Voluntary Customer Satisfaction Surveys to Implement Executive Order 12862 in the Substance Abuse and Mental Health Services Administration (SAMHSA)

ICR 200708-0930-006

OMB: 0930-0197

Federal Form Document

Forms and Documents
Document
Name
Status
Form
New
Justification for No Material/Nonsubstantive Change
2007-06-01
Supporting Statement A
2007-06-01
IC Document Collections
IC ID
Document
Title
Status
181720 New
ICR Details
0930-0197 200708-0930-006
Historical Active 200704-0930-005
HHS/SAMHSA
Voluntary Customer Satisfaction Surveys to Implement Executive Order 12862 in the Substance Abuse and Mental Health Services Administration (SAMHSA)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 10/12/2007
Retrieve Notice of Action (NOA) 08/20/2007
  Inventory as of this Action Requested Previously Approved
12/31/2007 12/31/2007 12/31/2007
30,150 0 30,150
15,225 0 15,225
0 0 0

SAMHSA provides significant directly to the public, including treatment providers and State substance abuse agencies, through a range of mechanisms, including publications, technical assistance and web sites. Many of these services are focused on information dissemination activities. The purpose of this submission is to obtain generic approval for satisfaction surveys of our customers.

None
None

Not associated with rulemaking

No

1
IC Title Form No. Form Name
SAIS OAS #1, SAIS Surveys and Letters OAS Survey ,   SAIS Surveys and Letters

  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 30,150 30,150 0 0 0 0
Annual Time Burden (Hours) 15,225 15,225 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
Saleda Perryman

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
08/20/2007


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