Evaluation for the Partnerships for Success Program

ICR 201501-0930-002

OMB: 0930-0348

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Form and Instruction
New
Form and Instruction
New
Supporting Statement B
2015-04-02
Supporting Statement A
2015-04-02
IC Document Collections
ICR Details
0930-0348 201501-0930-002
Historical Active
HHS/SAMHSA
Evaluation for the Partnerships for Success Program
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 04/06/2015
Retrieve Notice of Action (NOA) 01/08/2015
  Inventory as of this Action Requested Previously Approved
04/30/2018 36 Months From Approved
1,081 0 0
2,747 0 0
0 0 0

SAMHSA's Program Evaluation for Prevention Contract (PEP-C) evaluation of SAMHSA's Strategic Prevention Framework (SPF) Partnerships for Success (PFS) programs. PEP-C is scheduled through September 2018 to conduct a national cross-site evaluation of SPF-PFS, which aims to address two of SAMHSA's top substance abuse prevention priorities: underage drinking (UAD; age 12 to 20) and prescription drug misuse and abuse (PDM; age 12 to 25).

US Code: 42 USC 516 Name of Law: Priority Substance Abuse Prevention Needs of Regional and National Significance
  
None

Not associated with rulemaking

  79 FR 64205 10/28/2014
79 FR 78457 12/30/2014
No

3
IC Title Form No. Form Name
Grantee Project Director Interview Grantee Project Director Interview Grantee Project Director Interview
GLI GLI GLI
CLI CLI CLI

  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 1,081 0 0 1,081 0 0
Annual Time Burden (Hours) 2,747 0 0 2,747 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new data collection.

$779,155
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Summer King 2402761243

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
01/08/2015


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