Drug Abuse Warning Network (DAWN)

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
7493	Drug Abuse Warning Network (DAWN) Form	Migrated

ICR Details

OMB Control No: 0930-0078	ICR Reference No: 200210-0930-003
Status: Historical Active	Previous ICR Reference No: 199909-0930-001
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Drug Abuse Warning Network (DAWN)
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: 12/09/2002
	Date Received in OIRA: 10/04/2002
Terms of Clearance: Approved for use through 12/2005 under the following conditions: 1) no later than 6/2004, SAMHSA: a) submits to OMB a report summarizing incentive payments made to facilities by category (e.g. access,"critical" enhancements, piece rates, and performance incentives) and minimum to maximum ranges by facility: and b) SAMHSA briefs OMB at two appropriate "benchmark" dates on any issues arising from the DAWN redesign, including survey training, implementation experiences, ongoing quality controls, etc.; and 2) no later than 1/2003, SAMHSA once again evaluates the feasibility of linking significant data variables from past DAWN surveys to data collected under the DAWN redesign.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2005	12/31/2005	12/31/2002
Responses	679,716	0	220,340
Time Burden (Hours)	46,738	0	15,284
Cost Burden (Dollars)	0	0	0

---

Abstract: DAWN collects data on drug-related medical emergencies and deaths are reported from approximately 660 hospitals and medical examiners nationwide. Used by Federal, State, and local agencies, the ongoing data system supports efforts to identify drug abuse trends, assess heatlh hezards associated with substance abuse, and schedule substances under the Controlled Substances Act. This submission reflects a new sample design and revised reporting forms.

---

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
Drug Abuse Warning Network (DAWN)	SMA-100-1, SMA-100-2, SMA-100-3, SMA-100-4

---

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	679,716	220,340	0	459,376	0	0
Annual Time Burden (Hours)	46,738	15,284	0	31,454	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? 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]? 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: 10/04/2002

---