Measures of Co-Occurring Infrastructure

Forms and Documents

Document Name	Status
Form Instrument Measures of Co-Occurring Infractructure Form and Instruction	New
Co-occur-06-SS.doc Supporting Statement B	2006-09-15
reqSAMHSAnewMeasures.rtf Supplementary Document	2006-10-03
Co-occur-06-SS.doc Supporting Statement A	2006-09-15

IC Document Collections

IC ID	Document Title	Status
45602	Measures of Co-Occurring Infractructure Form and Instruction	New

ICR Details

OMB Control No: 0930-0284	ICR Reference No: 200610-0930-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Measures of Co-Occurring Infrastructure
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/29/2007
	Date Received in OIRA: 10/06/2006
Terms of Clearance: OMB approves the requested clearance for 16 months. We encourage SAMHSA to continue working with stakeholders during the clearance period to address issues raised in public comment. In the next submission of this collection to OMB SAMHSA will report on the data quality of results during this clearance period and the Agency's efforts to work with respondents.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2008	36 Months From Approved
Responses	242	0	0
Time Burden (Hours)	1,101	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: SAMHSA's COSIG program is increasing the number of substance abuse and mental health treatment programs that screen and assess for co-occurring disorders, and provide appropriate treatment for persons found to have such disorders. The proposed measures will enable SAMHSA to monitor program performance by COSIG grantees. To implement the performance measures, SAMHSA developed a set of instruments to collect data on providers' practices and policy for screening, assessment, and treatment of co-occurring disorders. Data will be collected from participating treatment providers within the 15 current COSIG States (i.e., Alaska, Arizona, Arkansas, Connecticut, the District of Columbia, Hawaii, Louisiana, Maine, Missouri, New Mexico, Oklahoma, Pennsylvania, Texas, Vermont, and Virginia), and in States receiving future COSIG awards.

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Authorizing Statute(s): US Code: 5 USC 509 Name of Law: Priority Substance Abuse Treatment Needs of Regional and National Significance
   US Code: 5 USC 520 Name of Law: Center for Mental Health Services
  

Citations for New Statutory Requirements: US Code: 5 USC 520 Name of Law: Center for Mental Health Services
US Code: 5 USC 509 Name of Law: Priority Substance Abuse Treatment Needs of Regional and National Significance

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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 26382	05/04/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 54297	09/14/2006
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
Measures of Co-Occurring Infractructure	Instrument	Instrument

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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	242	0	0	242	0	0
Annual Time Burden (Hours)	1,101	0	1,101	0	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: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new project.

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Annual Cost to Federal Government: $17

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: 10/03/2006

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