Addiction Technology Transfer Centers (ATTC) National Workforce Surveys

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Key Informant Tele Thought Leaders Tele Interviews	Form and Instruction	New	Available
Form Key Informant Tele Clinical Directors/Supervisors Tele Interviews	Form and Instruction	New	Available
Form Clinical Director Clinical Directors/Supervisors Web-based Survey	Form and Instruction	New	Available
Attachment 12 Revised.doc	Supplementary Document	Uploaded 2011-08-30	Available
Attachment 11 Revised.doc	Supplementary Document	Uploaded 2011-08-30	Available
Final_VERSION_SS_OMB_8_31_11.docx	Supporting Statement B	Uploaded 2011-08-31	Available
Attachment 13.doc	Supplementary Document	Uploaded 2011-06-08	Available
Attachment 12.doc	Supplementary Document	Uploaded 2011-06-08	Repair queued
Attachment 11.doc	Supplementary Document	Uploaded 2011-06-08	Available
Attachments4-10.pdf	Supplementary Document	Uploaded 2011-06-08	Available
Final_VERSION_SS_OMB_8_31_11.docx	Supporting Statement A	Uploaded 2011-08-31	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
198454	Thought Leaders Tele Interviews	Form and Instruction	New
198452	Clinical Directors/Supervisors Tele Interviews	Form and Instruction	New
198450	Clinical Directors/Supervisors Web-based Survey	Form and Instruction	New

ICR Details

OMB Control No: 0930-0328	ICR Reference No: 201107-0930-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Addiction Technology Transfer Centers (ATTC) National Workforce Surveys
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: 09/05/2011
	Date Received in OIRA: 07/07/2011
Terms of Clearance: If SAMHSA extends the collection, the agency will provide more precise information on the exact costs and burden of regional sampling.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2014	36 Months From Approved
Responses	619	0	0
Time Burden (Hours)	595	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The ATTC Network, a nationwide, multidisciplinary resource that draws upon the knowledge, experience and latest research of recognized experts in the field of addictions, is a SAMHSA/CSAT initiative formed in 1993 in response to a shortage of well-trained addiction and behavioral health professionals in the public sector. The ATTC Network works to enhance the knowledge, skills and aptitudes of the addiction/co-occurring and recovery services workforce by disseminating current health services research from the National Institute on Drug Abuse, National Institute on Alcohol Abuse and Alcoholism, National Institute of Mental Health, Agency for Health Care Policy and Research, National Institute of Justice, and other sources, as well as other SAMHSA programs. To accomplish this, the ATTC Network (1) develops and updates state-of-the-art research based curricula and professional development training, (2) coordinates and facilitates meetings between Single State Authorities, Provider Associations and other key stakeholders, and (3) provides ongoing technical assistance to individuals and organizations at the local, regional and national levels.

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Authorizing Statute(s): US Code: 42 USC 509 Name of Law: Priority Substance Abuse Treatment Needs of Regional and National Significance
  

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:
	76 FR 17931	03/31/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 33771	06/09/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Clinical Directors/Supervisors Web-based Survey	Clinical Director Survey, Clinical Director Survey	Clinical Director Survey ,   Clinical Director Survey Revised
Clinical Directors/Supervisors Tele Interviews	Key Informant Tele Inter Questionnaire	Key Informant Tele Inter Questionnaire
Thought Leaders Tele Interviews	Key Informant Tele Inter Questionnaire	Key Informant Tele Inter Questionnaire

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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	619	0	0	619	0	0
Annual Time Burden (Hours)	595	0	0	595	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: $72,870

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: 07/07/2011

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