2012 National Survey on Drug Use and Health (NSDUH)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Attachment H Household Screening	Form and Instruction	Modified	Available
Form Attachment B Interview	Form and Instruction	Modified	Available
Response 30DayFRN.docx	Supplementary Document	Uploaded 2011-08-16	Available
Comment 30-DayFRN.pdf	Supplementary Document	Uploaded 2011-08-16	Available
SS-B.docx	Supporting Statement B	Uploaded 2011-07-07	Available
PDF 12 - Attachment W, X, Y, Z .pdf	Supplementary Document	Uploaded 2011-06-23	Available
PDF 11 - Attachment V.pdf	Supplementary Document	Uploaded 2011-06-23	Available
PDF 10 - Attachment T,U .pdf	Supplementary Document	Uploaded 2011-06-23	Available
PDF 9 - Attachment S .pdf	Supplementary Document	Uploaded 2011-06-23	Available
PDF 6 - Attachment M,N,O,P.pdf	Supplementary Document	Uploaded 2011-06-23	Available
PDF 5 - Attachment L.pdf	Supplementary Document	Uploaded 2011-06-23	Repair queued
PDF 8 - Attachment R .pdf	Supplementary Document	Uploaded 2011-06-23	Available
PDF 7 - Attachment Q.pdf	Supplementary Document	Uploaded 2011-06-23	Available
PDF 4 - Attachment I,J, K .pdf	Supplementary Document	Uploaded 2011-06-23	Available
PDF 1 - Attachments A,C,D,E,F,G.pdf	Supplementary Document	Uploaded 2011-06-23	Available
SS-A.docx	Supporting Statement A	Uploaded 2011-08-16	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	Modified
195361	Screening Verification	Instruction	Modified
195360	Clinical Follow-up Interview	Instruction	Modified
195359	Clinical Follow-up Certification	Instruction	Modified
195358	Interview	Form and Instruction	Modified

ICR Details

OMB Control No: 0930-0110	ICR Reference No: 201107-0930-002
Status: Historical Active	Previous ICR Reference No: 201011-0930-001
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: 2012 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: 08/23/2011
	Date Received in OIRA: 07/07/2011
Terms of Clearance: Added explanation of change in burden from decrease in Gulf Coast oversampling

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2014	36 Months From Approved	02/29/2012
Responses	275,715	0	283,795
Time Burden (Hours)	85,991	0	88,489
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: 42 USC 501 Name of Law: Data Collection
  

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 19380	04/07/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 37134	06/24/2011
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	Attachment H	Attachment H
Interview	Attachment B	Attachment B
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	275,715	283,795	0	-8,080	0	0
Annual Time Burden (Hours)	85,991	88,489	0	-2,498	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Currently there are 88,489 total burden hours in the 2011 OMB inventory. The 2012/2013 NSDUH is requesting 85,991 total burden hours. The decrease is due to the special Gulf Coast oversample of 2000 cases that was conducted in 2011 only.

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Annual Cost to Federal Government: $23,680,542

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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