2/2002.
  Inventory as of this Action Requested Previously Approved
12/31/2005 12/31/2005
25,345 0 0
7,141 0 0
0 0 0

The Underage Drinking Prevention Public Education Program is a comprehensive initiative to educate youth ages 9 - 13 and their adult caregivers about the harms associated with underage alcohol use, with the goal to decrease underage alcohol use by increasing knowledge and skills of youth and their caregivers. The evaluation is a longitudinal survey in 10 program sites and 5 comparison sites of a sample of 4th graders and their caregivers. Caregivers and youth will complete telephone interviews at baseline, prior to program implementation, and then annually for 4 years.

None
None


No

1
IC Title Form No. Form Name
Evaluation of the Center for Substance Abuse Prevention's Underage Drinking Prevention Public Education Program

  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 25,345 0 0 25,345 0 0
Annual Time Burden (Hours) 7,141 0 0 7,141 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.
10/01/2002


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