Information Collection Request
Strategic Prevention Framework for Prescription Drugs (SPF Rx)
ICR 202211-0930-003 · OMB 0930-0377 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0930-0377 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form Grantee Interview Grantee Interview |
Form and Instruction | Modified | Repair queued |
| Form Annual Reporting T Annual Reporting Tool |
Form and Instruction | Modified | Missing upstream |
| Form Community-Level PD Community-Level PDMP Outcomes Module |
Form and Instruction | Modified | Repair queued |
| Form Grantee-Level PDMP Grantee-Level PDMP Outcomes Module |
Form and Instruction | Modified | Repair queued |
 SPF-Rx Supporting Statement A - 11-7-2022.docx |
Supporting Statement A | Uploaded 2022-11-07 | Repair queued |
| Attachment 4 SPF-RX Grantee Interview Track Changes.docx |
Supplementary Document | Uploaded 2022-11-04 | Repair queued |
| Attachment 3 SPF-Rx Community-Level PDMP Outcomes Module Track Changes.docx |
Supplementary Document | Uploaded 2022-11-04 | Repair queued |
| Attachment 2 SPF-Rx Grantee-Level PDMP Outcomes Module Track Changes.docx |
Supplementary Document | Uploaded 2022-11-04 | Repair queued |
| Attachment 1_SPF-Rx Annual Reporting Tool 05.31.2022 Tracked Changes.docx |
Supplementary Document | Uploaded 2022-11-04 | Repair queued |
| PD Interview Constructs Outline.docx |
Supplementary Document | Uploaded 2022-11-04 | Missing upstream |
| SPF-Rx Supporting Statement B - 13July2022 (1).docx |
Supporting Statement B | Uploaded 2022-11-04 | Repair queued |
| Attachment 5_SPF-Rx Summary of Changes to the OMB Pkg_11.21.2019.docx |
Supplementary Document | Uploaded 2020-05-11 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 241788 |  Grantee Interview |
Form and Instruction | Modified | |
| 241787 | Annual Reporting Tool |
Form and Instruction | Modified | |
| 241773 | Community-Level PDMP Outcomes Module |
Form and Instruction | Modified | |
| 241772 | Grantee-Level PDMP Outcomes Module |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/SAMHSA |
| OMB Control No | 0930-0377 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202005-0930-001 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |