OMB control number

“Talk. They Hear You.” Campaign Evaluation: Case Studies

OMB 0930-0373 · HHS/SAMHSA.

OMB 0930-0373

The purpose of the case studies component of the campaign evaluation is the following: 1) To identify evidence regarding the relationship between campaign exposure and changes in parents’ attitudes and behavior regarding underage drinking in the selected sites; and 2) To collect information on whether changes in parent/caregiver attitudes and/or behaviors identified in align with measurable changes in youth attitudes and/or behaviors on underage drinking during the same period.

The latest form for “Talk. They Hear You.” Campaign Evaluation: Case Studies expires 2023-07-31 and is listed under ICR 201912-0930-005.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form Teacher Script for Individual Interviews with Parents and Caregivers	Form and Instruction
Form Pre- and Post-Pare Pre- and Post-Parent and Caretaker Survey	Form and Instruction
Form Pre- and Post-Yout Pre- and Post-Youth Survey	Form and Instruction
Attachment_8_Campaign Intervention Checklist_OMB-0930-0373_12.4.19.docx	Supplementary Document
Attachment_7_Youth Survey Parent Permission and Opt-Out Forms_OMB-0930-0373_12.4.19.docx	Supplementary Document
Attachment_6_Parent & Caregiver Interview Guide_OMB-0930-0373_12.4.19.docx	Supplementary Document
Attachment_4_Consent Form_Parent Caregiver Interviews Consent Form_OMB-0930-0373_12.4.19.docx	Supplementary Document
Attachment_D_Parent Caregiver Survey Invitation and Reminder-OMB-0930-0373 REV 06302020.docx	Supplementary Document
SS-B_THHY Case Study OMB No 0930 0373 11.4.19.docx	Supporting Statement B
SS-A_TTHY Case Study OMB_OMB_0930-0373 11.29.19.docx	Supporting Statement A
Individual Interviews with Parents and Caregivers	Form and Instruction
Pre- and Post-Parent and Caretaker Survey	Form and Instruction
Pre- and Post-Youth Survey	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
201912-0930-005	Extension without change of a currently approved collection	2020-02-06		Approved with change
201701-0930-004	New collection (Request for a new OMB Control Number)	2017-01-31		Approved without change

OMB Details

Pre- and Post-Youth Survey

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
Form	Name	Electronic access	Type
Form Pre- and Post-Youth Survey	Pre- and Post-Youth Survey	Fillable Fileable	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.