Project LAUNCH Cross-Site Evaluation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Project LAUNCH Supporting Statement Part B.doc	Supporting Statement B	Uploaded 2009-09-21	Available
Appendix B_Consent Form_Site Visit Interview.doc	Supplementary Document	Uploaded 2009-09-21	Available
Project LAUNCH Supporting Statement Part A.doc	Supporting Statement A	Uploaded 2009-09-21	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
191015	Electronic Data Reporting: Services Measures	Other-Electronic Data Reporting: Services Measures	New
191014	Electronic Data Reporting: Systems Measures	Other-Electronic Data Reporting: Systems Measures	New
191013	Site Visit Interview Guide	Other-Site Visit Interview Guide	New

ICR Details

OMB Control No: 0970-0373	ICR Reference No: 200910-0970-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Project LAUNCH Cross-Site Evaluation
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: 01/08/2010
	Date Received in OIRA: 10/16/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2013	36 Months From Approved
Responses	288	0	0
Time Burden (Hours)	702	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Substance Abuse and Mental Health Services Administration (SAMHSA) awarded six five-year cooperative agreements under Project LAUNCH in September 2008 and anticipates awarding 12 additional cooperative agreements in September 2009. Through an intra-agency agreement between SAMHSA and ACF, the Office of Planning, Research and Evaluation within ACF is overseeing the development and implementation of a cross-site evaluation of Project LAUNCH. The purpose of Project LAUNCH is to promote healthy development and wellness in children birth to 8 years of age. Project LAUNCH is intended to address issues in the child service system by enhancing systems coordination, integrating child behavioral health services with other health services, and incorporating evidence-based programs to address children's healthy development.

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Authorizing Statute(s): US Code: 42 USC 520A Name of Law: Public Health Service Act
  

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:
	74 FR 10919	03/13/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 49382	09/28/2009
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Electronic Data Reporting: Systems Measures
Electronic Data Reporting: Services Measures
Site Visit Interview Guide

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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	288	0	0	288	0	0
Annual Time Burden (Hours)	702	0	0	702	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 project requesting clearance.

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Annual Cost to Federal Government: $1,100,000

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)? No

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: 10/16/2009

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