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: 202006-0930-001
Status: Historical Active	Previous ICR Reference No: 201810-0930-002
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: National Survey of Substance Abuse Treatment Services (N-SSATS)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/04/2021
	Date Received in OIRA: 06/05/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2022	36 Months From Approved	12/31/2020
Responses	24,300	0	24,300
Time Burden (Hours)	12,417	0	12,417
Cost Burden (Dollars)	0	0	0

Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
Augmentation Screener	Augmentation Screener Questionnaire
I-BHS	I-BHS Online State Add Update Form
I-BHS Application	I-BHS Facility Application Form
N-SSATS	N-SSATS 2021 Questionnaire (Version A), N-SSATS 2022 Questionnaire (Version B), N-SSATS 2021 Screens for Online Questionnaire, N-SSATS 2021 CATI Questionnaire	, , ,
N-SSATS BC	N-SSATS 2021 Between Cycles N-SSATS

Annual Cost to Federal Government: $7,130,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. 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? No

Agency Contact: Carlos Graham 204 276-0361 carlos.graham@samhsa.hhs.gov

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.