National Recovery Month's Public Service Announcements

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0196 can be found here:

Documents and Forms

Document Name Document Type
Form Recruting and Scre National Recovery Month's Public Service Announcements Form and Instruction
Recruting and Scre Recruting and Screening - English ATTACHMENT A_RM_2017 Recruiting and Screening Questionnaire - 8_21_17.docx Form and Instruction
Recruting and Scre Recruting and Screening - Spanish ATTACHMENT D_RM_2017 Spanish_Screening questionaire 8_21_17.docx Form and Instruction
ATTACHMENT B_RM_ 2017 English Moderator's Guide -8_21_17.docx English Moderators Guide IC Document
ATTACHMENT E_RM_2017_Spanish_Moderator's_Guide 8_21_17.docx Spanish Moderators Guide IC Document
ATTACHMENT C_RM_2017 RM Consent Form ENG - 8_21_17.docx English Consent Form IC Document
ATTACHMENT F_RM 2017 Spanish Consent form SPA_08_21_17.docx Spanish Consent Form IC Document
CSAT RM Focus Groups - 2017 OMB Supporting Statement_ 8_21_17.docx Supporting Statement IC Document
TransLet-4doc.doc Memo IC Document

Information Collection (IC) Details

IC Title:	National Recovery Month's Public Service Announcements	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Recruting and Screening - English	Recruting and Screening - English	ATTACHMENT A_RM_2017 Recruiting and Screening Questionnaire - 8_21_17.docx		Yes	Yes	Fillable Fileable
Form and Instruction	Recruting and Screening - Spanish	Recruting and Screening - Spanish	ATTACHMENT D_RM_2017 Spanish_Screening questionaire 8_21_17.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 48	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	48	48
Annual IC Time Burden (Hours)	70	70
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
English Moderators Guide	ATTACHMENT B_RM_ 2017 English Moderator's Guide -8_21_17.docx	08/23/2017
Spanish Moderators Guide	ATTACHMENT E_RM_2017_Spanish_Moderator's_Guide 8_21_17.docx	08/23/2017
English Consent Form	ATTACHMENT C_RM_2017 RM Consent Form ENG - 8_21_17.docx	08/23/2017
Spanish Consent Form	ATTACHMENT F_RM 2017 Spanish Consent form SPA_08_21_17.docx	08/23/2017
Supporting Statement	CSAT RM Focus Groups - 2017 OMB Supporting Statement_ 8_21_17.docx	08/24/2017
Memo	TransLet-4doc.doc	08/24/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.