Minority AIDS Initiative: Substance Use Disorder Prevention and Treatment Pilot Program (MAI PT Pilot)

ICR 202509-0930-005

OMB: 0930-0399

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
Supporting Statement A
2024-11-22
IC Document Collections
IC ID
Document
Title
Status
272606 Modified
272605 Modified
272577 Modified
ICR Details
0930-0399 202509-0930-005
Received in OIRA 202411-0930-006
HHS/SAMHSA
Minority AIDS Initiative: Substance Use Disorder Prevention and Treatment Pilot Program (MAI PT Pilot)
No material or nonsubstantive change to a currently approved collection   No
Regular 09/30/2025
  Requested Previously Approved
12/31/2027 12/31/2027
56 56
208 208
0 0

Data collected through the MAI-PORT are necessary to ensure SAMHSA and grantees comply with requirements under the Government Performance and Results Act Modernization Act of 2010 (GPRA) that requires regular reporting of performance measures. Additionally, data collected through these tools will provide critical information to SAMHSA’s Government Project Officers (GPOs) related to grant oversight, including barriers and facilitators that the grantees have experienced, and an understanding of the technical assistance needed to help grantees implement their programs. The information also provides a mechanism to ensure grantees are meeting the requirements of the grant funding announcement as outlined in their notice of grant award. In addition, the tools reflect CSAP and CSAT’s desire to elicit pertinent program level data that can be used not only to guide future programs and practices, but also to respond to stakeholder, congressional, and agency inquiries.

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 55631 07/05/2024
89 FR 92133 11/21/2024
No

3
IC Title Form No. Form Name
MAI PORT MAI PORT MAI PORT
MAI PPR MAI PPR MAI PPR
Minority ORA MAI ORA Tool MAI ORA Tool

  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 56 56 0 0 0 0
Annual Time Burden (Hours) 208 208 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
This is a new submission

$1,130,261
No
    Yes
    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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