Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
First Responder-Comprehensive Addiction and Recovery Act (FR-CARA) Sustainability Grantee Survey New 42 28 0 Form and Instruction FR-CARA Sustainability Survey
Harm Reduction Key Informant Interview New 25 25 0 Form and Instruction Email Invite
Form and Instruction Interview Guide
Harm Reduction Point in Time Survey New 25 15 0 Form and Instruction PiT Grantee Planning Tool and Email Invite
Harm Reduction Point in Time Survey PILOT New 26 18 0 Form and Instruction Point in Time Reduction Survey Paper Version
Form and Instruction Point in Time Reduction Survey Tablet Version
Health Education Campaign Communication (HECC) New 180 108 0 Form and Instruction HECC IDI GUIDE Current Use
Form and Instruction HECC IDI GUIDE In Treatment
Form and Instruction HECC IDI Screener
Form and Instruction HECC Key Informant Health Workers Interview Guide
Form and Instruction HECC Key Informant Close Contacts Interview Guide
Program Evaluation, Effectiveness and Review Services (PEERS) Substance Use Prevention, Treatment, and Recovery Services Block Grant (SUPTRS BG) Primary Prevention Set-Aside Grantee Key Informant In New 12 15 0 Form and Instruction SUPTRS Eval Guide
Program Evaluation, Effectiveness and Review Services (PEERS) Harm Reduction Sustainability (HR) Grantee Survey New 30 15 0 Form and Instruction HR Grantee Sustainability Survey
Program Evaluation, Effectiveness and Review Services Strategic Prevention Framework – Partnerships for Success (PEERS SPF-PFS) Evaluation New 276 138 0 Form and Instruction Community Tribal Subrecipient Survey
Form and Instruction State Survey
Program Evaluation, Effectiveness, and Review Services Sober Truth on Preventing Underage Drinking Act (PEERS STOP) Survey New 56 28 0 Form and Instruction STOP Act Grantee Survey
SAMHSA 988 Media Campaign Evaluation Omnibus Survey New 1 1 0 Form and Instruction Campaign Eval Survey Items
SAMHSA 988 Media Campaign Evaluation Omnibus Survey New 6000 500 0 Form and Instruction 988 Campaign Evaluation Survey
Form and Instruction Omnibus Survey Consent Process
Sober Truth on Preventing Underage Drinking Act Key Informant Interviews New 20 20 0 Form and Instruction STOP Act KII Interview Guide
Strategic Prevention Framework – Partnerships for Success Evaluation Key Informant Interview and Focus Group New 36500 396 0 Form and Instruction Key Informant Interview Question Bank
Form and Instruction PFS Site Visit Focus Group Question Bank
Strategic Prevention Technical Assistance Center New 6360 701 0 Form and Instruction Protocol for Immediate Post Event Feedback Survey
Form and Instruction Protocol for 60-Day Follow Up Survey for Events
Form and Instruction Cumulative Services Assessment for STT
Form and Instruction Cumulative Services Assessment for CFS
Form and Instruction Protocol for 60Day Follow-up Survey Technical Asst
Strategic Prevention Technical Assistance Center (Updated) New 1 1 0 Form and Instruction Protocol for Immediate Post Event Feedback Survey
Form and Instruction Protocol for 60-Day Follow Up Survey for Events
Form and Instruction Protocol for 60Day Follow-Up Survey Technical Asst
Form and Instruction Cumulative Services Assessment for STT
Form and Instruction Cumulative Services Assessment for CFS
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 49554 2009 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 60 15 0  
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