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View ICR - Agency Submission
COMMENT
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OMB Control No:
0930-0270
ICR Reference No:
202601-0930-001
Status:
Received in OIRA
Previous ICR Reference No:
202206-0930-002
Agency/Subagency:
HHS/SAMHSA
Agency Tracking No:
Title:
Toolkit Protocol for the Crisis Counseling Assistance and Training Program (CCP)
Type of Information Collection:
Reinstatement without change of a previously approved collection
Common Form ICR:
No
Type of Review Request:
Regular
Date Submitted to OIRA:
01/13/2026
Requested
Previously Approved
Expiration Date
36 Months From Approved
Responses
227,200
0
Time Burden (Hours)
32,784
0
Cost Burden (Dollars)
0
0
Abstract:
Data collection about services delivered and users of the services will be collected from the CCPs through standardized information tools which will then be reported to SAMHSA for appropriate processing and analysis. CCPs will be required to use the tools for data collection throughout the life of the program.
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:
90 FR 37864
08/06/2025
30-day Notice:
Federal Register Citation:
Citation Date:
90 FR 52987
11/24/2025
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
7
IC Title
Form No.
Form Name
Assessment and Referral Tool
Adult Assessment and Referral Tool
Adult Assessment and Referral Tool
Child/Youth Assessment and Referral Tool
Child/Youth Assessment and Referral Tool
Child/Youth Assessment and Referral Tool
Group Encounter Log
Group Encounter Log
Group Encounter Log
Individual/Family Crisis Counseling Services Encounter Log
Individual/Family Crisis Counseling Services Encou
Individual/Family Crisis Counseling Services Encounter Log
Participant Feedback Form
Participant Feedback Survey Form
Participant Feedback Survey Form
Service Provider Feedback Form
Service Provider Feedback Form
Service Provider Feedback Form
Weekly Tally Sheet
Weekly Tally Sheet
Weekly Tally Sheet
ICR Summary of Burden
Total Request
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
227,200
0
0
227,200
0
0
Annual Time Burden (Hours)
32,784
0
0
32,784
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:
No
Burden Reduction Due to:
Short Statement:
SAMHSA CMHS is requesting a change in burden due to fewer CCP grants per year, as well as fewer staff members and participants associated with those programs, after the end of the COVID-19 pandemic. The burden decreased from previously approved 38,969 total burden hours to 32,784 in aggregate
Annual Cost to Federal Government:
$71,244
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
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:
01/13/2026
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