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⚠️ Notice: This information collection may be outdated.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	Repair queued
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	Repair queued
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
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