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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0930-0298
ICR Reference No:
201110-0930-002
Status:
Historical Inactive
Previous ICR Reference No:
200811-0930-002
Agency/Subagency:
HHS/SAMHSA
Agency Tracking No:
Title:
Minority Substance Abuse/HIV Prevention Initiative
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Withdrawn and continue
Conclusion Date:
02/13/2012
Retrieve Notice of Action (NOA)
Date Received in OIRA:
10/19/2011
Terms of Clearance:
This collection was withdrawn at the request of SAMHSA. If SAMHSA chooses to re-submit this collection, the agency shall submit an accurate estimate of respondents and burden hours in its 60-day notice and 30-day notice. SAMHSA shall submit the following materials for this ICR: 1. Informed consent materials (if these vary by grantee, SAMHSA shall provide an exemplar with information common across consents included); 2. Privacy Impact Assessment 3. Description of incentives offered by grantees for this federally funded and directed information collection. Form and dollar value should be provided, including an estimation of participants who would not be offered any incentives. 4. Citation of privacy statute in consent material and in the supporting statements. Length of interview should be clarified for participant, assuming bimodal distribution of length given skip pattern use. At the time of a potential resubmission, assuming the materials listed above are provided, the agency must address the following issues to receive a three-year clearance: 1. Unclear sampling plan (whether census, probability sample, or purposeful sample) 2. Unclear means to address nonresponse bias 3. Unclear analysis plan and analysis of prior collections (which would inform the current proposal)
Inventory as of this Action
Requested
Previously Approved
Expiration Date
04/30/2012
36 Months From Approved
03/31/2012
Responses
20,205
0
20,205
Time Burden (Hours)
16,770
0
16,770
Cost Burden (Dollars)
0
0
0
Abstract:
The Youth and Adult Minority Substance Abuse Questionnaires will be used to survey populations at risk for Substance Abuse, HIV/AIDS, and hepatitis. The participants are those in the Program who receive direct services for over 30 days at three time points: (1) baseline (program entry), (2) program exit, and (3) three to six months post-exit.
Authorizing Statute(s):
US Code:
42 USC 290bb-22
Name of Law: Priority Substance Abuse Prevention Needs of Regional and National Significance
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
76 FR 44942
07/27/2011
30-day Notice:
Federal Register Citation:
Citation Date:
76 FR 61108
10/03/2011
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
2
IC Title
Form No.
Form Name
Adult Questionnaire
Adult Questionniare
Adult Questionniare
Youth Questionnaire
Youth Questionnaire
Youth Questionnaire
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
Currently there are 16,770 hours in the OMB inventory. CSAP is requesting 14,844. The decrease of 1,926 hours is due to an adjustment. The original estimate was based on all participants being enrolled in 30-day or longer interventions. The current adjustment also accounts for interventions lasting less than 30 days.
Annual Cost to Federal Government:
$710,806
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
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?
Uncollected
Agency Contact:
Summer King 2402761243
Common Form ICR:
No
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:
10/19/2011