Information Collection Request

Strategic Prevention Framework for Prescription Drugs (SPF Rx)

ICR 202302-0930-002 · OMB 0930-0377 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Grantee Interview Grantee Interview Form and Instruction Unchanged Available
Form Grantee Interview Grantee Interview Form and Instruction Unchanged Repair queued
Form Annual Reporting T Annual Reporting Tool Form and Instruction Unchanged Available
Form Annual Reporting T Annual Reporting Tool Form and Instruction Unchanged Repair queued
Form Community-Level PD Community-Level PDMP Outcomes Module Form and Instruction Unchanged Available
Form Community-Level PD Community-Level PDMP Outcomes Module Form and Instruction Unchanged Repair queued
Form Grantee-Level PDMP Grantee-Level PDMP Outcomes Module Form and Instruction Unchanged Available
Form Grantee-Level PDMP Grantee-Level PDMP Outcomes Module Form and Instruction Unchanged Repair queued
SPF-Rx Annual Reporting Tool TrackChanges 2-13-23.docx Supplementary Document Uploaded 2023-02-14 Available
SPF-Rx Annual Reporting Tool TrackChanges 2-13-23.docx Supplementary Document Uploaded 2023-02-14 Repair queued
SPF-Rx Annual Reporting Tool CLEAN-2-13-2023.docx Supplementary Document Uploaded 2023-02-14 Available
SPF-Rx Annual Reporting Tool CLEAN-2-13-2023.docx Supplementary Document Uploaded 2023-02-14 Repair queued
SPF-Rx Memo_No Material or Nonsubstantive Change.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-02-14 Available
SPF-Rx Memo_No Material or Nonsubstantive Change.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-02-14 Repair queued
SPF-Rx Supporting Statement A - 11-7-2022.docx Supporting Statement A Uploaded 2022-11-07 Available
SPF-Rx Supporting Statement A - 11-7-2022.docx Supporting Statement A Uploaded 2022-11-07 Missing upstream
Attachment 4 SPF-RX Grantee Interview Track Changes.docx Supplementary Document Uploaded 2022-11-04 Available
Attachment 4 SPF-RX Grantee Interview Track Changes.docx Supplementary Document Uploaded 2022-11-04 Missing upstream
Attachment 3 SPF-Rx Community-Level PDMP Outcomes Module Track Changes.docx Supplementary Document Uploaded 2022-11-04 Available
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 Available
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 Available
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 Available
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 Available
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 Available
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

Information collection document groups
IC IDCollectionTypeStatusForm
241788 Grantee Interview Form and Instruction Unchanged
241788 Grantee Interview Form and Instruction Unchanged
241787 Annual Reporting Tool Form and Instruction Unchanged
241787 Annual Reporting Tool Form and Instruction Unchanged
241773 Community-Level PDMP Outcomes Module Form and Instruction Unchanged
241773 Community-Level PDMP Outcomes Module Form and Instruction Unchanged
241772 Grantee-Level PDMP Outcomes Module Form and Instruction Unchanged
241772 Grantee-Level PDMP Outcomes Module Form and Instruction Unchanged

ICR Details

Record metadata
Active
HHS/SAMHSA
0930-0377
No material or nonsubstantive change to a currently approved collection
202211-0930-003
2023-02-14
1969-12-31