Information Collection Request

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

ICR 201103-0930-003 · OMB 0930-0197 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form Coaching Satisfact Coaching Satisfaction Survey Form and Instruction New Available
Form OTP Report Survey Feedback Publication: OTP: 2013 State Profile Form and Instruction New Repair queued
Form Feedback Survey Project EVOLVE Feedback Survey Form and Instruction New Available
Form TA Partnership Sur TA CMHS Partnership Form and Instruction New Available
Form Follow-Up Survey TA CSAP Prevention Fellowship Program Form and Instruction New Repair queued
Form Data Users Satisfa Post Behavioral Health Data Users Conference Satisfaction Survey Form New Available
Form Attachment A Training and Technical Assistance Performance Measures Form and Instruction New Available
Form Contractor Attachm Child, Adolescent and Family Branch Technical Assistance Enterprise Feedback Survey Form and Instruction New Repair queued
Form Follow-Up Learning TA-Learning Event Feedback Survey Form and Instruction New Repair queued
Form Mid-Course Feedbac Mid-Course technical Assistance Feedback Form Form and Instruction New Repair queued
Form Surveys Child Adolescent and Family Branch Technical Assistance Feedback Surveys Form and Instruction New Available
Trans.Let-Zero Burden.doc Justification for No Material/Nonsubstantive Change Uploaded 2011-03-24 Available
0197-11-SS.doc Supporting Statement A Uploaded 2011-03-21 Available
IC Document Collections
IC IDCollectionTypeStatusForm
207899 Coaching Satisfaction Survey Form and Instruction New
207353 Feedback Publication: OTP: 2013 State Profile Form and Instruction New
206910 Project EVOLVE Feedback Survey Form and Instruction New
205153 TA CMHS Partnership Form and Instruction New
204313 TA CSAP Prevention Fellowship Program Form and Instruction New
203873 Post Behavioral Health Data Users Conference Satisfaction Survey Form New
203454 Training and Technical Assistance Performance Measures Form and Instruction New
203034 Child, Adolescent and Family Branch Technical Assistance Enterprise Feedback Survey Form and Instruction New
202287 TA-Learning Event Feedback Survey Form and Instruction New
202151 Mid-Course technical Assistance Feedback Form Form and Instruction New
197384 Child Adolescent and Family Branch Technical Assistance Feedback Surveys Form and Instruction New
ICR Details
0930-0197 201103-0930-003
Historical Active 201101-0930-003
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 04/13/2011
Retrieve Notice of Action (NOA) 03/26/2011
Approved consistent with previous terms of clearance and procedures for customer satisfaction generic clearances across the government; HHS/SAMHSA will provide each survey for OMB review, along with a brief justification, burden estimate and description of any statistical methods and any planned remuneration. Data and results are for internal agency use only and will not be released externally. SAMHSA must receive explicit OMB approval prior to beginning any collections under this generic clearance. Reviews will generally be accomplished within 10 days.
  Inventory as of this Action Requested Previously Approved
03/31/2014 03/31/2014 03/31/2014
90,000 0 90,000
23,063 0 23,063
0 0 0

SAMHSA provides significant services 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.

US Code: 42 USC 501 Name of Law: SAMHSA
  
None

Not associated with rulemaking

  75 FR 39533 07/09/2010
75 FR 58392 09/24/2010
No

  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 90,000 90,000 0 0 0 0
Annual Time Burden (Hours) 23,063 23,063 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$2,367,015
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Summer King 2402761243

  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.
03/25/2011