Technology Transfer Center (TTC) Program Monitoring

OMB 0930-0383

The Technology Transfer Centers are part of SAMHSA’s restructuring of technical assistance and training. SAMHSA is building a national system of resources that will be available at no cost, or at most low cost (e.g., payment for continuing education credits, small fees for training taking place at venues that must be rented), to any individual or program wishing to take advantage of them. Building off the success of the ATTCs, SAMHSA is establishing new TTCs in prevention of substance use disorders and serious mental illness.

The latest form for Technology Transfer Center (TTC) Program Monitoring expires 2022-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form Follow-up Form - D Follow-up Forms Form and Instruction
Form Post Event Form - Post Event Forms Form and Instruction
Form Event Description Event Description Form Form and Instruction
0930-0383 TTC No Material or Nonsubstantive Change Justification_.docx Justification for No Material/Nonsubstantive Change
Attachment 10_TTC Statement of Informed Consent_5.2.2019.doc Supplementary Document
Attachment 9_TTC Contact Information Form_5_2_2019.doc Supplementary Document
Attachment 7_ TTC Cover page for instruments_5_2_2019.doc Supplementary Document
Attachment 10_TTC Statement of Informed Consent.doc Supplementary Document
TCC_OMB SS-B_12.18.18.doc Supporting Statement B
Attachment 9_TTC Contact Information Form.doc Supplementary Document
Attachment 8_TTC Model Statement.doc Supplementary Document
Attachment 7_ TTC Cover page for instruments.doc Supplementary Document
TCC_OMB SS-A_5_6_19.doc Supporting Statement A
Attachment 6_TTC Sample Cover Letters.doc Supplementary Document
Follow-up Forms Form and Instruction
Post Event Forms Form and Instruction
Event Description Form Form and Instruction

All Historical Document Collections

202205-0930-001 Improperly submitted	No material or nonsubstantive change to a currently approved collection	2022-05-24
201812-0930-002 Approved with change	New collection (Request for a new OMB Control Number)	2018-12-21

OMB Details

Event Description Form

Federal Enterprise Architecture: Health - Public Health Monitoring

Form Event Description Form

Event Description Form

Fillable Fileable

Form and instruction

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