View Information Collection Request (ICR) Package
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Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
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FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
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:
0930-0285
ICR Reference No:
200701-0930-001
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
HHS/SAMHSA
Agency Tracking No:
Title:
The Consumer Level National Outcome Measures (NOMs)
Type of Information Collection:
New collection (Request for a new OMB Control Number)
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
04/27/2007
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/04/2007
Terms of Clearance:
Approved consistent with revisions in response to OMB questions and comments as outlined in SAMHSA memo (see supplementary documents).
Inventory as of this Action
Requested
Previously Approved
Expiration Date
04/30/2010
36 Months From Approved
Responses
60,081
0
0
Time Burden (Hours)
14,293
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
This data activity is to provide a level of consistency with the NOMs domain in SAMHSA-wide data collection and reporting of performance measures across all of its Centers and programs. This particular activity will promote the use of consistent measures among CMHS programs, grantees and contractors funded through the Programs of Regional and National Significance (PRNS) and the Children Mental Health Initiative (CMHI) budget lines. The Consumer NOMs recommended by CMHS are a result of extensive examination and recommendations, by panels of staff, experts, and grantees. Wherever feasible, the proposed measures are consistent with or build upon previous data development efforts within CMHS.
Authorizing Statute(s):
EO: EO 1115 Name/Subject of EO: GPRA
Citations for New Statutory Requirements:
US Code: 5 USC 501 Name of Law: SAMHSA
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:
71 FR 33476
06/09/2006
30-day Notice:
Federal Register Citation:
Citation Date:
71 FR 75568
12/15/2006
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
7
IC Title
Form No.
Form Name
CMHS NOMs
Attachment 1, Attachment 2, Attachment 3
Adult Tool
,
Caregiver Tool
,
Child, Adolescent Tool
CMHS NOMs
Attachment 1, Attachment 2, Attachment 3
Adult Tool
,
Caregiver Tool
,
Child, Adolescent Tool
CMHS NOMs
Attachment 1, Attachment 2, Attachment 3
Adult Tool
,
Caregiver Tool
,
Child, Adolescent Tool
CMHS NOMs
Attachment 1, Attachment 2, Attachment 3
Adult Tool
,
Caregiver Tool
,
Child, Adolescent Tool
CMHS NOMs
Attachment 1, Attachment 2, Attachment 3
Adult Tool
,
Caregiver Tool
,
Child, Adolescent Tool
CMHS NOMs
Attachment 1, Attachment 2, Attachment 3
Adult Tool
,
Caregiver Tool
,
Child, Adolescent Tool
The Consumer Level National Outcome Measures (NOMs)
Attachment 2, Attachment 3, Attachment 1
Adult Tool
,
Caregiver Tool
,
Child, Adolescent Tool
ICR Summary of Burden
Total Approved
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
60,081
0
0
60,081
0
0
Annual Time Burden (Hours)
14,293
0
100,058
-85,765
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
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:
This is a new data collection.
Annual Cost to Federal Government:
$0
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]?
Uncollected
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Uncollected
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
Uncollected
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Saleda Perryman
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:
01/04/2007
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