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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:
201406-0930-006
Status:
Historical Active
Previous ICR Reference No:
201401-0930-001
Agency/Subagency:
HHS/SAMHSA
Agency Tracking No:
21282
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:
07/29/2014
Retrieve Notice of Action (NOA)
Date Received in OIRA:
07/02/2014
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2017
01/31/2017
01/31/2017
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:
78 FR 64520
10/29/2013
30-day Notice:
Federal Register Citation:
Citation Date:
78 FR 78986
12/27/2013
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
12
IC Title
Form No.
Form Name
Annual Generalized TA Survey
Modified TA Network Satisfaction Survey
Modified TA Network Satisfaction Survey
Case Study Protocol/Focus Groups
Case Study Protocol/Focus Groups
Case Study Protocol/Focus Groups
GDTA - TA
Survey
Survey
GDTA Learning Community
Survey
Survey
Impact of Training and Technical Assistance Tool
TTA Tool
TTA Tool
Knowledge Application Program Product
KAP Survey
KAP Survey
Medication-Assisted Treatment (MAT) Application
MAT APP
MAT APP
National Resource for MH Promotion and Youth Violence Prevention
NRC Online Feedback Form, NRC Online Module Feedback Form, Onsite In Person Training Feedback Form, Offsite In Person Training Feedback Form, Public Website and TA Gateway Feedback Forms, TA Customer Satisfaction Feedback Form
NRC Online Feedback Form
,
NRC Online Module Feedback Form
,
Onsite In Person Training Feedback Form
,
Offsite In Person Training Feedback Form
,
Public Website and TA Gateway Feedback Forms
,
TA Customer Satisfaction Feedback Form
On-Line Tutorials
On-Line Tutorials
On-Line Tutorials
Public Engagement Platform
Survey
Survey
Public Engagement Platform Surveys
Contact Center Survey, Bulling Prevention Survey, Suicide Prevention Survey
Bulling Prevention Survey
,
Suicide Prevention Survey
,
Contact Center Survey
SBIRT Organizational Readiness and Satisfaction Survey
SBIRT Organizational Readiness and Satisfaction Su
SBIRT Organizational Readiness and Satisfaction 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
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:
There is no burden change.
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:
07/02/2014
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