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

Strategic Prevention Framework State Incentive Grant (SPF SIG) Program

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.