National Cross-Site Assessment of Addiction Technology Transfer Centers (ATTC) Network

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 2.6 CSAT Customer CSAT Customer Sat Survey Training Follow-up	Form and Instruction	Modified	Available
Form 2.5 CSAT Customer CSAT Customer Sat Survey Training	Form and Instruction	Modified	Available
Form 2.3 CSAT Customer CSAT Customer Sat Survey TA	Form and Instruction	Modified	Available
Form 2.2 CSAT Customer CSAT Customer Sat Survey Meeting Follow-up	Form and Instruction	Modified	Available
Form 2.1 CSAT Customer CSAT Customer Sat Survey Meeting	Form and Instruction	Modified	Available
Form 1.5 ATTC Follow-up ATTC Follow-up Event Cust Sat Survey Training	Form and Instruction	Modified	Available
Form 2.4 CSAT Customer CSAT Customer Sat Survey TA Follow-up	Form and Instruction	Modified	Repair queued
Form 1.4 ATTC Post Even ATTC Post Event Cust Sat Survey Training	Form and Instruction	Modified	Available
Form 1.3 ATTC Pre-Event ATTC Pre-Event Form Training	Form and Instruction	Modified	Available
Form 1.2 ATTC Pre-Event ATTC Pre-Event Form Meetings & TA	Form and Instruction	Modified	Available
Form 1.1 ATTC Event Des ATTC Event Description Form	Form and Instruction	Modified	Available
Form 2.6 CSAT Customer CSAT Customer Sat Survey Training Follow-up	Form and Instruction	New	Available
Form 2.5 CSAT Customer CSAT Customer Sat Survey Training	Form and Instruction	New	Available
Form 2.3 CSAT Customer CSAT Customer Sat Survey TA	Form and Instruction	New	Available
Form 2.2 CSAT Customer CSAT Customer Sat Survey Meeting Follow-up	Form and Instruction	New	Available
Form 2.1 CSAT Customer CSAT Customer Sat Survey Meeting	Form and Instruction	New	Available
Form 1.5 ATTC Follow-up ATTC Follow-up Event Cust Sat Survey Training	Form and Instruction	New	Available
Form 2.4 CSAT Customer CSAT Customer Sat Survey TA Follow-up	Form and Instruction	New	Available
Form 1.4 ATTC Post Even ATTC Post Event Cust Sat Survey Training	Form and Instruction	New	Available
Form 1.3 ATTC Pre-Event ATTC Pre-Event Form Training	Form and Instruction	New	Repair queued
Form 1.2 ATTC Pre-Event ATTC Pre-Event Form Meetings & TA	Form and Instruction	New	Available
Form 1.1 ATTC Event Des ATTC Event Description Form	Form and Instruction	New	Available
Form 2.6 CSAT Customer CSAT Customer Sat Survey Training Follow-up	Form and Instruction	New	Available
Form 2.5 CSAT Customer CSAT Customer Sat Survey Training	Form and Instruction	New	Available
Form 2.3 CSAT Customer CSAT Customer Sat Survey TA	Form and Instruction	New	Available
Form 2.2 CSAT Customer CSAT Customer Sat Survey Meeting Follow-up	Form and Instruction	New	Available
Form 1.5 ATTC Follow-up ATTC Follow-up Event Cust Sat Survey Training	Form and Instruction	New	Available
Form 2.4 CSAT Customer CSAT Customer Sat Survey TA Follow-up	Form and Instruction	New	Available
Form 1.4 ATTC Post Even ATTC Post Event Cust Sat Survey Training	Form and Instruction	New	Available
Form 1.3 ATTC Pre-Event ATTC Pre-Event Form Training	Form and Instruction	New	Available
Form 1.2 ATTC Pre-Event ATTC Pre-Event Form Meetings & TA	Form and Instruction	New	Available
Form 1.1 ATTC Event Des ATTC Event Description Form	Form and Instruction	New	Available
Form 2.1 CSAT Customer CSAT Customer Sat Survey Meeting	Form and Instruction	New	Available
Form 2.6 CSAT Customer CSAT Customer Sat Survey Training Follow-up	Form and Instruction	New	Available
Form 2.5 CSAT Customer CSAT Customer Sat Survey Training	Form and Instruction	New	Available
