Information Collection

Strategic Prevention Framework State Incentive Grant (SPF SIG) Program - Grantee

IC 43645 under ICR 201105-0930-001 · OMB 0930-0279.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form B1a SPFSIGIII_IV_V Strategic Prevention Framework State Incentive Grant (SPF SIG) Program - Grantee	Form and Instruction
B1a SPFSIGIII_IV_V B1a SPFSIGIII_IV_VGLISPFImplementation B1a SPFSIGIII_IV_VGLISPFImplementation.doc	Form and Instruction
B1b SPFSIGIII_IV_V B1b SPFSIGIII_IV_VGLIInfrastructure B1b SPFSIGIII_IV_VGLIInfrastructure.doc	Form and Instruction
B1c SPFSIGIII_IV_V B1c SPFSIGIII_IV_VCLIPart 1 B1c SPFSIGIII_IV_VCLIPart 1.doc	Form and Instruction
B1d SPFSIGIII_IV_V B1d SPFSIGIII_IV_VCLIPart 2 B1d SPFSIGIII_IV_VCLIPart 2.doc	Form and Instruction

IC Title:

Strategic Prevention Framework State Incentive Grant (SPF SIG) Program - Grantee

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	B1a SPFSIGIII_IV_VGLISPFImplementation	B1a SPFSIGIII_IV_VGLISPFImplementation	B1a SPFSIGIII_IV_VGLISPFImplementation.doc	Yes	Yes	Paper Only
Form and Instruction	B1b SPFSIGIII_IV_VGLIInfrastructure	B1b SPFSIGIII_IV_VGLIInfrastructure	B1b SPFSIGIII_IV_VGLIInfrastructure.doc	Yes	Yes	Paper Only
Form and Instruction	B1c SPFSIGIII_IV_VCLIPart 1	B1c SPFSIGIII_IV_VCLIPart 1	B1c SPFSIGIII_IV_VCLIPart 1.doc	Yes	Yes	Paper Only
Form and Instruction	B1d SPFSIGIII_IV_VCLIPart 2	B1d SPFSIGIII_IV_VCLIPart 2	B1d SPFSIGIII_IV_VCLIPart 2.doc	Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 77

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	95	25	70
Annual IC Time Burden (Hours)	129	8	121
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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