OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Drug-Free Communities (DFC) Support Program National Evaluation

IC 199117 under ICR 201909-3201-002 · OMB 3201-0012.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Drug-Free Communities (DFC) Support Program National Evaluation 3201-0012
 
No Modified
 
Mandatory
 
1 CFR 21 § USC 1702

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Attachment 4 Mockup of Progress Report and Core Measures Instrument Attachment 4_Proposed Revisions_Mockup of Progress Report and Core Measures_2019_July10.docx Yes Yes Fillable Fileable
Form and Instruction Attachment 5 Coalition Classification Tool (CCT) Proposed Revisions Attachment 5_CCT_2019_Aug6_v2.doc Yes Yes Fillable Fileable
Form and Instruction Attachment 6 Site Visit Protocols Attachment 6_Site Visit Protocols.docx No   Paper Only
Form and Instruction Attachment 8 Sample Survey Review Guide Attachment 8_Sample Survey Review Guide_10.29.18.docx Yes Yes Fillable Fileable
Form and Instruction Attachment 9 Feedback Evaluation Items Attachment 9_Feedback Evaluation Items_10.29.18.docx Yes Yes Fillable Fileable
Form and Instruction Attachment 7 Progress Report and Core Measures - CLEAN Attachment 7_ PR and CM Final_CleanCopy_2019_July_10.docx Yes Yes Fillable Fileable

Community and Social Services Community and Regional Development

 

1,495 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,495 0 0 0 1,495 0
Annual IC Time Burden (Hours) 9,833 0 3,886 0 5,947 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 1: Authorizations Attachment 1_Authorization_10.29.18.pdf 09/27/2019
Attachment 2: Logic Model Evaluation Plan Attachment 2_Logic Model Evaluation Plan_10.29.18.docx 09/27/2019
Attachment 3: Sample Evaluation Report Attachment 3_Sample_Evaluation_Report_EndYr2017_10.29.18.pdf 09/27/2019
Attachment 10: DFC Data Sharing Request Form Attachment 10_DFC Data Sharing Request Form_10.29.18.docx 09/27/2019
Attachment 11: Federal Registry Notices Attachment 11_Federal Register 60Day and 30Day Notices.pdf 09/27/2019
Attachment 12: Overview of DFC Me System Attachment 12_Overview of DFC Me system_draft_11.15.18.docx 09/27/2019
Justification Statement - DFC 1_Justification Statement_2019_Aug6.docx 09/27/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.