Form 2.2 CSAT Customer CSAT Customer Sat Survey Meeting Follow-up	Form and Instruction	New	Repair queued
Form 2.1 CSAT Customer CSAT Customer Sat Survey Meeting	Form and Instruction	New	Available
Form 1.5 ATTC Follow-up ATTC Follow-up Event Cust Sat Survey Training	Form and Instruction	New	Available
Form 2.4 CSAT Customer CSAT Customer Sat Survey TA Follow-up	Form and Instruction	New	Available
Form 1.4 ATTC Post Even ATTC Post Event Cust Sat Survey Training	Form and Instruction	New	Available
Form 1.3 ATTC Pre-Event ATTC Pre-Event Form Training	Form and Instruction	New	Available
Form 1.2 ATTC Pre-Event ATTC Pre-Event Form Meetings & TA	Form and Instruction	New	Available
Form 1.1 ATTC Event Des ATTC Event Description Form	Form and Instruction	New	Available
Form 2.3 CSAT Customer CSAT Customer Sat Survey TA	Form and Instruction	New	Available
Form 2.6 CSAT Customer CSAT Customer Sat Survey Training Follow-up	Form and Instruction	New	Available
Form 2.5 CSAT Customer CSAT Customer Sat Survey Training	Form and Instruction	New	Available
Form 2.3 CSAT Customer CSAT Customer Sat Survey TA	Form and Instruction	New	Available
Form 2.2 CSAT Customer CSAT Customer Sat Survey Meeting Follow-up	Form and Instruction	New	Available
Form 2.1 CSAT Customer CSAT Customer Sat Survey Meeting	Form and Instruction	New	Available
Form 2.4 CSAT Customer CSAT Customer Sat Survey TA Follow-up	Form and Instruction	New	Available
Form 1.4 ATTC Post Even ATTC Post Event Cust Sat Survey Training	Form and Instruction	New	Available
Form 1.3 ATTC Pre-Event ATTC Pre-Event Form Training	Form and Instruction	New	Available
Form 1.2 ATTC Pre-Event ATTC Pre-Event Form Meetings & TA	Form and Instruction	New	Available
Form 1.1 ATTC Event Des ATTC Event Description Form	Form and Instruction	New	Available
Form 1.5 ATTC Follow-up ATTC Follow-up Event Cust Sat Survey Training	Form and Instruction	New	Available
1Supporting Statement - National Cross-Site Assessment of ATTC 9-25-06 doc.rtf	Supporting Statement B	Uploaded 2007-02-19	Source copy available
1Supporting Statement - National Cross-Site Assessment of ATTC 9-25-06.doc.rtf	Supporting Statement A	Uploaded 2006-12-28	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
7618	National Cross-Site Assessment of Addiction Technology Transfer Centers (ATTC) Network	Form and Instruction	Modified	CSAT Customer Sat Survey Training Follow-up
7618	National Cross-Site Assessment of Addiction Technology Transfer Centers (ATTC) Network	Form and Instruction	Modified	CSAT Customer Sat Survey Training
7618	National Cross-Site Assessment of Addiction Technology Transfer Centers (ATTC) Network	Form and Instruction	Modified	CSAT Customer Sat Survey TA
7618	National Cross-Site Assessment of Addiction Technology Transfer Centers (ATTC) Network	Form and Instruction	Modified	CSAT Customer Sat Survey Meeting Follow-up
7618	National Cross-Site Assessment of Addiction Technology Transfer Centers (ATTC) Network	Form and Instruction	Modified	CSAT Customer Sat Survey Meeting
7618	National Cross-Site Assessment of Addiction Technology Transfer Centers (ATTC) Network	Form and Instruction	Modified	ATTC Follow-up Event Cust Sat Survey Training
7618	National Cross-Site Assessment of Addiction Technology Transfer Centers (ATTC) Network	Form and Instruction	Modified	CSAT Customer Sat Survey TA Follow-up
7618	National Cross-Site Assessment of Addiction Technology Transfer Centers (ATTC) Network	Form and Instruction	Modified	ATTC Post Event Cust Sat Survey Training
7618	National Cross-Site Assessment of Addiction Technology Transfer Centers (ATTC) Network	Form and Instruction	Modified	ATTC Pre-Event Form Training
