National Outcome Measures for Substance Abuse Prevention

Forms and Documents

Document Name	Status
Form Attachment D - Ins National Outcome Measures for Substance Abuse Prevention Form and Instruction	Modified
ATTACHMENT A NOMs Change Table revisedMY407.doc Supplementary Document	2009-04-15
Attachment C NOMs Instruments 090403REVPEROMB.doc Supplementary Document	2009-04-15
NOMs OMB SUPPORTING STATEMENT revised 1.8.09.doc Supporting Statement B	2009-01-08
ATTACHMENT C DACCC Privacy Protection Statement revised.doc Supplementary Document	2009-01-07
ATTACHMENT B NOMs Review revised.doc Supplementary Document	2009-01-07
ATTACHMENT A NOMs Change Table revised.doc Supplementary Document	2009-01-07
NOMs_OMB_SUPPORTING_STATEMENT_revised_090407MYnotrack416.doc Supporting Statement A	2009-04-17

IC Document Collections

IC ID	Document Title	Status
7638	National Outcome Measures for Substance Abuse Prevention Form and Instruction	Modified

ICR Details

OMB Control No: 0930-0230	ICR Reference No: 200901-0930-001
Status: Historical Active	Previous ICR Reference No: 200508-0930-004
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: National Outcome Measures for Substance Abuse Prevention
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/20/2009
	Date Received in OIRA: 01/12/2009
Terms of Clearance: Approved consistent with the understanding that future submissions will provide a thorough discussion of the data collection methods for each grant program.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2012	36 Months From Approved	04/30/2009
Responses	183,780	0	246
Time Burden (Hours)	19,523	0	419
Cost Burden (Dollars)	0	0	0

---

Abstract: CSAP is identifying recommended core measures for priority prevention constructs for use with different demographic groups. Grantees receiving initial funding will be expected to use measures that are appropriate to their prevention intervention project. This effort will strengthen accountability by standardizing and improving the quality of data available across grantees and programs. Grantees will report their data semi-annually to their respective data coordinating centers, which will submit the data to CSAP's data coordinating center.

---

Authorizing Statute(s): US Code: 5 USC 505 Name of Law: SAMHSA
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 54601	09/22/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 308	01/05/2009
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
National Outcome Measures for Substance Abuse Prevention	Attachment D - Instruments	Attachment D - Instruments

---

ICR Summary 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	183,780	246	0	183,534	0	0
Annual Time Burden (Hours)	19,523	419	0	19,104	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: Currently there are 419 burden hours in the OMB inventory and CSAP is requesting 19,523 hours. The increase of 19,104 hours is due to changes in burden result from an increased number of grant programs and grantees using the NOMS measures. The following projects were not funded at the time of the original submission and have added a substantial number of grantees that are required to report NOMs: FASD, HIV Cohort 6 & 7, and SPF SIG Cohort 3 & 4.

---

Annual Cost to Federal Government: $184,320

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

---

Common Form ICR:  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:

(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: 01/12/2009

---