ALCOHOL AND DRUG ABUSE AND MENTAL HEALTH SERVICES BLOCK GRANT REPORTING REQUIREMENTS

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
111907	ALCOHOL AND DRUG ABUSE AND MENTAL HEALTH SERVICES BLOCK GRANT REPORTING REQUIREMENTS	Migrated

ICR Details

OMB Control No: 0930-0080	ICR Reference No: 199110-0930-003
Status: Historical Active	Previous ICR Reference No: 199011-0930-001
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: ALCOHOL AND DRUG ABUSE AND MENTAL HEALTH SERVICES BLOCK GRANT REPORTING REQUIREMENTS
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: 01/02/1992
	Date Received in OIRA: 10/02/1991
Terms of Clearance: As in the previous OMB clearance, approval through 1/93 is granted solely for the State choice of form and content for block grant reporting as articulated in 45 CFR 96.10. States voluntarily may select the reporting format included in this package. To date, HHS has not promulgated a proposed rule amending this policy. The followi conditions must be met for this clearance: 1) The solicitation letter should articulate deletions made to the voluntary format and clarify existing policy; and 2) In addition to deleting the Services Coordination Matrix and the Regional Spending Plan, ADAMHA should dele the Regional Activity Inventory (Form-07) and regional breakouts for the Needs Assessment Summary Matrix (Form-09), and the Treatment Utilization Matrix (Form-15). ADAMHA admits that for FY 1991 "no State response was adequate to meet the statutory requirements for data-based distribution of prevention and treatment services across regions in accord with need." The statute mandates needs assessment on the community level, however, so for FY 1993 HHS must refine an instrument that is useful to States in meeting this objectiv and that provides data with practical utility. Finally, the next submission for OMB review must fully address OMB's previous clearance remarks. In particular, the Department must promulgate a proposed rule amending 45 CFR 96.10. If ADAMHA fails to respond to these concerns, future requests for voluntary or mandated formats will be disapproved.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/1993	01/31/1993	01/31/1992
Responses	120	0	114
Time Burden (Hours)	42,000	0	39,900
Cost Burden (Dollars)	0	0	0

---

Abstract: PUBLIC LAW 100-690 EXTENDS THE STATUTORY REQUIREMENT FOR ANNUAL APPLICATIONS AND REPORTS DESCRIBING THE INTENDED AND ACTUAL USES OF ALLOTMENTS TO THE STATES UNDER THE ALCOHOL, DRUG ABUSE AND MENTAL HEAL SERVICES (ADMS) BLOCK GRANT. THE INFORMATION FROM THESE REPORTS ARE USED BY CONGRESS, THE AGENCY, STATES, AND THE GENERAL PUBLIC.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
ALCOHOL AND DRUG ABUSE AND MENTAL HEALTH SERVICES BLOCK GRANT REPORTING REQUIREMENTS

---

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	120	114	0	6	0	0
Annual Time Burden (Hours)	42,000	39,900	0	2,100	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

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]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(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: 10/02/1991

---