The Strategic Prevention Framework State Incentive Grant (SPF SIG) State-Level Interview Protocols

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CLI - Part II CLI - Part II	Form and Instruction	Modified	Available
Form CLI - Part I CLI - Part I	Form and Instruction	Modified	Available
CLI OMB Appendices A-E 8-03-06.doc	Supplementary Document	Uploaded 2006-11-30	Available
CLI OMB Appendices F-O 5-22-06.doc	Supplementary Document	Uploaded 2006-11-30	Available
Community-level Survey OMB Supporting Statement 8-03-06.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2006-10-13	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43645	The Strategic Prevention Framework State Incentive Grant (SPF SIG) State-Level Interview Protocols	Form and Instruction	Modified	CLI - Part II
43645	The Strategic Prevention Framework State Incentive Grant (SPF SIG) State-Level Interview Protocols	Form and Instruction	Modified	CLI - Part I

ICR Details

OMB Control No: 0930-0279	ICR Reference No: 200610-0930-005
Status: Historical Active	Previous ICR Reference No: 200604-0930-002
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: The Strategic Prevention Framework State Incentive Grant (SPF SIG) State-Level Interview Protocols
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/18/2007
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/18/2006
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2009	09/30/2009	09/30/2009
Responses	390	0	52
Time Burden (Hours)	6,856	0	234
Cost Burden (Dollars)	0	0	0

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Abstract: The Evaluation of the Strategic Prevention Framework State Incentive Grant (SPF SIG) Program. The program is a major national initiative designed to: (1) prevent the onset and reduce the progression of substance abuse, including childhood and underage drinking; (2) reduce substance abuse-related problems in communities; and, (3) build prevention capacity and infrastructure at the State/territory and community levels.

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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:
	Not associated with rulemaking

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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

table that charts list of burden

IC Title	Form No.	Form Name
The Strategic Prevention Framework State Incentive Grant (SPF SIG) State-Level Interview Protocols	CLI - Part I, CLI - Part II	CLI - Part I ,   CLI - Part II

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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	390	52	0	338	0	0
Annual Time Burden (Hours)	6,856	234	0	6,622	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: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: Adding the community level instruments.

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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: 10/13/2006

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