Drug and Alcohol Services Information System (DASIS)

ICR 200004-0930-003

OMB: 0930-0106

Federal Form Document

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
7511
Migrated
ICR Details
0930-0106 200004-0930-003
Historical Active 199904-0930-001
HHS/SAMHSA
Drug and Alcohol Services Information System (DASIS)
Revision of a currently approved collection   No
Regular
Approved without change 07/06/2000
Retrieve Notice of Action (NOA) 04/26/2000
Approval is granted for use of the information collection entitled "Drug and Alcohol Services Information System" through July 2003.
  Inventory as of this Action Requested Previously Approved
07/31/2003 07/31/2003 06/30/2002
23,561 0 26,717
13,413 0 8,496
0 0 0

DASIS is conducted to address the mandates of Section 505 of the Public Health Service Act for annual information about public and private substance abuse treatment providers and the clients they serve. Approval is requested for identification of new treatment providers, update of information on currently identified providers, and a questionnaire used for the annual survey of all identified providers. The annual UFDS survey questionnaire is being revised.

None
None


No

1
IC Title Form No. Form Name
Drug and Alcohol Services Information System (DASIS)

  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 23,561 26,717 0 503 -3,659 0
Annual Time Burden (Hours) 13,413 8,496 0 -783 5,700 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$0
Yes Part B of Supporting Statement
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.
04/26/2000


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