Monitoring Data Collection Tools for the Minority AIDS Initiative (MAI)

ICR 202509-0930-004

OMB: 0930-0357

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Form and Instruction
Modified
Form and Instruction
Modified
Justification for No Material/Nonsubstantive Change
2025-09-29
Supplementary Document
2024-06-21
Supplementary Document
2024-06-21
Supporting Statement B
2024-06-21
Supporting Statement A
2024-06-21
IC Document Collections
ICR Details
0930-0357 202509-0930-004
Received in OIRA 202406-0930-001
HHS/SAMHSA
Monitoring Data Collection Tools for the Minority AIDS Initiative (MAI)
No material or nonsubstantive change to a currently approved collection   No
Regular 09/30/2025
  Requested Previously Approved
07/31/2027 07/31/2027
25,732 25,732
7,928 7,928
0 0

The Minority AIDS Initiative (MAI) monitoring tools includes both youth and adult questionnaires as well as the quarterly progress report. The target population for the MAI grantees will be at-risk minority adolescents and young adults. All MAI grantees are expected to report their monitoring data using SAMHSA’s Strategic Prevention Framework (SPF) to target minority populations, as well as other high risk groups residing in communities of color with high prevalence of Substance Abuse and HIV/AIDS.

US Code: 5 USC 516 Name of Law: Priority Substance Abuse Prevention Needs of Regional and National Significance
  
None

Not associated with rulemaking

  89 FR 19598 03/19/2024
89 FR 48183 06/05/2024
No

3
IC Title Form No. Form Name
Adult Questionnaire MAI Adult Questionnaire 2024 MAI Adult Questionnaire 2024
MAI Progress Report MAI Progress Report 2024 MAI Progress Report 2024
Youth Questionnaire MAI Youth Questionnaire 2024 MAI Adult Questionnaire 2024

  Total Request 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 25,732 25,732 0 0 0 0
Annual Time Burden (Hours) 7,928 7,928 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$227,226
No
    No
    No
No
No
No
No
Alicia Broadus 240 276-0166 alicia.broadus@samhsa.hhs.gov

  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.
09/30/2025


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