Measures of Co-Occurring Infrastructure

Forms and Documents

Document Name	Status
Form Instrument Measures of Co-Occurring Infractructure Form and Instruction	Modified
Form Instruments Co-Occurring Form and Instruction	New
Co-occur-SS-Questions Final 1a3.doc Supporting Statement B	2008-06-12
ZIALOGIC.PDF Supplementary Document	2006-09-15
shelton.PDF Supplementary Document	2006-09-15
Primrose.PDF Supplementary Document	2006-09-15
Deal.PDF Supplementary Document	2006-09-15
ZIALOGIC.PDF Supplementary Document	2006-09-15
shelton.PDF Supplementary Document	2006-09-15
Primrose.PDF Supplementary Document	2006-09-15
Deal.PDF Supplementary Document	2006-09-15
Co-occur-SS-Questions Final 1a3.doc Supporting Statement A	2008-06-12

IC Document Collections

IC ID	Document Title	Status
45602	Measures of Co-Occurring Infractructure Form and Instruction	Modified
185370	Co-Occurring Form and Instruction	New

ICR Details

OMB Control No: 0930-0284	ICR Reference No: 200806-0930-002
Status: Historical Active	Previous ICR Reference No: 200610-0930-001
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Measures of Co-Occurring Infrastructure
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/25/2008
	Date Received in OIRA: 06/17/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2011	36 Months From Approved	08/31/2008
Responses	540	0	242
Time Burden (Hours)	2,457	0	1,101
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: 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:
	73 FR 2267	01/14/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 33443	06/12/2008
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

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

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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	540	242	0	298	0	0
Annual Time Burden (Hours)	2,457	1,101	0	1,356	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: Currently, there are 1,101 total burden hours. The Program is requesting 1,356. The increase of 255 hours is due to an overall increase in the number of providers participating in the Program. The number of participating States has decreased.

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Annual Cost to Federal Government: $19,416

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: 06/17/2008

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