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N-ssats Bc
National Survey of Substance Abuse Treatment Services (N-SSATS)
OMB: 0930-0106
IC ID: 191116
OMB.report
HHS/SAMHSA
OMB 0930-0106
ICR 201605-0930-002
IC 191116
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0106 can be found here:
2020-06-05 - Extension without change of a currently approved collection
2018-10-12 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form Between Cycles N-S
N-SSATS BC
Form and Instruction
Between Cycles N-S Between Cycles N-SSATS
Attachment B3- Between Cycles N-SSATS (N-SSATS BC).pdf
Form and Instruction
Between Cycle N-SS Between Cycle N-SSATS (N-SSATS BC)
Attachment B3 - Between Cycle N-SSATS (N-SSATS BC).pdf
Form and Instruction
Attachment B12- Between Cycle N-SSATS (N-SSATS BC) advance letter.docx
Between Cycles N-SSATS Letter
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
N-SSATS BC
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
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
Between Cycles N-SSATS
Between Cycles N-SSATS
Attachment B3- Between Cycles N-SSATS (N-SSATS BC).pdf
Yes
Yes
Fillable Fileable
Form and Instruction
Between Cycle N-SSATS (N-SSATS BC)
Between Cycle N-SSATS (N-SSATS BC)
Attachment B3 - Between Cycle N-SSATS (N-SSATS BC).pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,000
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,000
0
0
0
0
2,000
Annual IC Time Burden (Hours)
840
0
0
0
0
840
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Between Cycles N-SSATS Letter
Attachment B12- Between Cycle N-SSATS (N-SSATS BC) advance letter.docx
10/08/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.