National Survey of Substance Abuse Treatment Services (N-SSATS)

Forms and Documents

Document Name	Status
Form TEDS Drug and Alcohol Services Information System - TEDS Admission Form and Instruction	Removed
Form TEDS Drug and Alcohol Services Information System - TEDS Discharge Crosswalks Form and Instruction	Removed
Form N-SSATS 2014 abbre N-SSATS BC Form and Instruction	Modified
Form Augmentation scree Augmentation Screener Form and Instruction	Modified
Form N-SSATS 2013 web s N-SSATS Form and Instruction	Modified
Form I-BHS Facility app I-BHS Application Form and Instruction	Modified
Form I-BHS Online forms I-BHS Form and Instruction	Modified
Form TEDS Drug and Alcohol Services Information System - TEDS Discharge Form and Instruction	Removed
N-SSATS OMB SS-B 1.9.13.docx Supporting Statement B	2013-01-09
Attachment B10 - between cycle N-SSATS advance letter.docx Supplementary Document	2012-10-22
DASIS OMB - Other.zip Supplementary Document	2009-10-19
Attachment C2 - Participant list - March 2011.doc Supplementary Document	2012-10-22
Attachment C1 - Expert panel - Nov 2011.docx Supplementary Document	2012-10-22
Attachment B11 - Web pages for the 2013 N-SSATS information website.pdf Supplementary Document	2012-10-22
Attachment B9 - N-SSATS 2013 Completion thank you letter.docx Supplementary Document	2012-10-22
Attachment B8 - N-SSATS 2013 2nd mailing cover letter.docx Supplementary Document	2012-10-22
Attachment B6 - N-SSATS 2013 Cover letter on-line instructions FAQ sheet.docx Supplementary Document	2012-10-22
Attachment B5 - N-SSATS 2013 Advance Letter.docx Supplementary Document	2012-10-22
Attachment B7 - N-SSATS 2013 Thank you reminder letter.docx Supplementary Document	2012-10-22
DASIS OMB - Other.zip Supplementary Document	2009-10-19
DASIS OMB - Other.zip Supplementary Document	2009-10-19
N-SSATS OMB SS-A 1.9.13.docx Supporting Statement A	2013-01-09

IC Document Collections

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

ICR Details

OMB Control No: 0930-0106	ICR Reference No: 201210-0930-005
Status: Historical Active	Previous ICR Reference No: 200910-0930-001
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: National Survey of Substance Abuse Treatment Services (N-SSATS)
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: 01/15/2013
	Date Received in OIRA: 10/25/2012
Terms of Clearance: As shown by the changes made to this collection, SAMHSA shall fully explain its approach to response rates and the purpose of the collection. SAMHSA shall make its OIRA worksheet consistent with Q15 of the supporting statement.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2016	36 Months From Approved	01/31/2013
Responses	29,440	0	24,541
Time Burden (Hours)	11,535	0	15,706
Cost Burden (Dollars)	0	0	0

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Abstract: There has been a name change for this data collection; from "DASIS" to the "National Survey of Substance Abuse Treatment Services (N SSATS)." N-SSATS is the main survey component from the prior collection which provides both national and state-level data on the numbers and types of patients treated and the characteristics of facilities providing substance abuse treatment services.

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Authorizing Statute(s): US Code: 42 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:
	77 FR 50142	08/20/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 64530	10/22/2012
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
I-BHS	I-BHS Online forms	I-BHS Online forms
I-BHS Application	I-BHS Facility application form	I-BHS Facility application form
N-SSATS	N-SSATS 2013 full questionnaire, N-SSATS 2013 web screens for on-line questionnaire, N-SSATS 2013 CATI Questionnaire	N-SSATS 2013 web screens for on-line questionnaire ,   N-SSATS 2013 CATI Questionnaire ,   N-SSATS 2013 full questionnaire
Augmentation Screener	Augmentation screener questionnaire	Augmentation screener questionnaire
N-SSATS BC	N-SSATS 2014 abbreviated questionnaire	N-SSATS 2014 abbreviated questionnaire
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 - 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	29,440	24,541	0	-421	5,320	0
Annual Time Burden (Hours)	11,535	15,706	0	-4,179	8	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Currently there are 15,706 burden hours in the OMB inventory. SAMHSA is now requesting 11,535 hours. The net decrease of 4,171 hours is due to an 8 hour addition for DASIS adjust-ments and a 4,179 hour decrease due to program changes.

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Annual Cost to Federal Government: $6,400,000

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]? 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? 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: 10/23/2012

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