Survey of State Underage Drinking Prevention Policies, Programs, and Practices

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Policy Academy 6-M Policy Academy 6-Month Follow-Up	Form and Instruction	New	Available
Form Policy Academy 6-M Policy Academy 6-Month Follow-Up	Form and Instruction	New	Repair queued
Form Policy Academy Fol Policy Academy Follow-Up	Form and Instruction	New	Available
Form Policy Academy Fol Policy Academy Follow-Up	Form and Instruction	New	Repair queued
Form Policy Academy Bas Policy Academy Baseline	Form and Instruction	New	Available
Form Policy Academy Bas Policy Academy Baseline	Form and Instruction	New	Repair queued
Form Policy Academy Coa Policy Academy Coach Post Coaching Form	Form and Instruction	New	Available
Form Policy Academy Coa Policy Academy Coach Post Coaching Form	Form and Instruction	New	Repair queued
Form Policy Academy Par Policy Academy Participant Post Training Form	Form and Instruction	New	Available
Form Policy Academy Par Policy Academy Participant Post Training Form	Form and Instruction	New	Repair queued
Form Policy Academy Pos Policy Academy Post Coaching Call Form	Form and Instruction	New	Available
Form Policy Academy Pos Policy Academy Participant Post Coaching Call Survey	Form and Instruction	New	Available
Form Policy Academy Equ Policy Academy Equity and Evaluation Focus Group	Form and Instruction	New	Repair queued
Form Policy Academy Equ Policy Academy Focus Group	Form and Instruction	New	Repair queued
Form Parents Night Out Parents Night Out Questions	Form and Instruction	New	Available
Form Parents Night Out Parents Night Out Questions	Form and Instruction	New	Repair queued
Form STOP Survey STOP Survey	Form and Instruction	Modified	Available
Form STOP Survey State Survey	Form and Instruction	Modified	Repair queued
OMB_SSB_2024_Clean.docx	Supporting Statement B	Uploaded 2024-07-10	Repair queued
OMB_SSA_2024 CLEAN.docx	Supporting Statement A	Uploaded 2024-07-10	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
269308	Policy Academy 6-Month Follow-Up	Form and Instruction	New	Policy Academy 6-Month Follow-Up
269308	Policy Academy 6-Month Follow-Up	Form and Instruction	New
269307	Policy Academy Follow-Up	Form and Instruction	New	Policy Academy Follow-Up
269307	Policy Academy Follow-Up	Form and Instruction	New
269306	Policy Academy Baseline	Form and Instruction	New	Policy Academy Baseline
269306	Policy Academy Baseline	Form and Instruction	New
269305	Policy Academy Coach Post Coaching Form	Form and Instruction	New	Policy Academy Coach Post Coaching Form
269305	Policy Academy Coach Post Coaching Form	Form and Instruction	New
269303	Policy Academy Participant Post Training Form	Form and Instruction	New	Policy Academy Participant Post Training Form
269303	Policy Academy Participant Post Training Form	Form and Instruction	New
269302	Policy Academy Participant Post Coaching Call Survey	Form and Instruction	New	Policy Academy Post Coaching Call Form
269302	Policy Academy Participant Post Coaching Call Survey	Form and Instruction	New
269301	Policy Academy Focus Group	Form and Instruction	New	Policy Academy Equity and Evaluation Focus Group
269301	Policy Academy Focus Group	Form and Instruction	New
269298	Parents Night Out Questions	Form and Instruction	New	Parents Night Out Questions
269298	Parents Night Out Questions	Form and Instruction	New
194214	State Survey	Form and Instruction	Modified	STOP Survey
194214	State Survey	Form and Instruction	Modified

ICR Details

OMB Control No: 0930-0316	ICR Reference No: 202407-0930-001
Status: Historical Active	Previous ICR Reference No: 202109-0930-001
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Survey of State Underage Drinking Prevention Policies, Programs, and Practices
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/15/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/10/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2027	36 Months From Approved	10/31/2024
Responses	1,132	0	51
Time Burden (Hours)	1,169	0	903
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of the data collection through the State Survey will be to create a compendium of the States' best practices and performances in enacting, enforcing, and creating laws, regulations, and programs to prevent or reduce underage drinking. Congress mandated the collection of these data to provide policymakers and the public with currently unavailable but much-needed information regarding State underage drinking prevention policies and programs.

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Authorizing Statute(s): US Code: 42 USC 290 Name of Law: Data Collection
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 29345	04/22/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 55634	07/05/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 9

table that charts list of burden

IC Title	Form No.	Form Name
Parents Night Out Questions	Parents Night Out Questions	Parents Night Out Questions
Policy Academy 6-Month Follow-Up	Policy Academy 6-Month Follow-Up	Policy Academy 6-Month Follow-Up
Policy Academy Baseline	Policy Academy Baseline	Policy Academy Baseline
Policy Academy Coach Post Coaching Form	Policy Academy Coach Post Coaching Form	Policy Academy Coach Post Coaching Form
Policy Academy Focus Group	Policy Academy Equity and Evaluation Focus Group	Policy Academy Equity and Evaluation Focus Group
Policy Academy Follow-Up	Policy Academy Follow-Up	Policy Academy Follow-Up
Policy Academy Participant Post Coaching Call Survey	Policy Academy Post Coaching Call Form	Policy Academy Post Coaching Call Form
Policy Academy Participant Post Training Form	Policy Academy Participant Post Training Form	Policy Academy Participant Post Training Form
State Survey	STOP Survey	STOP Survey

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,132	51	0	1,081	0	0
Annual Time Burden (Hours)	1,169	903	0	266	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This collection has a burden increase due to adding two new surveys collections. The previous collection contained only the STOP Survey. The STOP survey also contains an increase in burden due to an increase in the amount of time estimated to complete the survey, after testing was completed for accuracy.

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Annual Cost to Federal Government: $170,107

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/10/2024

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