Transformation Accountability (TRAC) Reporting System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Child Measures Client-Level	Form and Instruction	Modified	Repair queued
Form Result Form Infrastructure, Development, Prevention MH Abstraction	Form and Instruction	Modified	Repair queued
0285-SS_B-11.19. 13.doc	Supporting Statement B	Uploaded 2013-11-19	Available
0285-SS_A-11.19. 13.doc	Supporting Statement A	Uploaded 2013-11-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
46632	Client-Level	Form and Instruction	Modified
192393	Infrastructure, Development, Prevention MH Abstraction	Form and Instruction	Modified

ICR Details

OMB Control No: 0930-0285	ICR Reference No: 201302-0930-002
Status: Historical Active	Previous ICR Reference No: 201109-0930-006
Agency/Subagency: HHS/SAMHSA	Agency Tracking No: 18877
Title: Transformation Accountability (TRAC) Reporting System
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/19/2013
	Date Received in OIRA: 02/20/2013
Terms of Clearance: Ninety day from the date of OMB approval for this package, SAMHSA will submit a plan for any proposed future information collection of this type. This plan will include a discussion of census vs. sampling; universal vs. probabilistic or combined approaches for each type of information collected. The plan will also describe how the information collected is used by SAMHSA and HHS for non statistical purposes, and the impact that various sampling strategies may have on this use. Finally, SAMHSA will consider the relative time burdens for respondents and grantees under each approach, and the impacts of that time burden.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2015	36 Months From Approved	11/30/2013
Responses	19,449	0	19,449
Time Burden (Hours)	29,298	0	29,298
Cost Burden (Dollars)	0	0	0

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Abstract: This data activity is to provide a level of consistency with the NOMs domain in SAMHSA-wide data collection and reporting of performance measures across all of its Centers and programs. This particular activity will promote the use of consistent measures among CMHS programs, grantees and contractors funded through the Programs of Regional and National Significance (PRNS) and the Children Mental Health Initiative (CMHI) budget lines. The Consumer NOMs recommended by CMHS are a result of extensive examination and recommendations, by panels of staff, experts, and grantees. Wherever feasible, the proposed measures are consistent with or build upon previous data development efforts within CMHS.

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Authorizing Statute(s): US Code: 5 USC 1105 Name of Law: GPRA
  

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 74854	12/18/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 11667	02/19/2013
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Client-Level	Child Measures, Adult Measures	Child Measures ,   Adult Measures
Infrastructure, Development, Prevention MH Abstraction	Result Form	Result Form

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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	19,449	19,449	0	0	0	0
Annual Time Burden (Hours)	29,298	29,298	0	0	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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $2,989,494

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: 02/20/2013

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