Pretesting of Substance Abuse Prevention and Treatment and Mental Health Services Communications Messages

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Screening Protocol Screening Protocol and Questionnaire	Form and Instruction	New	Available
Form Focus Group Protoc Focus Group Protocol	Form and Instruction	New	Repair queued
Form Focus Group Protoc Focus Group Protocol	Form and Instruction	New	Available
Form Recruting and Scre Recruting and Screening - Spanish	Form and Instruction	New	Available
Form Recruting and Scre Recruting and Screening - English	Form and Instruction	New	Available
Form Discussion Guide Discussion Guide	Form and Instruction	New	Available
Form Screening and recr Screening and recruitment	Form and Instruction	New	Available
Form Intervention Resou Intervention Resources Focus Group Protocol	Form and Instruction	New	Available
Form Wellness screening Wellness screening and recruitment	Form and Instruction	New	Available
0196 SS-B 6.8.16.doc	Supporting Statement B	Uploaded 2016-08-17	Available
0196 SS-A 6.22.16.doc	Supporting Statement A	Uploaded 2016-08-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
231327	Attitudes, Perceptions, and Behaviors of Individuals At-Risk for Prescription Opioid Misuse	Form and Instruction	New	Screening Protocol and Questionnaire
229065	"Talk. They Hear You" PSAs for Military Parents	Form and Instruction	New	Focus Group Protocol
229064	"Talk. They Hear You" PSAs for Parents	Form and Instruction	New	Focus Group Protocol
228001	National Recovery Month's Public Service Announcements	Form and Instruction	New	Recruting and Screening - Spanish
228001	National Recovery Month's Public Service Announcements	Form and Instruction	New	Recruting and Screening - English
226709	Stategic Communications Plan	Form and Instruction	New	Discussion Guide
224938	Intervention Resources Concept Testing	Form and Instruction	New	Screening and recruitment
224938	Intervention Resources Concept Testing	Form and Instruction	New	Intervention Resources Focus Group Protocol
224310	Wellness Materials Concept Testing	Form and Instruction	New	Wellness screening and recruitment

ICR Details

OMB Control No: 0930-0196	ICR Reference No: 201608-0930-002
Status: Historical Active	Previous ICR Reference No: 201306-0930-003
Agency/Subagency: HHS/SAMHSA	Agency Tracking No: 19809
Title: Pretesting of Substance Abuse Prevention and Treatment and Mental Health Services Communications Messages
Type of Information Collection: Extension without change of a currently approved collection	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: 08/25/2016
Terms of Clearance: Previous terms of clearance apply: This request for a generic clearance of pretesting materials is approved. Consistent with other generic clearances, HHS/SAMHSA will submit each individual pretest for OMB review, along with a brief description of the purpose of the pretest, sample design if applicable, any respondent incentives planned, and individual burden.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2019	36 Months From Approved	09/30/2016
Responses	11,700	0	11,700
Time Burden (Hours)	9,290	0	9,290
Cost Burden (Dollars)	0	0	0

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Abstract: This submission is for generic approval for pretesting of educational and information materials for various consumer publics and the professional communities in the areas of substance abuse prevention, addiction treatment, and mental health services. To assure that brochures, posters, information kits, public service announcements, videos news releases, web site and direct response messages communicate their messages effectively to the intended components of the population it is essential to pretest them to assure that they are received, understood, and accepted by those for whom they are intended.

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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 40715	06/22/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 56669	08/22/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
"Talk. They Hear You" PSAs for Parents	Focus Group Protocol	Focus Group Protocol
"Talk. They Hear You" PSAs for Military Parents	Focus Group Protocol	Focus Group Protocol
Attitudes, Perceptions, and Behaviors of Individuals At-Risk for Prescription Opioid Misuse	Screening Protocol and Questionnaire	Screening Protocol and Questionnaire
Intervention Resources Concept Testing	Intervention Resources Focus Group Protocol , Screening and recruitment	Intervention Resources Focus Group Protocol ,   Screening and recruitment
National Recovery Month's Public Service Announcements	Recruting and Screening - English, Recruting and Screening - Spanish	Recruting and Screening - English ,   Recruting and Screening - Spanish
Stategic Communications Plan	Discussion Guide	Discussion Guide
Wellness Materials Concept Testing	Wellness screening and recruitment	Wellness screening and recruitment

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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	11,700	11,700	0	0	0	0
Annual Time Burden (Hours)	9,290	9,290	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $305,000

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: 08/25/2016

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