Now Is the Time (NITT) - Project AWARE (Advancing Wellness and Resilience in Education) - State Education Agencies (SEA) National Evaluation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Teacher Survey Dat Teacher Survey Data Abstraction	Form and Instruction	New	Available
Form Student Survey Dat Student Survey Data Abstraction	Form and Instruction	New	Available
Form School Info Sys Pr School Info Sys Protocol	Form and Instruction	New	Available
Form Student Focus Grou Student Focus Group	Form and Instruction	New	Available
Form Teacher MH Literac Teacher MH Literacy Survey	Form and Instruction	New	Available
Form Collaboratve Partn Collaboratve Partner Interview Guide	Form and Instruction	New	Available
Form LEA CPS LEA CPS	Form and Instruction	New	Available
Form SEA CPS SEA CPS	Form and Instruction	New	Available
Form Activities Invento Activities Inventory - Core Staff Questionnaires	Form and Instruction	New	Available
OMB_SS A_NITT-AWARE_06-24-16.docx	Supporting Statement A	Uploaded 2016-06-24	Available
OMB_SS B_NITT-AWARE_06-23-16.docx	Supporting Statement B	Uploaded 2016-06-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
222164	Teacher School Climate & School Safety Survey Abstraction	Form and Instruction	New	Teacher Survey Data Abstraction
222163	Student Survey Data Abstraction	Form and Instruction	New	Student Survey Data Abstraction
222162	School Information Systems Data Abstraction	Form and Instruction	New	School Info Sys Protocol
222158	Student Focus Groups	Form and Instruction	New	Student Focus Group
222157	Teacher Mental Health Literacy Survey	Form and Instruction	New	Teacher MH Literacy Survey
222155	Collaborative Partner Interviews	Form and Instruction	New	Collaboratve Partner Interview Guide
222151	LEA Collaborative Partner Survey	Form and Instruction	New	LEA CPS
222150	SEA Collaborative Partner Survey	Form and Instruction	New	SEA CPS
222149	SEA & LEA Leadership/School Coordinator Questionnaire	Form and Instruction	New	Activities Inventory - Core Staff Questionnaires

ICR Details

OMB Control No: 0930-0364	ICR Reference No: 201606-0930-005
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Now Is the Time (NITT) - Project AWARE (Advancing Wellness and Resilience in Education) - State Education Agencies (SEA) National 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: 09/30/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/24/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2019	36 Months From Approved
Responses	13,827	0	0
Time Burden (Hours)	8,127	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The data collection activities described in this package pertain exclusively to the NITT-Project AWARE-SEA program component of the national evaluation. In the fall of 2014, SAMHSA awarded 20 NITT-Project AWARE-SEA grants to 20 geographically diverse states. Each SEA proposed partnerships between at least three high-need Local Educational Agencies (LEAs) to develop a coordinated and integrated plan of services and strategies to address the Project NITT-Project AWARE-SEA goals and objectives. According to the NITT-Project AWARE-SEA solicitation, grantees should increase their in three areas: (1) increase mental health awareness among school-aged (K–12) youth; (2) train those who work with school-aged children to identify and respond to mental health issues in children and youth; and (3) connect children, youth, and families with mental health services. The grants are intended to encourage cross-system collaboration and use of evidence-based strategies to address mental health needs.

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Authorizing Statute(s): US Code: 42 USC 505 Name of Law: Data Collection
  

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:
	81 FR 23501	04/21/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 40331	06/21/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 9

table that charts list of burden

IC Title	Form No.	Form Name
Collaborative Partner Interviews	Collaboratve Partner Interview Guide	Collaboratve Partner Interview Guide
LEA Collaborative Partner Survey	LEA CPS	LEA CPS
SEA & LEA Leadership/School Coordinator Questionnaire	Activities Inventory - Core Staff Questionnaires	Activities Inventory - Core Staff Questionnaires
SEA Collaborative Partner Survey	SEA CPS	SEA CPS
School Information Systems Data Abstraction	School Info Sys Protocol	School Info Sys Protocol
Student Focus Groups	Student Focus Group	Student Focus Group
Student Survey Data Abstraction	Student Survey Data Abstraction	Student Survey Data Abstraction
Teacher Mental Health Literacy Survey	Teacher MH Literacy Survey	Teacher MH Literacy Survey
Teacher School Climate & School Safety Survey Abstraction	Teacher Survey Data Abstraction	Teacher Survey Data Abstraction

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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	13,827	0	0	13,827	0	0
Annual Time Burden (Hours)	8,127	0	0	8,127	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: $1,123,259

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: 06/24/2016

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