Children Affected by Methamphetamine in Family Drug Treatment Court

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form North Carolina Fam North Carolina Family Assessment Form	Form and Instruction	New	Available
Form CAM Data Collectio CAM Data Form	Form and Instruction	New	Available
CAM Supporting Statement Final 10-21-11.doc	Supporting Statement B	Uploaded 2011-10-21	Available
CAM Supporting Statement Final 10-21-11.doc	Supporting Statement A	Uploaded 2011-10-21	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
198966	North Carolina Family Assessment Form	Form and Instruction	New
198965	CAM Data Form	Form and Instruction	New

ICR Details

OMB Control No: 0930-0330	ICR Reference No: 201108-0930-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Children Affected by Methamphetamine in Family Drug Treatment Court
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 with change	Conclusion Date: 10/21/2011
	Date Received in OIRA: 08/22/2011
Terms of Clearance: SAMHSA dropped the CCI as a result of OMB's methodological concerns. This change lowered burden for respondents. SAMHSA also more clearly defined its target population, changed its race/ethnicity questions, and described its primary care giver determinations. SAMHSA more precisely calculated the number of families covered by the collection. SAMHSA will not collect interim data.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2014	36 Months From Approved
Responses	1,932	0	0
Time Burden (Hours)	966	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The proposed data collection and analysis for the grantees, referred to as the Children Affected by Methamphetamine in Family Treatment Drug Court (CAM-FTDC) project, will provide knowledge about the services needed and provided to these and similar families. This data collection by the CAM-FTDC program is SAMHSA's first Federal data collection effort focused specifically on the needs of children whose parents have a substance use disorder and are participating in an FTDC, and on effective strategies to address their needs.

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Authorizing Statute(s): US Code: 42 USC 509 Name of Law: Priority SAT Needs of Regional and National Significance
  

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:
	76 FR 33323	06/08/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 51045	08/17/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
CAM Data Form	CAM Data Collection Form	CAM Data Collection Form
North Carolina Family Assessment Form	North Carolina Family Assessment Form	North Carolina Family Assessment Form

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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	1,932	0	0	1,932	0	0
Annual Time Burden (Hours)	966	0	0	966	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 data collection.

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Annual Cost to Federal Government: $104,165

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 08/22/2011

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