2016-17 National Mental Health Services Survey (N-MHSS)

Forms and Documents

Document Name	Status
Form 2014 N-MHSS (Full- Facilities Universe in 2016 and 2017 Form and Instruction	Modified
Form 2015 N-MHSS-Locato Locator Survey 2015 Form and Instruction	Unchanged
Form 2015 N-MHSS-Locato New Facilities 2015-17 Form and Instruction	Modified
Notice to N-MHSS facilities re Search Engine Sharing.pdf Supplementary Document	2016-05-04
2016 N-MHSS_Final Memo to OMB.pdf Justification for No Material/Nonsubstantive Change	2016-05-04
2014 N-MHSS_OMB SS-B_112513.docx Supporting Statement B	2013-11-25
Attachment A12 - List of Expert Panel Members_Nov 2011.docx Supplementary Document	2013-11-25
Attachment A11 - 2014 N-MHSS Online Information Site Materials_Page 1.docx Supplementary Document	2013-11-25
Attachment A11 - 2014 N-MHSS Online Information Site Materials_FAQs.docx Supplementary Document	2013-11-25
Attachment A10 - 2014 N-MHSS Thank You Notification for Completed Surveys.docx Supplementary Document	2013-11-25
Attachment A9 - 2014 N-MHSS Cover Letter (Second Mailing) and Online Questionnaire Access Instructions_Pg 2.docx Supplementary Document	2013-11-25
Attachment A9 - 2014 N-MHSS Cover Letter (Second Mailing) and Online Questionnaire Access Instructions_Pg 1.docx Supplementary Document	2013-11-25
Attachment A8 - 2014 N-MHSS Second Thank You-Reminder Letter.docx Supplementary Document	2013-11-25
Attachment A7 - 2014 N-MHSS First Thank You-Reminder Letter.docx Supplementary Document	2013-11-25
Attachment A6 - 2014 N-MHSS Cover Letter (First Mailing) and Online Questionnaire Access Instructions_Pg 2.docx Supplementary Document	2013-11-25
Attachment A6 - 2014 N-MHSS Cover Letter (First Mailing) and Online Questionnaire Access Instructions_Pg 1.doc Supplementary Document	2013-11-25
Attachment A5 - 2014 N-MHSS Advance Letter.docx Supplementary Document	2013-11-25
Attachment A3 - 2014 N-MHSS Web Screens for Online Questionnaire.docx Supplementary Document	2013-11-25
Attachment A4 - 2014 N-MHSS CATI Questionnaire.docx Supplementary Document	2013-11-25
2014 N-MHSS_OMB SS-A_112513.docx Supporting Statement A	2013-11-25

IC Document Collections

IC ID	Document Title	Status
7528	Facilities Universe in 2016 and 2017 Form and Instruction	Modified
209518	Locator Survey 2015 Form and Instruction	Unchanged
202152	New Facilities 2015-17 Form and Instruction	Modified

ICR Details

OMB Control No: 0930-0119	ICR Reference No: 201605-0930-001
Status: Historical Active	Previous ICR Reference No: 201311-0930-002
Agency/Subagency: HHS/SAMHSA	Agency Tracking No: 21018
Title: 2016-17 National Mental Health Services Survey (N-MHSS)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/20/2016
	Date Received in OIRA: 05/05/2016
Terms of Clearance: Prior terms remain in effect: SAMHSA shall consider a sampling approach for the facility characteristics information of the universe survey or demonstrate other means of reducing the burden of the information collection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2017	02/28/2017	02/28/2017
Responses	20,400	0	20,400
Time Burden (Hours)	20,604	0	20,604
Cost Burden (Dollars)	0	0	0

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Abstract: The 2016-17 N-MHSS differs from the previous version of the survey in the following ways: (a) to facilitate completing the survey online, definitions of terms and other survey information will be offered at the survey website; (b) the eligibility criteria for inclusion in the survey, previously outlined in a flyer accompanying the survey, have now been incorporated into the questionnaire as screening questions; and (c) the questionnaire has been reorganized for greater simplicity and shortened by eliminating several questions identified as no longer relevant.

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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:
	78 FR 54902	09/06/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 67377	11/12/2013
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
New Facilities 2015-17	2015 N-MHSS-Locator Survey Paper Questionnaire, 2016 N-MHSS (Between Survey Update) Paper Question	2015 N-MHSS-Locator Survey Paper Questionnaire ,   2016 N-MHSS (Between Survey Update) Paper Questionnaire
Facilities Universe in 2016 and 2017	2016 N-MHSS (Full-Scale) Paper Questionnaire, 2014 N-MHSS (Full-Scale) Paper Questionnaire	2014 N-MHSS (Full-Scale) Paper Questionnaire ,   2016 N-MHSS (Full-Scale) Paper Questionnaire
Locator Survey 2015	2015 N-MHSS-Locator Survey Paper Questionnaire	2015 N-MHSS-Locator Survey Paper Questionnaire

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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	20,400	20,400	0	0	0	0
Annual Time Burden (Hours)	20,604	20,604	0	0	0	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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $2,640,000

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: 05/05/2016

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