Drug and Alcohol Services Information System

Forms and Documents

Document Name	Status
Form TEDS Drug and Alcohol Services Information System - TEDS Admission Form and Instruction	Modified
Form TEDS Drug and Alcohol Services Information System - TEDS Discharge Crosswalks Form and Instruction	New
Form Attachment B9 - Mi Drug and Alcohol Services Information System - Mini-N-SSATS Form and Instruction	New
Form Attachment A3 - Au Drug and Alcohol Services Information System - Augmentation Screener Form and Instruction	New
Form N-SSATS Drug and Alcohol Services Information System - N-SSATS Form and Instruction	New
Form I-SATS Drug and Alcohol Services Information System - I-SATS Update Form and Instruction	New
Form I-SATS Drug and Alcohol Services Information System - I-SATS Update Form and Instruction	New
Form TEDS Drug and Alcohol Services Information System - TEDS Discharge Form and Instruction	New
2009 DASIS OMB supporting statement.doc Supporting Statement B	2009-10-19
DASIS OMB - Other.zip Supplementary Document	2009-10-19
DASIS OMB - Other.zip Supplementary Document	2009-10-19
DASIS OMB - Other.zip Supplementary Document	2009-10-19
DASIS OMB - Other.zip Supplementary Document	2009-10-19
DASIS OMB - Other.zip Supplementary Document	2009-10-19
DASIS OMB - Other.zip Supplementary Document	2009-10-19
DASIS OMB - Other.zip Supplementary Document	2009-10-19
DASIS OMB - Other.zip Supplementary Document	2009-10-19
2009 DASIS OMB supporting statement.doc Supporting Statement A	2009-10-19

IC Document Collections

IC ID	Document Title	Status
7513	Drug and Alcohol Services Information System - TEDS Admission Form and Instruction	Modified
191117	Drug and Alcohol Services Information System - TEDS Discharge Crosswalks Form and Instruction	New
191116	Drug and Alcohol Services Information System - Mini-N-SSATS Form and Instruction	New
191115	Drug and Alcohol Services Information System - Augmentation Screener Form and Instruction	New
191114	Drug and Alcohol Services Information System - N-SSATS Form and Instruction	New
191113	Drug and Alcohol Services Information System - I-SATS Update Form and Instruction	New
191112	Drug and Alcohol Services Information System - I-SATS Update Form and Instruction	New
191111	Drug and Alcohol Services Information System - TEDS Discharge Form and Instruction	New

ICR Details

OMB Control No: 0930-0106	ICR Reference No: 200910-0930-001
Status: Historical Active	Previous ICR Reference No: 200609-0930-004
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: 12/01/2009
	Date Received in OIRA: 10/26/2009
Terms of Clearance: Approved consistent with corrected burden estimates.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2012	36 Months From Approved	01/31/2010
Responses	24,541	0	22,816
Time Burden (Hours)	15,706	0	14,640
Cost Burden (Dollars)	0	0	0

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Abstract: The DASIS is comprised of three components, maintained in collaboration with State substance abuse agencies: (1) I-SATS-a listing of all known substance abuse treatment facilities in the United States; (2) N-SSATS-a survey of the facilities on the I-SATS; and (3) TEDS-that includes abstracts submitted by States on admissions to and discharges from substance abuse treatment facilities that receive State funds.

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Authorizing Statute(s): US Code: 5 USC 505 Name of Law: Data Collection
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 24855	05/26/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 38195	07/31/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 8

IC Title	Form No.	Form Name
Drug and Alcohol Services Information System - TEDS Admission	TEDS	TEDS
Drug and Alcohol Services Information System - TEDS Discharge	TEDS	TEDS
Drug and Alcohol Services Information System - I-SATS Update	I-SATS	I-SATS
Drug and Alcohol Services Information System - I-SATS Update	I-SATS	I-SATS
Drug and Alcohol Services Information System - N-SSATS	N-SSATS	N-SSATS
Drug and Alcohol Services Information System - Augmentation Screener	Attachment A3 - Augmentation screener	Attachment A3 - Augmentation screener
Drug and Alcohol Services Information System - Mini-N-SSATS	Attachment B9 - Mini-N-SSATS 2010 CATI	Attachment B9 - Mini-N-SSATS 2010 CATI
Drug and Alcohol Services Information System - TEDS Discharge Crosswalks	TEDS	TEDS

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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	24,541	22,816	0	24,333	-22,608	0
Annual Time Burden (Hours)	15,706	14,640	0	14,406	-13,340	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: Currently there are 14,640 burden hours in the OMB inventory. When preparing this submission it has come to SAMHSA's attention that the hours were incorrectly recorded on the 2007 Notice of Action. The burden should have been recorded as 14,650 hours, as the 2007 supporting statement and 30-day Federal Register notice reported. SAMHSA is now requesting 15,706 hours. The increase of 1,066 hours is due to a 10 hour adjustment for the recording error, plus 568 hours in other DASIS adjustments and 488 hours due to program changes.

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Annual Cost to Federal Government: $12,500,000

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

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Common Form ICR:  No

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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: 10/26/2009

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