SPARS TTA Survey

Voluntary Customer Satisfaction Surveys to Implement Executive Order 12862 in the Substance Abuse and Mental Health Services Administration (SAMHSA)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0197 can be found here:

Documents and Forms

Document Name Document Type
Form SPARS Satisfaction SPARS TTA Survey Form and Instruction
SPARS Satisfaction SPARS Satisfaction Survey SPARS Satisfaction Attachment A 2.28.17.docx Form and Instruction
SPARS Satisfaction Attachment B 2.28.17.docx Email Invitation IC Document
SPARS Satisfaction Attachment C 2.28.17.docx Screenshots IC Document
SPARS Satisfaction EXPEDITED Supporting Statement 2.28.17.docx Justification IC Document
Trans.Let-2-2017.doc Transmittal Letter IC Document

Information Collection (IC) Details

IC Title:	SPARS TTA Survey	Agency IC Tracking Number:

IC Status: New

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	SPARS Satisfaction Survey	SPARS Satisfaction Survey	SPARS Satisfaction Attachment A 2.28.17.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,106	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
Annual Number of Responses for this IC	2,212	2,212
Annual IC Time Burden (Hours)	221	221
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Email Invitation	SPARS Satisfaction Attachment B 2.28.17.docx	02/28/2017
Screenshots	SPARS Satisfaction Attachment C 2.28.17.docx	02/28/2017
Justification	SPARS Satisfaction EXPEDITED Supporting Statement 2.28.17.docx	02/28/2017
Transmittal Letter	Trans.Let-2-2017.doc	02/28/2017

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