7618	National Cross-Site Assessment of Addiction Technology Transfer Centers (ATTC) Network	Form and Instruction	Modified	ATTC Pre-Event Form Meetings & TA
7618	National Cross-Site Assessment of Addiction Technology Transfer Centers (ATTC) Network	Form and Instruction	Modified	ATTC Event Description Form
46705	ATTC	Form and Instruction	New	CSAT Customer Sat Survey Training Follow-up
46705	ATTC	Form and Instruction	New	CSAT Customer Sat Survey Training
46705	ATTC	Form and Instruction	New	CSAT Customer Sat Survey TA
46705	ATTC	Form and Instruction	New	CSAT Customer Sat Survey Meeting Follow-up
46705	ATTC	Form and Instruction	New	CSAT Customer Sat Survey Meeting
46705	ATTC	Form and Instruction	New	ATTC Follow-up Event Cust Sat Survey Training
46705	ATTC	Form and Instruction	New	CSAT Customer Sat Survey TA Follow-up
46705	ATTC	Form and Instruction	New	ATTC Post Event Cust Sat Survey Training
46705	ATTC	Form and Instruction	New	ATTC Pre-Event Form Training
46705	ATTC	Form and Instruction	New	ATTC Pre-Event Form Meetings & TA
46705	ATTC	Form and Instruction	New	ATTC Event Description Form
46704	ATTC	Form and Instruction	New	CSAT Customer Sat Survey Training Follow-up
46704	ATTC	Form and Instruction	New	CSAT Customer Sat Survey Training
46704	ATTC	Form and Instruction	New	CSAT Customer Sat Survey TA
46704	ATTC	Form and Instruction	New	CSAT Customer Sat Survey Meeting Follow-up
46704	ATTC	Form and Instruction	New	ATTC Follow-up Event Cust Sat Survey Training
46704	ATTC	Form and Instruction	New	CSAT Customer Sat Survey TA Follow-up
46704	ATTC	Form and Instruction	New	ATTC Post Event Cust Sat Survey Training
46704	ATTC	Form and Instruction	New	ATTC Pre-Event Form Training
46704	ATTC	Form and Instruction	New	ATTC Pre-Event Form Meetings & TA
46704	ATTC	Form and Instruction	New	ATTC Event Description Form
46704	ATTC	Form and Instruction	New	CSAT Customer Sat Survey Meeting
46703	ATTC	Form and Instruction	New	CSAT Customer Sat Survey Training Follow-up
46703	ATTC	Form and Instruction	New	CSAT Customer Sat Survey Training
46703	ATTC	Form and Instruction	New	CSAT Customer Sat Survey Meeting Follow-up
46703	ATTC	Form and Instruction	New	CSAT Customer Sat Survey Meeting
46703	ATTC	Form and Instruction	New	ATTC Follow-up Event Cust Sat Survey Training
46703	ATTC	Form and Instruction	New	CSAT Customer Sat Survey TA Follow-up
46703	ATTC	Form and Instruction	New	ATTC Post Event Cust Sat Survey Training
46703	ATTC	Form and Instruction	New	ATTC Pre-Event Form Training
46703	ATTC	Form and Instruction	New	ATTC Pre-Event Form Meetings & TA
46703	ATTC	Form and Instruction	New	ATTC Event Description Form
46703	ATTC	Form and Instruction	New	CSAT Customer Sat Survey TA
46701	ATTC	Form and Instruction	New	CSAT Customer Sat Survey Training Follow-up
46701	ATTC	Form and Instruction	New	CSAT Customer Sat Survey Training
46701	ATTC	Form and Instruction	New	CSAT Customer Sat Survey TA
46701	ATTC	Form and Instruction	New	CSAT Customer Sat Survey Meeting Follow-up
46701	ATTC	Form and Instruction	New	CSAT Customer Sat Survey Meeting
46701	ATTC	Form and Instruction	New	CSAT Customer Sat Survey TA Follow-up
46701	ATTC	Form and Instruction	New	ATTC Post Event Cust Sat Survey Training
46701	ATTC	Form and Instruction	New	ATTC Pre-Event Form Training
46701	ATTC	Form and Instruction	New	ATTC Pre-Event Form Meetings & TA
46701	ATTC	Form and Instruction	New	ATTC Event Description Form
46701	ATTC	Form and Instruction	New	ATTC Follow-up Event Cust Sat Survey Training

