Now Is the Time (NITT) - Healthy Transition (HT) Evaluation

Forms and Documents

Document Name	Status
Form MMP Supplemental Youth & Young Adult Interview Form and Instruction	New
Form Baseline Multi-Media Project Young Adult Probes Form and Instruction	New
Form IPI/FG In-Person Interviews/Focus Groups Form and Instruction	New
Form SSI Services & Supports Inventory Form and Instruction	New
Form CSWS Core Staff Web Survey Form and Instruction	New
Form PDTI Project Director Telephone Interview Form and Instruction	New
Form PDWS Project Director Web Survey Form and Instruction	New
Form CSA Collaborative Self-Assessment Survey Form and Instruction	New
Form CMS Collaborative Member Survey Form and Instruction	New
Form SSTI State Support for Transition Inventory Form and Instruction	New
Form CSTI Community Support for Transition Inventory Form and Instruction	New
OMB_Supporting Statement B_NITT-HT_1-28-16.docx Supporting Statement B	2016-01-28
OMB_Supporting Statement A_NITT-HT_1-28-16.docx Supporting Statement A	2016-01-28

IC Document Collections

IC ID	Document Title	Status
219894	Supplemental Youth & Young Adult Interview Form and Instruction	New
219892	Multi-Media Project Young Adult Probes Form and Instruction	New
219889	In-Person Interviews/Focus Groups Form and Instruction	New
219887	Services & Supports Inventory Form and Instruction	New
219886	Core Staff Web Survey Form and Instruction	New
219885	Project Director Telephone Interview Form and Instruction	New
219884	Project Director Web Survey Form and Instruction	New
219883	Collaborative Self-Assessment Survey Form and Instruction	New
219882	Collaborative Member Survey Form and Instruction	New
219881	State Support for Transition Inventory Form and Instruction	New
219880	Community Support for Transition Inventory Form and Instruction	New

ICR Details

OMB Control No: 0930-0360	ICR Reference No: 201601-0930-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Now Is the Time (NITT) - Healthy Transition (HT) Evaluation
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 without change	Conclusion Date: 06/17/2016
	Date Received in OIRA: 02/02/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2019	36 Months From Approved
Responses	7,167	0	0
Time Burden (Hours)	5,501	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The NITT-HT national evaluation will use a pre/post, longitudinal follow-up design with matched comparison groups where relevant and possible. It will combine qualitative and quantitative data and methodologies to fully address SAMHSA’s objectives for the national evaluation and will include process as well as outcome components. Feedback on the NITT-HT evaluation design and data collection instruments has been solicited from internal SAMHSA staff, grantee-level project directors and local evaluators, and an expert advisory panel. After careful review, revisions were made to streamline the instruments, reduce burden, simplify wording, increase variation in response options, improve coherence of scales for summing, and create consistency in assessing infrastructure at the learning laboratory and grantee/state levels.

---

Authorizing Statute(s): US Code: 42 USC 520(a) Name of Law: Priority MH Needs of Regional and National Significance
  

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:
	80 FR 69689	11/10/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 4322	01/26/2016
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
Community Support for Transition Inventory	CSTI	CSTI
State Support for Transition Inventory	SSTI	SSTI
Collaborative Member Survey	CMS	CMS
In-Person Interviews/Focus Groups	IPI/FG	IPI/FP
Supplemental Youth & Young Adult Interview	MMP	MMP
Collaborative Self-Assessment Survey	CSA	CSA
Project Director Telephone Interview	PDTI	PDTI
Core Staff Web Survey	CSWS	CSWS
Project Director Web Survey	PDWS	PDWS
Services & Supports Inventory	SSI	SSI
Multi-Media Project Young Adult Probes	Baseline, Follow-up	Baseline ,   Follow-up

---

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	7,167	0	0	7,167	0	0
Annual Time Burden (Hours)	5,501	0	0	5,501	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 data collection.

---

Annual Cost to Federal Government: $752,023

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

---

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: 02/02/2016

---