Information Collection Request

Advancing Wellness and Resilience in Education and Trauma-Informed Services in Schools

ICR 202404-0930-003 · OMB 0930-0398 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
Form Student Identifica Student Identification and Referral Form	Form and Instruction	New	Repair queued
Form School Climate and School Climate and Safety Survey	Form and Instruction	New	Repair queued
Form Workforce Follow-U Workforce Follow-Up Survey	Form and Instruction	New	Repair queued
Form TISS Training Pre- TISS Training Pre-Post Survey	Form and Instruction	New	Repair queued
Form AWARE Training Pre AWARE Training Pre-Post Survey	Form and Instruction	New	Repair queued
Form Participant Feedba Participant Feedback Form	Form and Instruction	New	Repair queued
Form Training Summary F Training Summary Form	Form and Instruction	New	Repair queued
Form Collaboration and Collaboration and Partnership Survey	Form and Instruction	New	Repair queued
Form Youth and Family F Youth and Family Focus Group	Form and Instruction	New	Repair queued
Form Implementation Key Implementation Key Informant Interview	Form and Instruction	New	Repair queued
Form Attachment A: Impl Implementation Survey	Form and Instruction	New	Repair queued
ATT.P_Detailed Description of Project AWARE-TISS Cross-Site Evaluation Components for OMB_Final Clean_09062023.docx	Supplementary Document	Uploaded 2024-04-08	Repair queued
ATT.O_Project AWARE-TISS Cross-Site Evaluation Questions for OMB_Final Clean_09062023.docx	Supplementary Document	Uploaded 2024-04-08	Repair queued
Att.N_ ATODS DUA for OMB_Final Clean_09062023.docx	Supplementary Document	Uploaded 2024-04-08	Repair queued
5. Project AWARE-TISS Cross-Site Evaluation Part B.docx	Supporting Statement B	Uploaded 2024-04-08	Available
4. Project AWARE-TISS Cross-Site Evaluation Part A.docx	Supporting Statement A	Uploaded 2024-04-08	Repair queued

IC Document Collections

Information collection document groups
IC ID	Collection	Type	Status
266683	Student Identification and Referral Form	Form and Instruction	New
266681	School Climate and Safety Survey	Form and Instruction	New
266679	Workforce Follow-Up Survey	Form and Instruction	New
266678	TISS Training Pre-Post Survey	Form and Instruction	New
266677	AWARE Training Pre-Post Survey	Form and Instruction	New
266676	Participant Feedback Form	Form and Instruction	New
266675	Training Summary Form	Form and Instruction	New
266673	Collaboration and Partnership Survey	Form and Instruction	New
266672	Youth and Family Focus Group	Form and Instruction	New
266671	Implementation Key Informant Interview	Form and Instruction	New
266668	Implementation Survey	Form and Instruction	New

ICR Details

Record metadata
Status	Received in OIRA
Agency/Subagency	HHS/SAMHSA
OMB Control No	0930-0398
Type of Information Collection	New collection (Request for a new OMB Control Number)
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31