Government Performance and Results Act Client/Participant Outcome Measures

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Attachment 2-2 CSA Attachment 2-2 CSAP Instruments	Form and Instruction	Modified	Available
Form Attachment 1-2 CSA Attachment 1-2 CSAT Instruments	Form and Instruction	Modified	Available
Form Attachment 2-1 CSA Attachment 2-1 CSAP Instructions	Form and Instruction	Modified	Available
Form Attachment 1-1 CSA Attachment 1-1 CSAT Instructions	Form and Instruction	Modified	Available
Form Attachment 2-2 CSA Attachment 2-2 CSAP Instruments	Form and Instruction	New	Available
Form Attachment 1-2 CSA Attachment 1-2 CSAT Instruments	Form and Instruction	New	Available
Form Attachment 2-1 CSA Attachment 2-1 CSAP Instructions	Form and Instruction	New	Available
Form Attachment 1-1 CSA Attachment 1-1 CSAT Instructions	Form and Instruction	New	Available
Form Attachment 2-2 CSA Attachment 2-2 CSAP Instruments	Form and Instruction	New	Available
Form Attachment 1-2 CSA Attachment 1-2 CSAT Instruments	Form and Instruction	New	Available
Form Attachment 1-1 CSA Attachment 1-1 CSAT Instructions	Form and Instruction	New	Available
Form Attachment 2-1 CSA Attachment 2-1 CSAP Instructions	Form and Instruction	New	Available
Form Attachment 2-2 CSA Attachment 2-2 CSAP Instruments	Form and Instruction	New	Available
Form Attachment 1-2 CSA Attachment 1-2 CSAT Instruments	Form and Instruction	New	Available
Form Attachment 2-1 CSA Attachment 2-1 CSAP Instructions	Form and Instruction	New	Available
Form Attachment 1-1 CSA Attachment 1-1 CSAT Instructions	Form and Instruction	New	Available
HHS SAMHSA Terms Memo 1-3-07.doc	Supplementary Document	Uploaded 2007-05-23	Available
0208-06-SS-11-28-06.doc	Supporting Statement B	Uploaded 2007-01-08	Available
0208-06-SS-11-28-06.doc	Supporting Statement A	Uploaded 2007-01-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
7607	Government Performance and Results Act Client/Participant Outcome Measures	Form and Instruction	Modified	Attachment 2-2 CSAP Instruments
7607	Government Performance and Results Act Client/Participant Outcome Measures	Form and Instruction	Modified	Attachment 1-2 CSAT Instruments
7607	Government Performance and Results Act Client/Participant Outcome Measures	Form and Instruction	Modified	Attachment 2-1 CSAP Instructions
7607	Government Performance and Results Act Client/Participant Outcome Measures	Form and Instruction	Modified	Attachment 1-1 CSAT Instructions
178311	CSAP/CSAT GPRA	Form and Instruction	New	Attachment 2-2 CSAP Instruments
178311	CSAP/CSAT GPRA	Form and Instruction	New	Attachment 1-2 CSAT Instruments
178311	CSAP/CSAT GPRA	Form and Instruction	New	Attachment 2-1 CSAP Instructions
178311	CSAP/CSAT GPRA	Form and Instruction	New	Attachment 1-1 CSAT Instructions
178310	CSAP/CSAT GPRA	Form and Instruction	New	Attachment 2-2 CSAP Instruments
178310	CSAP/CSAT GPRA	Form and Instruction	New	Attachment 1-2 CSAT Instruments
178310	CSAP/CSAT GPRA	Form and Instruction	New	Attachment 1-1 CSAT Instructions
178310	CSAP/CSAT GPRA	Form and Instruction	New	Attachment 2-1 CSAP Instructions
178309	CSAP/CSAT GPRA	Form and Instruction	New	Attachment 2-2 CSAP Instruments
178309	CSAP/CSAT GPRA	Form and Instruction	New	Attachment 1-2 CSAT Instruments
178309	CSAP/CSAT GPRA	Form and Instruction	New	Attachment 2-1 CSAP Instructions
178309	CSAP/CSAT GPRA	Form and Instruction	New	Attachment 1-1 CSAT Instructions

ICR Details

OMB Control No: 0930-0208	ICR Reference No: 200701-0930-004
Status: Historical Active	Previous ICR Reference No: 200503-0930-001
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Government Performance and Results Act Client/Participant Outcome Measures
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: 06/06/2007
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/16/2007
Terms of Clearance: Approved consistent with SAMHSA memo responding to prior OMB Terms of clearance.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2010	36 Months From Approved	06/30/2007
Responses	224,906	0	337,810
Time Burden (Hours)	20,170	0	24,960
Cost Burden (Dollars)	0	0	0

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Abstract: SAMHSA uses the performance measures to report on the performance of its discretionary services grant programs. The information is used by individuals at three different levels: the SAMHSA administrator and staff, the Center administrators and government project officers, and grantees.

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Authorizing Statute(s): US Code: 5 USC 1105(a)(29) Name of Law: GPRA
  

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 54298	09/14/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 794	01/08/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
CSAP/CSAT GPRA	Attachment 1-1 CSAT Instructions, Attachment 2-1 CSAP Instructions, Attachment 1-2 CSAT Instruments, Attachment 2-2 CSAP Instruments	Attachment 1-1 CSAT Instructions ,   Attachment 2-1 CSAP Instructions ,   Attachment 1-2 CSAT Instruments ,   Attachment 2-2 CSAP Instruments
CSAP/CSAT GPRA	Attachment 1-1 CSAT Instructions, Attachment 2-1 CSAP Instructions, Attachment 1-2 CSAT Instruments, Attachment 2-2 CSAP Instruments	Attachment 1-1 CSAT Instructions ,   Attachment 2-1 CSAP Instructions ,   Attachment 1-2 CSAT Instruments ,   Attachment 2-2 CSAP Instruments
CSAP/CSAT GPRA	Attachment 1-1 CSAT Instructions, Attachment 2-1 CSAP Instructions, Attachment 1-2 CSAT Instruments, Attachment 2-2 CSAP Instruments	Attachment 1-1 CSAT Instructions ,   Attachment 2-1 CSAP Instructions ,   Attachment 1-2 CSAT Instruments ,   Attachment 2-2 CSAP Instruments
Government Performance and Results Act Client/Participant Outcome Measures	Attachment 1-1 CSAT Instructions, Attachment 2-1 CSAP Instructions, Attachment 1-2 CSAT Instruments, Attachment 2-2 CSAP Instruments	Attachment 1-1 CSAT Instructions ,   Attachment 2-1 CSAP Instructions ,   Attachment 1-2 CSAT Instruments ,   Attachment 2-2 CSAP Instruments

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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	224,906	337,810	2,340,948	-2,453,852	0	0
Annual Time Burden (Hours)	20,170	24,960	0	-4,790	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: Changing Forms

Short Statement: SAMHSA is requesting a total of 20,170 burden hours, a decrease of 4,790 hours.

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Annual Cost to Federal Government: $7,869,279

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: 01/09/2007

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