ICR Details

OMB Control No: 0930-0216	ICR Reference No: 200701-0930-003
Status: Historical Active	Previous ICR Reference No: 200308-0930-002
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: National Cross-Site Assessment of Addiction Technology Transfer Centers (ATTC) Network
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/20/2007
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/12/2007
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2010	36 Months From Approved	02/28/2007
Responses	63,950	0	23,260
Time Burden (Hours)	9,200	0	7,010
Cost Burden (Dollars)	0	0	0

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Abstract: The ATTC Network is a nationwide, multi-disciplinary resource that draws upon the knowledge, experience, and latest research of recognized experts in the field of addictions. The network is comprised of 14 ATTCs representing all States, the District of Columbia, Puerto Rico, the Virgin Islands and the Pacific Islands and a National Office to coordinate cross-site activities. Training activities, meetings and technical assistance are provided to treatment professionals through the network. The National Cross-Site Assessment will obtain pre-event information from all participants as well as.......

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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
  

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 36820	06/28/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 77767	12/27/2006
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
ATTC	2.4 CSAT Customer Sat Survey TA Follow-up, 1.5 ATTC Follow-up Event Cust Sat Survey Training, 2.1 CSAT Customer Sat Survey Meeting, 2.2 CSAT Customer Sat Survey Meeting Follow-up, 2.3 CSAT Customer Sat Survey TA, 2.5 CSAT Customer Sat Survey Training, 2.6 CSAT Customer Sat Survey Training Follow-up, 1.2 ATTC Pre-Event Form Meetings & TA, 1.1 ATTC Event Description Form, 1.3 ATTC Pre-Event Form Training, 1.4 ATTC Post Event Cust Sat Survey Training	ATTC Event Description Form ,   ATTC Pre-Event Form Meetings & TA ,   ATTC Pre-Event Form Training ,   ATTC Post Event Cust Sat Survey Training ,   CSAT Customer Sat Survey TA Follow-up ,   ATTC Follow-up Event Cust Sat Survey Training ,   CSAT Customer Sat Survey Meeting ,   CSAT Customer Sat Survey Meeting Follow-up ,   CSAT Customer Sat Survey TA ,   CSAT Customer Sat Survey Training ,   CSAT Customer Sat Survey Training Follow-up
ATTC	1.2 ATTC Pre-Event Form Meetings & TA, 1.3 ATTC Pre-Event Form Training, 1.4 ATTC Post Event Cust Sat Survey Training, 2.2 CSAT Customer Sat Survey Meeting Follow-up, 2.3 CSAT Customer Sat Survey TA, 2.5 CSAT Customer Sat Survey Training, 2.6 CSAT Customer Sat Survey Training Follow-up, 2.4 CSAT Customer Sat Survey TA Follow-up, 1.5 ATTC Follow-up Event Cust Sat Survey Training, 2.1 CSAT Customer Sat Survey Meeting, 1.1 ATTC Event Description Form	ATTC Event Description Form ,   ATTC Pre-Event Form Meetings & TA ,   ATTC Pre-Event Form Training ,   ATTC Post Event Cust Sat Survey Training ,   CSAT Customer Sat Survey TA Follow-up ,   ATTC Follow-up Event Cust Sat Survey Training ,   CSAT Customer Sat Survey Meeting ,   CSAT Customer Sat Survey Meeting Follow-up ,   CSAT Customer Sat Survey TA ,   CSAT Customer Sat Survey Training ,   CSAT Customer Sat Survey Training Follow-up
