Prevention Program Outcomes Monitoring System

ICR 200212-0930-002

OMB: 0930-0243

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
7656
Migrated
ICR Details
0930-0243 200212-0930-002
Historical Active
HHS/SAMHSA
Prevention Program Outcomes Monitoring System
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 03/05/2003
Retrieve Notice of Action (NOA) 12/23/2002
Approved for use through 3/2006 under the following conditions: 1) future submissions for OMB review include an assessment of SAMHSA's capabilities to collect and analyze actual outcome data from programs; and 2) as stated in the enclosed response dated 2/25/2003, SAMHSA will disseminate survey findings at least annually.
  Inventory as of this Action Requested Previously Approved
03/31/2006 03/31/2006
3,240 0 0
1,080 0 0
0 0 0

PPOMS is a national probability sample of schools (public and private, serving grades K-12), colleges (2- and 4-year, private and public), youth agencies and other community organizations and community coalitions to quantify the extent of the field application of NREPP identified science-based prevention programs. PPOMS will also examine such parameters as program fidelity and adaptation, for science-based prevention programs identified through NREPP, as well as documented outcomes of program effectiveness.

None
None


No

1
IC Title Form No. Form Name
Prevention Program Outcomes Monitoring System

  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 3,240 0 0 3,240 0 0
Annual Time Burden (Hours) 1,080 0 0 1,080 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.
12/23/2002


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