THE PREVALENCE OF ALCOHOL & OTHER DRUG ABUSE & DEPENDENCE IN SHORT-TERM GENERAL HOSPITALS & THE IMPACT OF ABUSE & DEPENDENCE ON HOSPITAL UTILIZATION, CHARGES & COSTS-PILOT

ICR 199106-0930-002

OMB: 0930-0146

Federal Form Document

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ICR Details
0930-0146 199106-0930-002
Historical Active 199010-0930-002
HHS/SAMHSA
THE PREVALENCE OF ALCOHOL & OTHER DRUG ABUSE & DEPENDENCE IN SHORT-TERM GENERAL HOSPITALS & THE IMPACT OF ABUSE & DEPENDENCE ON HOSPITAL UTILIZATION, CHARGES & COSTS-PILOT
No material or nonsubstantive change to a currently approved collection   No
Emergency 06/19/1991
Approved with change 06/19/1991
Retrieve Notice of Action (NOA) 06/19/1991
  Inventory as of this Action Requested Previously Approved
01/31/1993 01/31/1993 01/31/1993
3,696 0 3,696
575 0 575
0 0 0

DATA COLLECTED IN THIS SURVEY WILL BE USED TO SUPPORT RESEARCH AND EDUCATIONAL PROGRAMS ON THE PREVALENCE OF ALCOHOL AND OTHER DRUG ABUSE AND DEPENDENCE AMONG HOSPITAL INPATIENTS AND ON THE IMPACT OF ABUSE AND DEPENDENCE ON HOSPITAL USE AND COSTS. SAMPLED POPULATIONS ARE NON-FEDERAL HOSPITALS AND ADULT PATIENTS ADMITTED TO THESE HOSPITALS.

None
None


No

  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 3,696 3,696 0 0 0 0
Annual Time Burden (Hours) 575 575 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
06/19/1991


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