ATTC	1.1 ATTC Event Description Form, 1.2 ATTC Pre-Event Form Meetings & TA, 1.3 ATTC Pre-Event Form Training, 1.4 ATTC Post Event Cust Sat Survey Training, 2.4 CSAT Customer Sat Survey TA Follow-up, 1.5 ATTC Follow-up Event Cust Sat Survey Training, 2.1 CSAT Customer Sat Survey Meeting, 2.2 CSAT Customer Sat Survey Meeting Follow-up, 2.3 CSAT Customer Sat Survey TA, 2.5 CSAT Customer Sat Survey Training, 2.6 CSAT Customer Sat Survey Training Follow-up	ATTC Event Description Form ,   ATTC Pre-Event Form Meetings & TA ,   ATTC Pre-Event Form Training ,   ATTC Post Event Cust Sat Survey Training ,   CSAT Customer Sat Survey TA Follow-up ,   ATTC Follow-up Event Cust Sat Survey Training ,   CSAT Customer Sat Survey Meeting ,   CSAT Customer Sat Survey Meeting Follow-up ,   CSAT Customer Sat Survey TA ,   CSAT Customer Sat Survey Training ,   CSAT Customer Sat Survey Training Follow-up
ATTC	1.1 ATTC Event Description Form, 1.2 ATTC Pre-Event Form Meetings & TA, 1.3 ATTC Pre-Event Form Training, 1.4 ATTC Post Event Cust Sat Survey Training, 2.4 CSAT Customer Sat Survey TA Follow-up, 1.5 ATTC Follow-up Event Cust Sat Survey Training, 2.1 CSAT Customer Sat Survey Meeting, 2.2 CSAT Customer Sat Survey Meeting Follow-up, 2.3 CSAT Customer Sat Survey TA, 2.5 CSAT Customer Sat Survey Training, 2.6 CSAT Customer Sat Survey Training Follow-up	ATTC Event Description Form ,   ATTC Pre-Event Form Meetings & TA ,   ATTC Pre-Event Form Training ,   ATTC Post Event Cust Sat Survey Training ,   CSAT Customer Sat Survey TA Follow-up ,   ATTC Follow-up Event Cust Sat Survey Training ,   CSAT Customer Sat Survey Meeting ,   CSAT Customer Sat Survey Meeting Follow-up ,   CSAT Customer Sat Survey TA ,   CSAT Customer Sat Survey Training ,   CSAT Customer Sat Survey Training Follow-up
National Cross-Site Assessment of Addiction Technology Transfer Centers (ATTC) Network	1.1 ATTC Event Description Form, 1.2 ATTC Pre-Event Form Meetings & TA, 1.3 ATTC Pre-Event Form Training, 1.4 ATTC Post Event Cust Sat Survey Training, 2.4 CSAT Customer Sat Survey TA Follow-up, 1.5 ATTC Follow-up Event Cust Sat Survey Training, 2.1 CSAT Customer Sat Survey Meeting, 2.2 CSAT Customer Sat Survey Meeting Follow-up, 2.3 CSAT Customer Sat Survey TA, 2.5 CSAT Customer Sat Survey Training, 2.6 CSAT Customer Sat Survey Training Follow-up	ATTC Event Description Form ,   ATTC Pre-Event Form Meetings & TA ,   ATTC Pre-Event Form Training ,   ATTC Post Event Cust Sat Survey Training ,   CSAT Customer Sat Survey TA Follow-up ,   ATTC Follow-up Event Cust Sat Survey Training ,   CSAT Customer Sat Survey Meeting ,   CSAT Customer Sat Survey Meeting Follow-up ,   CSAT Customer Sat Survey TA ,   CSAT Customer Sat Survey Training ,   CSAT Customer Sat Survey Training Follow-up

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ICR Summary of Burden

table that charts list 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	63,950	23,260	10,950	18,790	10,950	0
Annual Time Burden (Hours)	9,200	7,010	0	2,190	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The increase of 2,190 hours are due to a program change that results from an increase in the number of persons to be served by the ATTC Network.

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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: 12/28/2006

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