Drug and Alcohol Services Information System

Forms and Documents

Document Name	Status
Form Attachment B2 Drug and Alcohol Services Information System Form and Instruction	Modified
Attachment B2 2007 questionnaire w pledge.doc Supplementary Document	2007-01-08
0106-06-SS.wpd Supporting Statement B	2006-08-09
0106-06-SS.wpd Supporting Statement A	2006-08-09

IC Document Collections

IC ID	Document Title	Status
7513	Drug and Alcohol Services Information System Form and Instruction	Modified

ICR Details

OMB Control No: 0930-0106	ICR Reference No: 200609-0930-004
Status: Historical Active	Previous ICR Reference No: 200508-0930-003
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Drug and Alcohol Services Information System
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/09/2007
	Date Received in OIRA: 09/20/2006
Terms of Clearance: Approved consistent with SAMHSA memo submitted to OMB reflecting changes to the Privacy Statement. The memo has been included in the docket.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2010	36 Months From Approved	11/30/2008
Responses	22,816	0	23,125
Time Burden (Hours)	14,640	0	6,491
Cost Burden (Dollars)	0	0	0

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Abstract: The DASIS is comprised of three components, maintained in collaboration with State substance abuse agencies: (1) I-SATS-a listing of all known substance abuse treatment facilities in the United States; (2) N-SSATS-a survey of the facilities on the I-SATS; and (3) TEDS-that includes abstracts submitted by States on admissions to and discharges from substance abuse treatment facilities that receive State funds.

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Authorizing Statute(s): US Code: 5 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:
	71 FR 33475	06/09/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 46238	08/11/2006
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Drug and Alcohol Services Information System	Attachment B2, Attachment B1, Attachment B4, Attachment B5, Attachment B3	2007 Questionnaire ,   Mark-up 2006 ,   2007 CATI Questionnaire ,   Mini 2007 CATI Questionnaire ,   2007 Web Screen On-line 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	22,816	23,125	0	-109	-200	0
Annual Time Burden (Hours)	14,640	6,491	0	-10	8,159	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Going from a pre-test to full scale collection.

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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

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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: 09/07/2006

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