Drug and Alcohol Services Information System (DASIS)

ICR 199904-0930-001

OMB: 0930-0106

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
7510
Migrated
ICR Details
0930-0106 199904-0930-001
Historical Active 199606-0930-002
HHS/SAMHSA
Drug and Alcohol Services Information System (DASIS)
Revision of a currently approved collection   No
Regular
Approved without change 06/02/1999
Retrieve Notice of Action (NOA) 04/05/1999
Approved as amended by HHS/SAMHSA's 5/26/99 memorandum to OMB. In addition, any additional questions SAMHSA adds to the UFDS following consultations with OMB will be provided for OMB as an addendum to this clearance package.
  Inventory as of this Action Requested Previously Approved
06/30/2002 06/30/2002 08/31/1999
26,717 0 34,846
8,496 0 15,337
0 0 0

DASIS is conducted to address the mandates of section 505 of the Public Health Service Act for annual information about public and private substance abuse treatment providers and the clients they serve. Approval is requested for identification of new treatment providers, updated information on currently identified providers, and a questionnaire used for the annual survey of all identified providers. The annual survey questionnaire has been significantly shortened.

None
None


No

1
IC Title Form No. Form Name
Drug and Alcohol Services Information System (DASIS)

  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 26,717 34,846 0 -8,339 210 0
Annual Time Burden (Hours) 8,496 15,337 0 -7,018 177 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
04/05/1999


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