2011 National Survey on Drug Use and Health (NSDUH)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Survey Household Screening	Form and Instruction	Modified	Available
OMB_Supporting_Statement_Gulf_111810.doc	Supporting Statement B	Uploaded 2010-11-18	Available
Attachment AA.doc	Supplementary Document	Uploaded 2010-11-15	Available
NSDUH_2010_attachments.zip	Supplementary Document	Uploaded 2009-06-09	Repair queued
NSDUH_2010_Screener.zip	Supplementary Document	Uploaded 2009-06-09	Available
Final Package Attachments.zip	Supplementary Document	Uploaded 2008-06-24	Repair queued
OMB_Supporting_Statement_Gulf_11-23-10.doc	Supporting Statement A	Uploaded 2010-11-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43643	Household Screening	Form and Instruction	Modified
195362	Interview Verification	Instruction	New
195361	Screening Verification	Instruction	New
195360	Clinical Follow-up Interview	Instruction	New
195359	Clinical Follow-up Certification	Instruction	New
195358	Interview	Instruction	New

ICR Details

OMB Control No: 0930-0110	ICR Reference No: 201011-0930-001
Status: Historical Active	Previous ICR Reference No: 201009-0930-001
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: 2011 National Survey on Drug Use and Health (NSDUH)
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: 12/22/2010
	Date Received in OIRA: 11/18/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2012	01/31/2012	01/31/2012
Responses	283,795	0	190,890
Time Burden (Hours)	88,489	0	85,966
Cost Burden (Dollars)	0	0	0

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Abstract: The NSDUH (formerly the National Household Survey on Drug Abuse) is a survey of the civilian, noninstitutionalized population of the United States, age 12 and over. The data are used to estimate the prevalence of cigarette, alcohol and illicit drug use, and abuse of licit drugs. Results are used by SAMHSA, ONDCP, and other Federal agencies and other researchers and organizations to establish policy, direct program activities, and better allocate resources.

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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:
	75 FR 63486	10/15/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 69672	11/15/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Household Screening	Survey, Survey	Survey ,   Survey
Interview
Clinical Follow-up Certification
Clinical Follow-up Interview
Screening Verification
Interview Verification

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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	283,795	190,890	0	92,905	0	0
Annual Time Burden (Hours)	88,489	85,966	0	2,523	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: Currently there are 85,966 total burden hours in the 2010 OMB inventory. The 2011 NSDUH is requesting 88,489 total burden hours. The increase of 2,523 hours is due to oversampling persons impacted by the oil spill. The increase of 92,905 responses in the OMB database includes a slight increase in the number responses due to the addition of gulf oil spill respondents. The larger increase in the number of responses is due to the proper calculations in the OMB database after the respondents are screened. Now the number of responses reflects the fact that several of the respondents will respond to more than one of data collection instruments. This was not properly reflected in the previous collection.

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Annual Cost to Federal Government: $16,160,260

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 11/18/2010

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