National Outcome Measures for Substance Abuse Prevention

Forms and Documents

Document Name	Status
Form NOMs Instruments CSAP/NOMs Form and Instruction	Modified
0230-SS-B.doc Supporting Statement B	2011-08-31
128ATTACHMENT A NOMs 2.1.12.doc Supplementary Document	2012-02-09
0230-SS-2-9-12.docx Supporting Statement A	2012-02-09

IC Document Collections

IC ID	Document Title	Status
7638	CSAP/NOMs Form and Instruction	Modified

ICR Details

OMB Control No: 0930-0230	ICR Reference No: 201109-0930-003
Status: Historical Active	Previous ICR Reference No: 200901-0930-001
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: National Outcome Measures for Substance Abuse Prevention
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/13/2012
	Date Received in OIRA: 09/27/2011
Terms of Clearance: This information collection is approved for 1 year. If the agency chooses to re-submit this collection request for clearance in advance of the expiration date, the agency shall submit to OMB 1) a list of number of participants, by program and by grant based on the current clearance and any available extant information; 2) a sampling plan for future information collection of this type (including a probabilistic sample or a universe sample, or some combination of the two); and 3) a scientific rationale for the choice of sampling to be used based on the availability of the list frame (see (1), above). The GPRA Modernization Act does not require a census approach to be taken to report program monitoring and performance data; furthermore, OMB Guidance on Agency Survey and Statistical Information Collection, question number 27, page 23, indicates that agencies need to justify their proposal to use a census rather than a sample survey.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2013	36 Months From Approved	04/30/2012
Responses	180,777	0	183,780
Time Burden (Hours)	18,739	0	19,523
Cost Burden (Dollars)	0	0	0

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Abstract: CSAP is identifying recommended core measures for priority prevention constructs for use with different demographic groups. Grantees receiving initial funding will be expected to use measures that are appropriate to their prevention intervention project. This effort will strengthen accountability by standardizing and improving the quality of data available across grantees and programs. Grantees will report their data semi-annually to their respective data coordinating centers, which will submit the data to CSAP's data coordinating center.

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Authorizing Statute(s): US Code: 5 USC 1105 Name of Law: GRPA
  

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 35002	06/15/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 53915	08/30/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
CSAP/NOMs	NOMs Instruments, NOMS	NOMs Instruments ,   NOMS Intruments

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ICR Summary 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	180,777	183,780	0	-3,003	0	0
Annual Time Burden (Hours)	18,739	19,523	0	-784	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Currently there are 19,523 hours in the CSAP NOMs OMB package. SAMHSA is requesting a total of 18,739 burden hours, an overall decrease of 784 hours in the inventory. The change is due to a decrease in the number responses based on the type of data collection (Communities do not do pre, post, follow-up) and that the burden hours for some programs are reduced because they only report on a selection of NOMs questions, not the full instrument. Therefore, the burden for data collection is decreasing even though SAMHSA/CSAP is requesting the addition of 6 items for adults and 3 for youth.

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Annual Cost to Federal Government: $184,320

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: 09/27/2011

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