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Strategic Prevention Framework – Partnerships for Success (SPF-PFS)
Center for Substance Abuse Prevention Online Reporting Tool (CORT)
OMB: 0930-0354
IC ID: 232354
OMB.report
HHS/SAMHSA
OMB 0930-0354
ICR 202409-0930-001
IC 232354
( )
Documents and Forms
Document Name
Document Type
Form PFS Instrument
Strategic Prevention Framework – Partnerships for Success (SPF-PFS)
Form and Instruction
PFS Instrument PFS Instrument
Attachment 2. CORT - PFS Instrument.docx
Form and Instruction
PFS Instrument PFS Instrument
Attachment 2. CORT - PFS Instrument.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Strategic Prevention Framework – Partnerships for Success (SPF-PFS)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
PFS Instrument
PFS Instrument
Attachment 2. CORT - PFS Instrument.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
PFS Supplemental
FR Citation:
75 FR 28264
Number of Respondents:
315
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
315
0
62
0
0
253
Annual IC Time Burden (Hours)
315
0
62
0
0
253
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.