2017-19 National Mental Health Services Survey (N-MHSS)

Forms and Documents

Document Name	Status
Form Locator Survey Que Facilities Universe in 2017 and 2019 Form and Instruction	Modified
Form Full Survey Questi Locator Survey 2018 Form and Instruction	Modified
Form Locator Survey Que New Facilities 2017-19 Form and Instruction	Modified
2017 N-MHSS_OMB SS_Part A_12.15.16.docx Supporting Statement A	2016-12-15
2017 N-MHSS_OMB SS_Part B_12.6.16.docx Supporting Statement B	2016-12-07

IC Document Collections

IC ID	Document Title	Status
7528	Facilities Universe in 2017 and 2019 Form and Instruction	Modified
209518	Locator Survey 2018 Form and Instruction	Modified
202152	New Facilities 2017-19 Form and Instruction	Modified

ICR Details

OMB Control No: 0930-0119	ICR Reference No: 201612-0930-001
Status: Historical Active	Previous ICR Reference No: 201605-0930-001
Agency/Subagency: HHS/SAMHSA	Agency Tracking No: 21018
Title: 2017-19 National Mental Health Services Survey (N-MHSS)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/23/2017
	Date Received in OIRA: 12/15/2016
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	01/31/2020	36 Months From Approved	02/28/2017
Responses	35,700	0	20,400
Time Burden (Hours)	9,724	0	20,604
Cost Burden (Dollars)	0	0	0

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Abstract: The 2017-19 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:
	81 FR 66287	09/27/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 85585	11/28/2016
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
Locator Survey 2018	Full Survey Questionnaire	Full Survey Questionnaire
New Facilities 2017-19	Locator Survey Questionnaire	Locator Survey Questionnaire
Facilities Universe in 2017 and 2019	Locator Survey Questionnaire	Locator Survey 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	35,700	20,400	0	0	15,300	0
Annual Time Burden (Hours)	9,724	20,604	0	0	-10,880	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: Currently there are 20,604 burden hours in the OMB inventory. SAMHSA/CBHSQ is requesting 9,724 burden hours. The decrease of -10,880 burden hours are due to the following adjustments to the survey versions (two abbreviated and one full-scale). An adjustment of response time of 45 minutes to 25 minutes (-7,990) is estimated for the 17,000 facility respondents in the Locator Survey in 2017 and 2019. An adjustment of response time of 25 minutes to 45 minutes (2,890) and the incorrect recorded number of respondents of 1,700 to 17,000 (15,300) for the Locator Survey in 2018.

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Annual Cost to Federal Government: $2,750,000

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: 12/15/2016

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