View Information Collection Request (ICR) Package
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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:
0930-0288
ICR Reference No:
201701-0930-002
Status:
Historical Active
Previous ICR Reference No:
201309-0930-001
Agency/Subagency:
HHS/SAMHSA
Agency Tracking No:
20346
Title:
Assessment of the Underage Drinking Prevention: Town Hall Meetings Initiative
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
05/17/2017
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/19/2017
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2020
36 Months From Approved
05/31/2017
Responses
5,500
0
6,720
Time Burden (Hours)
583
0
1,113
Cost Burden (Dollars)
0
0
0
Abstract:
SAMHSA/CSAP intends to support annual Town Hall Meetings (THMs). The information collected will be used by SAMHSA/CSAP to help plan for those annual events and to provide technical assistance and training to organizations that sponsor the events. The information will provide a descriptive picture of the nation-wide initiative, and it will indicate how the THMs were received and some factors that may be associated with well-received events.
Authorizing Statute(s):
US Code:
42 USC 505
Name of Law: Data Collection
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:
81 FR 78610
11/08/2016
30-day Notice:
Federal Register Citation:
Citation Date:
82 FR 5588
01/18/2017
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
3
IC Title
Form No.
Form Name
Organizer Survey
Organizer Survey
Organizer Survey
Organizer Survey - 6 month Follow Up
Organizer Survey – 6 Month Follow-up
Organizer Survey – 6 Month Follow-up
Participant Form
Participant Form - English, Participant Form - Spanish
Participant Form - English
,
Participant Form - Spanish
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
5,500
6,720
0
-1,220
0
0
Annual Time Burden (Hours)
583
1,113
0
-530
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:
Currently there are 1,113 total burden hours in the OMB inventory. SAMHSA is requesting 582 hours. SAMHSA/CSAP is requesting a decrease of 531 hours due to the following: • Adjustment of -84 hours due to the reduction in the amount of time it will take respondents to complete the Organizer Survey (from 20 to 10 minutes; based on comments from consultations outside the agency), • Program change of -572 hours due to the reduction in the number of respondents to the Organizer Survey (from 2,220 to a sample of 500; due to initiative funding clarifications and to reduce burden on the CBO host-stipend universe [N = 1,500]); and • Program change of 125 hours for the addition of the Organizer Survey – 6 month Follow-up.
Annual Cost to Federal Government:
$37,518
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:
01/19/2017
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