Mulit-Site Evaluation of the Safe Schools/Healthy Students (SS/HS) State Program

ICR 201409-0930-002

OMB: 0930-0347

Federal Form Document

ICR Details
0930-0347 201409-0930-002
Historical Active
HHS/SAMHSA
Mulit-Site Evaluation of the Safe Schools/Healthy Students (SS/HS) State Program
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 01/22/2015
Retrieve Notice of Action (NOA) 09/29/2014
  Inventory as of this Action Requested Previously Approved
01/31/2018 36 Months From Approved
3,177 0 0
1,556 0 0
0 0 0

The evaluation will use two primary study components-the Planning, Collaboration and Partnership (PCP) Study, and the Implementation Study-to investigate the three critical areas of inquiry: 1) Examine the degree to which the SS/HS Framework has been successfully implemented; 2) Assess grant program performance; and 3) Accurately and comprehensively describe the intervention.

US Code: 42 USC 290bb Name of Law: Evaluations Mental Health
  
US Code: 42 USC 290bb Name of Law: Evaluations - MH

Not associated with rulemaking

  79 FR 42026 07/18/2014
79 FR 57118 09/24/2014
No

8
IC Title Form No. Form Name
State Key Informant Interviews State KII State KII
District Key informant Interviews District KII District KII
State Collaborator Indicator Data Instrument State collaboration indicator data instrument State collaboration indicator data instrument
District Collaborator Indicator Data Instrument District collaboration indicator data instrument District collaboration indicator data instrument
School Level Survey School Level Survey School Level Survey
State Collaborator Survey State Collaborator Survey State Collaborator Survey
District Collaborator Survey District Collaborator Survey District Collaborator Survey
Klls Key Informant Interview Key Informant Interview

  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 3,177 0 0 3,177 0 0
Annual Time Burden (Hours) 1,556 0 0 1,556 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new data collection.

$570,211
No
No
No
No
No
Uncollected
Summer King 2402761243

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/29/2014


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