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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0279 can be found here:

Documents and Forms

Document Name Document Type
Form CLI - Part I The Strategic Prevention Framework State Incentive Grant (SPF SIG) State-Level Interview Protocols Form and Instruction
CLI - Part I CLI - Part I CLI Part I instrument OMB version 8-3-06 sent to CSAP .doc Form and Instruction
CLI - Part II CLI - Part II CLI Part II instrument OMB version 8-3-06 sent to CSAP.doc Form and Instruction
CLI OMB Appendices A-E 8-03-06.doc CLI - Appendices A-E IC Document
CLI OMB Appendices F-O 5-22-06.doc CLI - Appendices F-O IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	The Strategic Prevention Framework State Incentive Grant (SPF SIG) State-Level Interview Protocols	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CLI - Part I	CLI - Part I	CLI Part I instrument OMB version 8-3-06 sent to CSAP .doc		No	No	Paper Only
Form and Instruction	CLI - Part II	CLI - Part II	CLI Part II instrument OMB version 8-3-06 sent to CSAP.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 390	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	390	338	52
Annual IC Time Burden (Hours)	6,856	6,622	234
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
CLI - Appendices A-E	CLI OMB Appendices A-E 8-03-06.doc	10/13/2006
CLI - Appendices F-O	CLI OMB Appendices F-O 5-22-06.doc	10/13/2006

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.