Now Is the Time (NITT) Minority Fellowship Program (MFP) Evaluation

Forms and Documents

Document Name	Status
Form NITT-MFP Fellow In NITT-MFP Fellow Interview Form and Instruction	New
OMB_SupportingStatement_Part B_NITT-MFP_12.1.15.docx Supporting Statement B	2016-03-04
OMB_SupportingStatement_Part A_NITT-MFP 12.28.15.docx Supporting Statement A	2016-03-04

IC Document Collections

IC ID	Document Title	Status
220475	NITT-MFP Fellow Interview Form and Instruction	New

ICR Details

OMB Control No: 0930-0361	ICR Reference No: 201603-0930-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Now Is the Time (NITT) Minority Fellowship Program (MFP) 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: 06/20/2016
	Date Received in OIRA: 03/07/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2019	36 Months From Approved
Responses	66	0	0
Time Burden (Hours)	66	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The evaluation of the NITT-MFP programs will assess the overall success of the SAMHSA NITT initiative in enhancing the behavioral health workforce in terms of the number of new graduates from the NITT-MFP programs, their competencies and characteristics, and their capacity to meet behavioral health workforce needs. The NITT-MFP evaluation will collect data on changes in the number of culturally competent behavioral health professionals available to provide clinical services to underserved, at risk children, adolescents and youth ages 16–25 transitioning to adulthood. The evaluation will also explore whether the program results in increased knowledge, skills, and aptitude among NITT-MFP fellows to provide culturally competent behavioral health services to these populations; the costs associated with increasing the behavioral health workforce; and how these new behavioral health professionals are sustained in the workforce.

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Authorizing Statute(s): US Code: 42 USC 520 Name of Law: Healthy People 2020 Mental Health and Mental Disorders Topic Area
  

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 80783	12/28/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 10644	03/01/2016
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
NITT-MFP Fellow Interview	NITT-MFP Fellow Interview	NITT-MFP Fellow Interview

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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	66	0	0	66	0	0
Annual Time Burden (Hours)	66	0	0	66	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: $233,372

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: 03/07/2016

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