Evaluation of Mentoring and Family Strengthening Youth Substance Abuse Prevention Initiatives

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Forms and supporting documents for this ICR

Document	Type	Status	Availability

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IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
7657	Evaluation of Mentoring and Family Strengthening Youth Substance Abuse Prevention Initiatives		Migrated

ICR Details

OMB Control No: 0930-0244	ICR Reference No: 200301-0930-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Evaluation of Mentoring and Family Strengthening Youth Substance Abuse Prevention Initiatives
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/08/2003
	Date Received in OIRA: 01/09/2003
Terms of Clearance: Approved for use through 4/2006 under the conditions that: 1) the enclosed paper outlining analytic considerations accompanies any federal dissemination of evaluation results; and 2) any subsequent amendments to the analytic considerations are submitted to OMB for the public record.

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	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2006	04/30/2006
Responses	205,802	0	0
Time Burden (Hours)	19,456	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The primary objectives of this project are to assess the effectiveness of Mentoring and Family Strengthening programs in prevention and/or reducing of alcohol and other drugs(ATOD) among youths at risk for such behaviors and to assess the effectiveness of specified intervention strategies in reducing selected risk factors of enhancing protective factors that have been shown to be associated with use and abuse of ATOD in youth and their families. Data will be collected from youth and their associated adult at program intake, at program exit and 6 months post-exit. For those in mentoring programs information...........

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

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IC Title	Form No.	Form Name
Evaluation of Mentoring and Family Strengthening Youth Substance Abuse Prevention Initiatives

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ICR Summary of Burden

table that charts list of burden

	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	205,802	0	0	205,802	0	0
Annual Time Burden (Hours)	19,456	0	0	19,456	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 01/09/2003

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