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:
0930-0398
ICR Reference No:
202404-0930-003
Status:
Active
Previous ICR Reference No:
Agency/Subagency:
HHS/SAMHSA
Agency Tracking No:
Title:
Advancing Wellness and Resilience in Education and Trauma-Informed Services in Schools
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:
05/30/2024
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/11/2024
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2027
36 Months From Approved
Responses
23,814
0
0
Time Burden (Hours)
7,416
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
This program is a national cross-site evaluation of process, outcomes, and associated impact for the Advancing Wellness and Resilience in Education (hereinafter referred to as Project AWARE) and Trauma-Informed Services in Schools (TISS) programs. This evaluation reflects SAMHSA’s desire to better understand how each program is implemented, the extent to which they facilitate collaboration between education agencies and mental health systems, and how each program contributes to referral to mental healthcare and improved outcomes for youth.
Authorizing Statute(s):
US Code:
42 USC 520
Name of Law: CMHS
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:
89 FR 1581
01/10/2024
30-day Notice:
Federal Register Citation:
Citation Date:
89 FR 18952
03/15/2024
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
11
IC Title
Form No.
Form Name
AWARE Training Pre-Post Survey
AWARE Training Pre-Post Survey
AWARE Training Pre-Post Survey
Collaboration and Partnership Survey
Collaboration and Partnership Survey
Collaboration and Partnership Survey
Implementation Key Informant Interview
Implementation Key Informant Interview-SchoolAdmin
Implementation Key Informant Interview-SchoolAdmin
Implementation Survey
Attachment A: Implementation Survey
Attachment A: Implementation Survey
Participant Feedback Form
Participant Feedback Form
Participant Feedback Form
School Climate and Safety Surveys
School Climate and Safety Survey–Parent/Guardian, School Climate and Safety Survey–Student, School Climate and Safety Survey—School Staff
School Climate and Safety Survey–Parent/Guardian
,
School Climate and Safety Survey–Student
,
School Climate and Safety Survey—School Staff
Student Identification and Referral Form
Student Identification and Referral Form
Student Identification and Referral Form
TISS Training Pre-Post Survey
TISS Training Pre-Post Survey
TISS Training Pre-Post Survey
Training Summary Form
Training Summary Form
Training Summary Form
Workforce Follow-Up Survey
Workforce Follow-Up Survey
Workforce Follow-Up Survey
Youth and Family Focus Group
Youth and Family Focus Group-Parent/Caregiver, Youth and Family Focus Group- Youth
Youth and Family Focus Group- Youth
,
Youth and Family Focus Group-Parent/Caregiver
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
23,814
0
0
23,814
0
0
Annual Time Burden (Hours)
7,416
0
0
7,416
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:
No
Burden Reduction Due to:
Short Statement:
This is a new information collection.
Annual Cost to Federal Government:
$2,511,280
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
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?
No
Agency Contact:
Alicia Broadus 240 276-0166 alicia.broadus@samhsa.hhs.gov
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:
04/11/2024
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