Strategic Prevention Framework for Prescription Drugs (SPF Rx)

ICR 202211-0930-003

OMB: 0930-0377

Federal Form Document

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0930-0377 can be found here:

2023-02-14 - No material or nonsubstantive change to a currently approved collection

Forms and Documents

Document Name	Status
Form Grantee Interview Grantee Interview Form and Instruction	Modified
Form Annual Reporting T Annual Reporting Tool Form and Instruction	Modified
Form Community-Level PD Community-Level PDMP Outcomes Module Form and Instruction	Modified
Form Grantee-Level PDMP Grantee-Level PDMP Outcomes Module Form and Instruction	Modified
SPF-Rx Supporting Statement A - 11-7-2022.docx Supporting Statement A	2022-11-07
Attachment 4 SPF-RX Grantee Interview Track Changes.docx Supplementary Document	2022-11-04
Attachment 3 SPF-Rx Community-Level PDMP Outcomes Module Track Changes.docx Supplementary Document	2022-11-04
Attachment 2 SPF-Rx Grantee-Level PDMP Outcomes Module Track Changes.docx Supplementary Document	2022-11-04
Attachment 1_SPF-Rx Annual Reporting Tool 05.31.2022 Tracked Changes.docx Supplementary Document	2022-11-04
PD Interview Constructs Outline.docx Supplementary Document	2022-11-04
SPF-Rx Supporting Statement B - 13July2022 (1).docx Supporting Statement B	2022-11-04
Attachment 5_SPF-Rx Summary of Changes to the OMB Pkg_11.21.2019.docx Supplementary Document	2020-05-11

IC Document Collections

IC ID	Document Title	Status
241788	Grantee Interview Form and Instruction	Modified
241787	Annual Reporting Tool Form and Instruction	Modified
241773	Community-Level PDMP Outcomes Module Form and Instruction	Modified
241772	Grantee-Level PDMP Outcomes Module Form and Instruction	Modified

ICR Details

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