N-ssats

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0106 can be found here:

Documents and Forms

Document Name Document Type
Form Between Cycles N-S N-SSATS Form and Instruction
Between Cycles N-S Between Cycles N-SSATS - A Attachment B1- N-SSATS 2017 questionnaire (Version A).pdf Form and Instruction
N-SSATS 2016 quest N-SSATS 2016 questionnaire - B Attachment B2- N-SSATS 2016 questionnaire (Version B).pdf Form and Instruction
N-SSATS 2016 CATI N-SSATS 2016 CATI questionnaire Attachment B5- N-SSATS 2016 CATI questionnaire.pdf Form and Instruction
Attachment B4- N-SSATS 2016 screens for online questionnaire.pdf N-SSATS 2016 screens IC Document
Attachment B6-N-SSATS 2016 Advance Letter.docx N-SSATS 2016 Advance Letter IC Document
Attachment B7- N-SSATS 2016 cover letter, online questionnaire access instructions, and frequently asked questions sheet.docx N-SSATS 2016 cover letter, online questionnaire access IC Document
Attachment B8- N-SSATS 2016 thank you_reminder letter.docx N-SSATS 2016 thank you IC Document
Attachment B9- N-SSATS 2016 second mailing cover letter .docx N-SSATS 2016 second mailing IC Document
Attachment B10- NSSATS Third Mailing Cover Letter..docx NSSATS Third Mailing IC Document
Attachment B11- N-SSATS 2016 completion thank you letter.docx N-SSATS 2016 completion thank you IC Document
Attachment B13- Web pages for the 2016 N-SSATS information website .pdf Web pages for the 2016 N-SSATS IC Document

Information Collection (IC) Details

IC Title:	N-SSATS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Between Cycles N-SSATS - A	Between Cycles N-SSATS - A	Attachment B1- N-SSATS 2017 questionnaire (Version A).pdf	Yes	Yes	Fillable Fileable
Form and Instruction	N-SSATS 2016 questionnaire - B	N-SSATS 2016 questionnaire - B	Attachment B2- N-SSATS 2016 questionnaire (Version B).pdf	Yes	Yes	Fillable Fileable
Form and Instruction	N-SSATS 2016 CATI questionnaire	N-SSATS 2016 CATI questionnaire	Attachment B5- N-SSATS 2016 CATI questionnaire.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	17,000	0	17,000
Annual IC Time Burden (Hours)	10,370	510	9,860
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
N-SSATS 2016 screens	Attachment B4- N-SSATS 2016 screens for online questionnaire.pdf	10/08/2015
N-SSATS 2016 Advance Letter	Attachment B6-N-SSATS 2016 Advance Letter.docx	10/08/2015
N-SSATS 2016 cover letter, online questionnaire access	Attachment B7- N-SSATS 2016 cover letter, online questionnaire access instructions, and frequently asked questions sheet.docx	10/08/2015
N-SSATS 2016 thank you	Attachment B8- N-SSATS 2016 thank you_reminder letter.docx	10/08/2015
N-SSATS 2016 second mailing	Attachment B9- N-SSATS 2016 second mailing cover letter .docx	10/08/2015
NSSATS Third Mailing	Attachment B10- NSSATS Third Mailing Cover Letter..docx	10/08/2015
N-SSATS 2016 completion thank you	Attachment B11- N-SSATS 2016 completion thank you letter.docx	10/08/2015
Web pages for the 2016 N-SSATS	Attachment B13- Web pages for the 2016 N-SSATS information website .pdf	10/08/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.