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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View Generic ICR - OIRA Conclusion
OMB Control No:
0930-0197
ICR Reference No:
200710-0930-001
Status:
Historical Active
Previous ICR Reference No:
200708-0930-006
Agency/Subagency:
HHS/SAMHSA
Agency Tracking No:
Title:
Voluntary Customer Satisfaction Surveys to Implement Executive Order 12862 in the Substance Abuse and Mental Health Services Administration (SAMHSA)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
01/25/2008
Retrieve Notice of Action (NOA)
Date Received in OIRA:
10/19/2007
Terms of Clearance:
Approved consistent with previous terms of clearance and procedures for customer satisfaction generic clearances across the government; HHS/SAMHSA will provide each survey for OMB review, along with a brief justification, burden estimate and description of any statistical methods and any planned remuneration. SAMHSA must receive explicit OMB approval prior to beginning any collections under this generic clearance. Reviews will generally be accomplished within 10 days.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2011
36 Months From Approved
01/31/2008
Responses
90,000
0
30,150
Time Burden (Hours)
23,063
0
15,225
Cost Burden (Dollars)
0
0
0
Abstract:
SAMHSA provides significant directly to the public, including treatment providers and State substance abuse agencies, through a range of mechanisms, including publications, technical assistance and web sites. Many of these services are focused on information dissemination activities. The purpose of this submission is to obtain generic approval for satisfaction surveys of our customers.
Authorizing Statute(s):
US Code:
5 USC 501
Name of Law: SAMHSA
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
72 FR 29340
05/25/2007
30-day Notice:
Federal Register Citation:
Citation Date:
72 FR 43290
08/03/2007
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
15
IC Title
Form No.
Form Name
CMHS-GPRA Satisfaction of Technical Assistance Survey
Screen Shots, Attachment A - Online User's Survey
Screen Shots
,
Attachment A - Online User's Survey
CSAP Customer Satisfaction Survey
Survey
Survey
Child, Adolescent and Family Branch New Community Technical Assistance Visit Survey
Survey and Letters
Survey and Letters
Co-Occurring Disorders Integration and Innovation (CODI)
Formative Survey, Satisfaction Survey, Impact Survey, Formative Survey, LC Survey, Satisfaction Survey
Formative Survey
,
Satisfaction Survey
,
Impact Survey
,
LC Survey
,
Satisfaction Survey
,
Formative Survey
Customer Feedback Survey on SAMHSA/OAS Publication: Short Report Series: The NSDUH Report, The DASIS Report, The DAWN Report
Short Report Satisfaction Survey
Short Report Satisfaction Survey
End-of Email Survey
End-of Email Survey
End-of Email Survey
Fetal Alcohol Spectrum Disorder (FASD) Center for Excellence
Forms
Attachments A-J
Pilot Testing in Opioid Treatment Programs (OTPs) of Modular Survey with OTP-Speicfic Questions
Modular Survey - OTP Questions
Modular Survey - OTP Questions
Recovery to Pratice Resource Center TA and Webinar Evaluation Form
Webinar Evaluation Form, TA Evaluation Form
TA Evaluation Form
,
Webinar Evaluation Form
SAMHSA/OAS Publication: National Directory of Drug and Alcohol Abuse Treatment Programs, 2008
Survey
Survey
Shared Decision-Making in Mental Health Decision Support Tools
Survey #1 Consumer View of Workbook, Survey #2 Provider View of Workbook, Survey #3 Consumer View of Decision Aid, Survey #4 Provider View of Decision Aid
Survey #1 Consumer View of Workbook
,
Survey #2 Provider View of Workbook
,
Survey #3 Consumer View of Decision Aid
,
Survey #4 Provider View of Decision Aid
Suicide Prevention Assessment and Resource Kits (SPARK)
User Feedback Form
User Feedback Form
The Center for Mental Health Services (CMHS) Customer Satisfaction Survey
CMHS-Survey
CMHS-Survey
The Grant Applicant and the The Grant Reviewer Surveys
Grant Applicant Survey, Grant Reviewer Survey
Grant Applicant Survey
,
Grant Reviewer Survey
The Modular Survey on Consumer Perceptions of Care - CSAT
Modular Survey
Modular Survey
ICR Summary of Burden
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
90,000
30,150
0
59,850
0
0
Annual Time Burden (Hours)
23,063
15,225
0
7,838
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
This is a program change increase of 7,838 hours due to greater anticipated use of customer satisfaction surveys.
Annual Cost to Federal Government:
$2,367,015
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Uncollected
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Uncollected
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
Uncollected
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Saleda Perryman
Common Form ICR:
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:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(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;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
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.
Certification Date:
10/19/2007
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