Access to Recovery (ATR) Program Cross-Site Evaluation

Forms and Documents

Document Name	Status
Form Attachment 3 - Cli ATR Evaluation Form and Instruction	New
Attachment 6_Client Survey Supporting Documents.doc Supplementary Document	2009-04-01
ATR Supporting Statement_10-2008.doc Supporting Statement B	2008-11-12
ATR_OMB Package_10-2008.zip Supplementary Document	2008-11-12
ATR Supporting Statement_3-16-09_clean.doc Supporting Statement A	2009-04-01

IC Document Collections

IC ID	Document Title	Status
187249	ATR Evaluation Form and Instruction	New

ICR Details

OMB Control No: 0930-0299	ICR Reference No: 200811-0930-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Access to Recovery (ATR) Program Cross-Site Evaluation
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: 04/10/2009
	Date Received in OIRA: 11/17/2008
Terms of Clearance: Approved consisted with revised documents uploaded on 04/01/2009.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2012	36 Months From Approved
Responses	11,412	0	0
Time Burden (Hours)	3,141	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The "Access to Recovery" (ATR) Program Cross-Site Evaluation will collect data using two surveys: the ATR Client Survey and the ATR Provider Survey. The client survey will be administered to individuals who have received or are receiving substance abuse services funded through the ATR Program. The provider survey will be administered to substance abuse service provider organizations participating in the ATR Program.

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Authorizing Statute(s): US Code: 5 USC 501 Name of Law: SAMHSA
  

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 42584	07/22/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 66917	11/12/2008
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
ATR Evaluation	Attachment 3 - Client Survey, Attachment 4 - Provider Survey	Attachment 3 - Client Survey ,   Attachment 4 - Provider Survey

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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	11,412	0	0	11,412	0	0
Annual Time Burden (Hours)	3,141	0	0	3,141	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 data collection.

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Annual Cost to Federal Government: $1,514,858

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: 11/17/2008

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