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View Information Collection (IC) List
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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:
201103-0930-003
Status:
Historical Active
Previous ICR Reference No:
201101-0930-003
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:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
04/13/2011
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/26/2011
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. Data and results are for internal agency use only and will not be released externally. 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
03/31/2014
03/31/2014
03/31/2014
Responses
90,000
0
90,000
Time Burden (Hours)
23,063
0
23,063
Cost Burden (Dollars)
0
0
0
Abstract:
SAMHSA provides significant services 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:
42 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:
75 FR 39533
07/09/2010
30-day Notice:
Federal Register Citation:
Citation Date:
75 FR 58392
09/24/2010
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
11
IC Title
Form No.
Form Name
Child Adolescent and Family Branch Technical Assistance Feedback Surveys
Surveys, Surveys
Surveys
,
Surveys
Child, Adolescent and Family Branch Technical Assistance Enterprise Feedback Survey
Contractor Attachments
Contractor Attachments
Coaching Satisfaction Survey
Coaching Satisfaction Survey
Coaching Satisfaction Survey
Feedback Publication: OTP: 2013 State Profile
OTP Report Survey
OTP Report Survey
Mid-Course technical Assistance Feedback Form
Mid-Course Feedback Form
Mid-Course Feedback Form
Post Behavioral Health Data Users Conference Satisfaction Survey
Data Users Satisfaction Survey
Data Users Satisfaction Survey
Project EVOLVE Feedback Survey
Feedback Survey
Feedback Survey
TA CMHS Partnership
TA Partnership Survey
TA Partnership Survey
TA CSAP Prevention Fellowship Program
Follow-Up Survey, Fellowship Survey
Fellowship Survey
,
Follow-Up Survey
TA-Learning Event Feedback Survey
On-Site Learning Event Feedback Form, Follow-Up Learning Event Feedback Form
On-Site Learning Event Feedback Form
,
Follow-Up Learning Event Feedback Form
Training and Technical Assistance Performance Measures
Attachment A
Performance Measures
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
90,000
0
0
0
0
Annual Time Burden (Hours)
23,063
23,063
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
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]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Summer King 2402761243
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:
03/25/2011
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