Information Collection Request

Strategic Prevention Framework for Prescription Drugs (SPF Rx)

ICR 202602-0930-002 · OMB 0930-0377 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Grantee-Level Inte Grantee-Level Interview Form and Instruction Modified Available
Form Annual Reporting T Annual Reporting Tool Form and Instruction Modified Available
Form Community-Level PD Community-Level PDMP Outcomes Module Form and Instruction Modified Available
Form Grantee-Level PDMP Grantee-Level PDMP Outcomes Module Form and Instruction Modified 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 Memo_No Material or Nonsubstantive Change.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-02-14 Available
SPF Rx Supporting Statement A_final.docx Supporting Statement A Uploaded 2026-02-12 Available
Attachment 4 SPF-RX Grantee Interview 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 Available
Attachment 2 SPF-Rx Grantee-Level PDMP Outcomes Module Track 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 Available
PD Interview Constructs Outline.docx Supplementary Document Uploaded 2022-11-04 Available
SPF Rx Supporting Statement B_2025_final.docx Supporting Statement B Uploaded 2026-02-12 Available
Attachment 5_SPF-Rx Summary of Changes to the OMB Pkg_11.21.2019.docx Supplementary Document Uploaded 2020-05-11 Available

IC Document Collections

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

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 04/30/2026
322 275
476 713
0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Annual Reporting Tool Annual Reporting Tool
Community-Level PDMP Outcomes Module Community-Level PDMP Outcomes Module
Grantee Interview Grantee-Level Interview
Grantee-Level PDMP Outcomes Module Grantee-Level PDMP Outcomes Module

table that charts list of burden
  Total Request 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 322 275 0 47 0 0
Annual Time Burden (Hours) 476 713 0 -237 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No