View Information Collection Request (ICR) Package

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 ICR - OIRA Conclusion

OMB Control No: 0930-0106	ICR Reference No: 200609-0930-004
Status: Historical Active	Previous ICR Reference No: 200508-0930-003
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Drug and Alcohol Services Information System
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/09/2007
	Date Received in OIRA: 09/20/2006
Terms of Clearance: Approved consistent with SAMHSA memo submitted to OMB reflecting changes to the Privacy Statement. The memo has been included in the docket.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2010	36 Months From Approved	11/30/2008
Responses	22,816	0	23,125
Time Burden (Hours)	14,640	0	6,491
Cost Burden (Dollars)	0	0	0

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Drug and Alcohol Services Information System	Attachment B2, Attachment B1, Attachment B4, Attachment B5, Attachment B3	, , , ,

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	22,816	23,125	-109	-200
Annual Time Burden (Hours)	14,640	6,491	-10	8,159
Annual Cost Burden (Dollars)	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Going from a pre-test to full scale collection.

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