View Information Collection Request (ICR) Package
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
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:
0930-0285
ICR Reference No:
201003-0930-005
Status:
Historical Active
Previous ICR Reference No:
200701-0930-001
Agency/Subagency:
HHS/SAMHSA
Agency Tracking No:
Title:
Transformation Accountability (TRAC) Reporting System
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:
05/06/2010
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/30/2010
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2013
36 Months From Approved
05/31/2010
Responses
19,449
0
60,081
Time Burden (Hours)
26,993
0
14,293
Cost Burden (Dollars)
0
0
0
Abstract:
This data activity is to provide a level of consistency with the NOMs domain in SAMHSA-wide data collection and reporting of performance measures across all of its Centers and programs. This particular activity will promote the use of consistent measures among CMHS programs, grantees and contractors funded through the Programs of Regional and National Significance (PRNS) and the Children Mental Health Initiative (CMHI) budget lines. The Consumer NOMs recommended by CMHS are a result of extensive examination and recommendations, by panels of staff, experts, and grantees. Wherever feasible, the proposed measures are consistent with or build upon previous data development efforts within CMHS.
Authorizing Statute(s):
EO: EO 1115 Name/Subject of EO: GPRA
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:
74 FR 51280
10/06/2009
30-day Notice:
Federal Register Citation:
Citation Date:
74 FR 14161
03/24/2010
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
2
IC Title
Form No.
Form Name
CMHS NOMs
Attachment 1, Attachment 2, Attachment 3
Adult Tool
,
Caregiver Tool
,
Child, Adolescent Tool
CMHS NOMs
Attachment 1, Attachment 2, Attachment 3
Adult Tool
,
Caregiver Tool
,
Child, Adolescent Tool
CMHS NOMs
Attachment 1, Attachment 2, Attachment 3
Adult Tool
,
Caregiver Tool
,
Child, Adolescent Tool
CMHS NOMs
Attachment 3, Attachment 1, Attachment 2
Adult Tool
,
Caregiver Tool
,
Child, Adolescent Tool
CMHS NOMs
Attachment 1, Attachment 2, Attachment 3
Adult Tool
,
Caregiver Tool
,
Child, Adolescent Tool
CMHS NOMs
Attachment 1, Attachment 2, Attachment 3
Adult Tool
,
Caregiver Tool
,
Child, Adolescent Tool
Client-Level
Client-Level Instruments
Client-Level Instruments
Infrastructure, Development, Prevention MH Abstraction
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
19,449
60,081
0
-40,632
0
0
Annual Time Burden (Hours)
26,993
14,293
0
12,700
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
Currently there are 14,293 burden hours in the OMB inventory. CMHS is now requesting 26,992 hours. This increase of 12,699 hours is due to a program change.
Annual Cost to Federal Government:
$8,807,858
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)?
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:
03/30/2010
An official website of the United States government
The .gov means it's official.
The site is secure.
