Monitoring and Evaluation of the NIDA goes Back to School National Dissemination Campaign

Forms and Documents

Document Name	Status
Form 1 Monitoring and Evaluation of the NIDA goes Back to School National Dissemination Campaign Form	New
Participant Invitation-pre-test FINAL.doc Supplementary Document	2007-07-31
NIDA-B OMB.doc Supporting Statement B	2007-07-31
NIDA-A OMB.doc Supporting Statement A	2007-07-31

IC Document Collections

IC ID	Document Title	Status
180197	Monitoring and Evaluation of the NIDA goes Back to School National Dissemination Campaign Form	New

ICR Details

OMB Control No: 0925-0580	ICR Reference No: 200705-0925-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Monitoring and Evaluation of the NIDA goes Back to School National Dissemination Campaign
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: 08/02/2007
	Date Received in OIRA: 05/17/2007
Terms of Clearance: This ICR is approved on the understanding that the revised survey instruments (of 7/19/07) will be used for the study. When providing assurances of confidentiality to respondents, NIH will use the phrase "... keep confidential to the extent permitted by law."

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2008	12/31/2007
Responses	1,200	0	0
Time Burden (Hours)	96	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection is for the purpose of improving a program. NIDA disseminates information materials on drug abuse in order to help educate youth and parents for drug abuse prevention. The information is available at no cost to requestors. In collecting information on the extent of use by school personnel requestors, and community leader requestors, NIDA can learn how the materials can be improved or increasing their use in the activities of these population groups,and how dissemination can be increased in order to increase their use and effectiveness.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 7893	02/21/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 23834	05/01/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Monitoring and Evaluation of the NIDA goes Back to School National Dissemination Campaign	1, 2	Community Leaders ,   School Requestor

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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	1,200	0	0	1,200	0	0
Annual Time Burden (Hours)	96	0	0	96	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 collection of information.

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Annual Cost to Federal Government: $30,000

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

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Common Form ICR:  No

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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: 05/17/2007

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