Strategic Prevention Framework State Incentive Grant (SPF SIG) Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form GLI Infrastructure GLI Infrastructure	Form and Instruction	Modified	Available
Form GLI Implementation GLI Implementation	Form and Instruction	Modified	Available
Form CLI Part II CLI Part II	Form and Instruction	Modified	Available
Form CLI Part I CLI Part I	Form and Instruction	Modified	Available
SPF-SIG_OMB_SS-B_9 24 131_OMB02062014RevCLEAN.doc	Supporting Statement B	Uploaded 2014-02-20	Available
SPF-SIG OMB SS-A 1 16 14_OMB02062014RevCLEAN.docx	Supporting Statement A	Uploaded 2014-02-20	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43645	SPF-SIG - Grantee	Form and Instruction	Modified	GLI Infrastructure
43645	SPF-SIG - Grantee	Form and Instruction	Modified	GLI Implementation
191137	SPF-SIG - Community	Form and Instruction	Modified	CLI Part II
191137	SPF-SIG - Community	Form and Instruction	Modified	CLI Part I

ICR Details

OMB Control No: 0930-0279	ICR Reference No: 201311-0930-001
Status: Historical Active	Previous ICR Reference No: 201105-0930-001
Agency/Subagency: HHS/SAMHSA	Agency Tracking No: 20945
Title: Strategic Prevention Framework State Incentive Grant (SPF SIG) Program
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/27/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/13/2013
Terms of Clearance: SAMHSA shall continue to include updated wage and response rate estimates in its ICRs.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2017	36 Months From Approved
Responses	10,880	0	0
Time Burden (Hours)	5,905	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The Evaluation of the Strategic Prevention Framework State Incentive Grant (SPF SIG) Program. The program is a major national initiative designed to: (1) prevent the onset and reduce the progression of substance abuse, including childhood and underage drinking; (2) reduce substance abuse-related problems in communities; and, (3) build prevention capacity and infrastructure at the State/territory and community levels.

---

Authorizing Statute(s): US Code: 42 USC 501 Name of Law: SAMHSA
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 54263	09/03/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 67378	11/12/2013
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
SPF-SIG - Community	CLI Part I, CLI Part II	CLI Part I ,   CLI Part II
SPF-SIG - Grantee	GLI Implementation, GLI Infrastructure	GLI Implementation ,   GLI Infrastructure

---

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	10,880	0	0	10,880	0	0
Annual Time Burden (Hours)	5,905	0	0	5,905	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 reinstatement.

---

Annual Cost to Federal Government: $529,104

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

---

Common Form ICR:  No

---

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: 11/13/2013

---