Prevention of Methamphetamine Abuse

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Attachment 2 - You Prevention of Methamphetamine Abuse	Form and Instruction	New	Available
OMB Supporting Statement - METH -5-30-08.doc	Supporting Statement B	Uploaded 2008-05-30	Available
5--Meth Adult Admin Guide.doc	Supplementary Document	Uploaded 2008-05-30	Available
4-Meth Youth Admin Guide.doc	Supplementary Document	Uploaded 2008-05-30	Available
1-METH DACCC-DITIC Statement of Personal Commitment.doc	Supplementary Document	Uploaded 2008-05-30	Available
OMB Supporting Statement - METH -5-30-08.doc	Supporting Statement A	Uploaded 2008-05-30	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
185218	Prevention of Methamphetamine Abuse	Form and Instruction	New

ICR Details

OMB Control No: 0930-0293	ICR Reference No: 200806-0930-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Prevention of Methamphetamine Abuse
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 without change	Conclusion Date: 08/25/2008
	Date Received in OIRA: 06/05/2008
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2011	36 Months From Approved
Responses	7,080	0	0
Time Burden (Hours)	5,876	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The youth and adult surveys are designed for collecting data from participants of direct service interventions lasting 30 days or more at three time points: (a) at program entry, (b) at program exit, and (c) six months after program exit. Comparisons of participant responses to the survey items at these data collection points will provide information about the effects of the program on individuals' knowledge, attitudes, beliefs, and substance consumption patterns, as well as on the sustainability of those effects over time. The instrumentation will be used by all grantee sites that implement direct service interventions lasting 30 days or longer. Both the adult and the youth surveys ask about previous use, sources of information, attitudes, and expected use in the future, while adults are also asked their perceptions of substance use among youths.

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Authorizing Statute(s): US Code: 5 USC 519E Name of Law: Prevention of Methamphetamine and Inhalant Abuse and Addiction
  

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
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 50377	08/31/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 31495	06/02/2008
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
Prevention of Methamphetamine Abuse	Attachment 2 - Youth Survey, Attachment 3 - Adult Survey	Attachment 2 - Youth Survey ,   Attachment 3 - Adult Survey

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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	7,080	0	0	7,080	0	0
Annual Time Burden (Hours)	5,876	0	0	5,876	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: This is a new data collection.

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Annual Cost to Federal Government: $303,000

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: 06/05/2008

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