Information Collection

Drug Free Communities Support Program National Evaluation

IC 199117 under ICR 201108-3201-002 · OMB 3201-0012.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3201-0012 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment 10a_DFC Leader(s) Interview.doc	Other-Case Study Interview
Attachment 11_Social Network Survey.doc	Instruction
Attachment 10b_DFC Parent Coalition Interview.doc	Other-null
Attachment 10c_DFC Sector Group Interview Protocol.doc	Other-null
Attachment 10d_DFC Sector Representative Interview Protocol.doc	Other-null
Attachment 10e_DFC Stakeholder Youth Group Interview Protocol.doc	Other-null
3a, 3b COMET and Coalition Classification Tool Attachment 8_COMET and CCT Mock Up.doc	Form and Instruction

IC Title:

Drug Free Communities Support Program National Evaluation

Agency IC Tracking Number:

3201-0012

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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
Other-null			Attachment 10c_DFC Sector Group Interview Protocol.doc	No		Paper Only
Other-null			Attachment 10d_DFC Sector Representative Interview Protocol.doc	No		Paper Only
Form and Instruction	3a, 3b	COMET and Coalition Classification Tool	Attachment 8_COMET and CCT Mock Up.doc	Yes	Yes	Fillable Fileable
Other-null			Attachment 10e_DFC Stakeholder Youth Group Interview Protocol.doc	No		Paper Only
Other-Case Study Interview			Attachment 10a_DFC Leader(s) Interview.doc	No		Paper Only
Instruction			Attachment 11_Social Network Survey.doc	Yes	Yes	Fillable Fileable
Other-null			Attachment 10b_DFC Parent Coalition Interview.doc	No		Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,507

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 86 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,507	2,507
Annual IC Time Burden (Hours)	9,972	9,972
Annual IC Cost Burden (Dollars)	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.