National Outcome Measures for Substance Abuse Prevention

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0230 can be found here:

Documents and Forms

Document Name Document Type
Form Attachment D - Ins National Outcome Measures for Substance Abuse Prevention Form and Instruction
Attachment D - Ins Attachment D - Instruments ATTACHMENT D NOMS Survey Forms revised.doc Form and Instruction
ATTACHMENT A NOMs Change Table revised.doc Attachment A - Changes IC Document
ATTACHMENT B NOMs Review revised.doc Attachment B - Review Experts IC Document
ATTACHMENT C DACCC Privacy Protection Statement revised.doc Attachment C - Privacy Protection Statement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Outcome Measures for Substance Abuse Prevention	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	Attachment D - Instruments	Attachment D - Instruments	ATTACHMENT D NOMS Survey Forms revised.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,196	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	183,780	183,534	246
Annual IC Time Burden (Hours)	19,523	19,104	419
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment A - Changes	ATTACHMENT A NOMs Change Table revised.doc	01/07/2009
Attachment B - Review Experts	ATTACHMENT B NOMs Review revised.doc	01/07/2009
Attachment C - Privacy Protection Statement	ATTACHMENT C DACCC Privacy Protection Statement revised.doc	01/07/2009

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