Strategic Prevention Framework for Prescription Drugs (SPF Rx)

ICR 202302-0930-002

OMB: 0930-0377

Federal Form Document

Forms and Documents

Document Name	Status
Form Grantee Interview Grantee Interview Form and Instruction	Unchanged
Form Grantee Interview Grantee Interview Form and Instruction	Unchanged
Form Annual Reporting T Annual Reporting Tool Form and Instruction	Unchanged
Form Annual Reporting T Annual Reporting Tool Form and Instruction	Unchanged
Form Community-Level PD Community-Level PDMP Outcomes Module Form and Instruction	Unchanged
Form Community-Level PD Community-Level PDMP Outcomes Module Form and Instruction	Unchanged
Form Grantee-Level PDMP Grantee-Level PDMP Outcomes Module Form and Instruction	Unchanged
Form Grantee-Level PDMP Grantee-Level PDMP Outcomes Module Form and Instruction	Unchanged
SPF-Rx Annual Reporting Tool TrackChanges 2-13-23.docx Supplementary Document	2023-02-14
SPF-Rx Annual Reporting Tool TrackChanges 2-13-23.docx Supplementary Document	2023-02-14
SPF-Rx Annual Reporting Tool CLEAN-2-13-2023.docx Supplementary Document	2023-02-14
SPF-Rx Annual Reporting Tool CLEAN-2-13-2023.docx Supplementary Document	2023-02-14
SPF-Rx Memo_No Material or Nonsubstantive Change.docx Justification for No Material/Nonsubstantive Change	2023-02-14
SPF-Rx Memo_No Material or Nonsubstantive Change.docx Justification for No Material/Nonsubstantive Change	2023-02-14
SPF-Rx Supporting Statement A - 11-7-2022.docx Supporting Statement A	2022-11-07
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 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 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 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
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
PD Interview Constructs Outline.docx Supplementary Document	2022-11-04
SPF-Rx Supporting Statement B - 13July2022 (1).docx Supporting Statement B	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
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	Unchanged
241788	Grantee Interview Form and Instruction	Unchanged
241787	Annual Reporting Tool Form and Instruction	Unchanged
241787	Annual Reporting Tool Form and Instruction	Unchanged
241773	Community-Level PDMP Outcomes Module Form and Instruction	Unchanged
241773	Community-Level PDMP Outcomes Module Form and Instruction	Unchanged
241772	Grantee-Level PDMP Outcomes Module Form and Instruction	Unchanged
241772	Grantee-Level PDMP Outcomes Module Form and Instruction	Unchanged