Now Is the Time (NITT) - Healthy Transition (HT) Evaluation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form MMP MMP	Form and Instruction	New	Available
Form Follow-up Follow-up	Form and Instruction	New	Available
Form Baseline Baseline	Form and Instruction	New	Available
Form IPI/FG IPI/FP	Form and Instruction	New	Available
Form SSI SSI	Form and Instruction	New	Available
Form CSWS CSWS	Form and Instruction	New	Available
Form PDTI PDTI	Form and Instruction	New	Available
Form PDWS PDWS	Form and Instruction	New	Available
Form CSA CSA	Form and Instruction	New	Available
Form CMS CMS	Form and Instruction	New	Available
Form SSTI SSTI	Form and Instruction	New	Available
Form CSTI CSTI	Form and Instruction	New	Available
OMB_Supporting Statement B_NITT-HT_1-28-16.docx	Supporting Statement B	Uploaded 2016-01-28	Available
OMB_Supporting Statement A_NITT-HT_1-28-16.docx	Supporting Statement A	Uploaded 2016-01-28	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
219894	Supplemental Youth & Young Adult Interview	Form and Instruction	New	MMP
219892	Multi-Media Project Young Adult Probes	Form and Instruction	New	Follow-up
219892	Multi-Media Project Young Adult Probes	Form and Instruction	New	Baseline
219889	In-Person Interviews/Focus Groups	Form and Instruction	New	IPI/FP
219887	Services & Supports Inventory	Form and Instruction	New	SSI
219886	Core Staff Web Survey	Form and Instruction	New	CSWS
219885	Project Director Telephone Interview	Form and Instruction	New	PDTI
219884	Project Director Web Survey	Form and Instruction	New	PDWS
219883	Collaborative Self-Assessment Survey	Form and Instruction	New	CSA
219882	Collaborative Member Survey	Form and Instruction	New	CMS
219881	State Support for Transition Inventory	Form and Instruction	New	SSTI
219880	Community Support for Transition Inventory	Form and Instruction	New	CSTI

ICR Details

OMB Control No: 0930-0360	ICR Reference No: 201601-0930-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Now Is the Time (NITT) - Healthy Transition (HT) Evaluation
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 without change	Conclusion Date: 06/17/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/02/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2019	36 Months From Approved
Responses	7,167	0	0
Time Burden (Hours)	5,501	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The NITT-HT national evaluation will use a pre/post, longitudinal follow-up design with matched comparison groups where relevant and possible. It will combine qualitative and quantitative data and methodologies to fully address SAMHSA’s objectives for the national evaluation and will include process as well as outcome components. Feedback on the NITT-HT evaluation design and data collection instruments has been solicited from internal SAMHSA staff, grantee-level project directors and local evaluators, and an expert advisory panel. After careful review, revisions were made to streamline the instruments, reduce burden, simplify wording, increase variation in response options, improve coherence of scales for summing, and create consistency in assessing infrastructure at the learning laboratory and grantee/state levels.

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Authorizing Statute(s): US Code: 42 USC 520(a) Name of Law: Priority MH 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:
	80 FR 69689	11/10/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 4322	01/26/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 11

table that charts list of burden

IC Title	Form No.	Form Name
Collaborative Member Survey	CMS	CMS
Collaborative Self-Assessment Survey	CSA	CSA
Community Support for Transition Inventory	CSTI	CSTI
Core Staff Web Survey	CSWS	CSWS
In-Person Interviews/Focus Groups	IPI/FG	IPI/FP
Multi-Media Project Young Adult Probes	Baseline, Follow-up	Baseline ,   Follow-up
Project Director Telephone Interview	PDTI	PDTI
Project Director Web Survey	PDWS	PDWS
Services & Supports Inventory	SSI	SSI
State Support for Transition Inventory	SSTI	SSTI
Supplemental Youth & Young Adult Interview	MMP	MMP

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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	7,167	0	0	7,167	0	0
Annual Time Burden (Hours)	5,501	0	0	5,501	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: $752,023

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: 02/02/2016

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