2013 National Survey on Drug Use and Health (NSDUH)

Forms and Documents

Document Name	Status
Form Screening Question Household Screening Form and Instruction	Modified
Form CAI Questionnaire Interview Form and Instruction	Modified
2013 OMB SS 9_20_12_B.docx Supporting Statement B	2012-09-24
PDF 12 - Attachment W, X, Y, Z .pdf Supplementary Document	2011-06-23
PDF 11 - Attachment V.pdf Supplementary Document	2011-06-23
PDF 10 - Attachment T,U .pdf Supplementary Document	2011-06-23
Attachment T_2.pdf Supplementary Document	2012-06-27
Attachment T_1.pdf Supplementary Document	2012-06-27
PDF 9 - Attachment S.pdf Supplementary Document	2012-06-27
PDF 8 - Attachments F,G,R.pdf Supplementary Document	2012-06-27
PDF 7 - Attachments P,Q.pdf Supplementary Document	2012-06-27
PDF 6 - Attachments M,N,O.pdf Supplementary Document	2012-06-27
PDF 5 - Attachment K.pdf Supplementary Document	2012-06-27
PDF 4 - Attachments I,J.pdf Supplementary Document	2012-06-27
PDF 1 - Attachments A,C,D,E,L.pdf Supplementary Document	2012-06-27
2013 OMB SS 9_24_12_A.docx Supporting Statement A	2012-09-24

IC Document Collections

IC ID	Document Title	Status
43643	Household Screening Form and Instruction	Modified
195362	Interview Verification Instruction	Modified
195361	Screening Verification Instruction	Modified
195360	Clinical Follow-up Interview Instruction	Removed
195359	Clinical Follow-up Certification Instruction	Removed
195358	Interview Form and Instruction	Modified

ICR Details

OMB Control No: 0930-0110	ICR Reference No: 201207-0930-001
Status: Historical Active	Previous ICR Reference No: 201107-0930-002
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: 2013 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 with change	Conclusion Date: 09/27/2012
	Date Received in OIRA: 07/06/2012
Terms of Clearance: As shown by the changes made to this collection, SAMHSA shall continue to report consistent screening and burden numbers and detail its incentive policy.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2015	36 Months From Approved	08/31/2014
Responses	228,499	0	275,715
Time Burden (Hours)	80,614	0	85,991
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:
	77 FR 21985	04/12/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 34959	06/12/2012
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Household Screening	Screening Questions	Screening Questions
Interview	CAI Questionnaire	CAI Questionnaire
Screening Verification
Interview Verification
Clinical Follow-up Certification
Clinical Follow-up Interview

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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	228,499	275,715	0	-47,216	0	0
Annual Time Burden (Hours)	80,614	85,991	0	-5,377	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 85,991 total burden hours in the 2012 OMB inventory. The 2013 NSDUH is requesting 80,614 burden hours. The decrease of 5,377 burden hours is due to the cancellation of clinical follow-up interviews.

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Annual Cost to Federal Government: $14,408,745

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: 07/06/2012

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