2015 National Survey on Drug Use and Health (NSDUH)

Forms and Documents

Document Name	Status
Form Screening Household Screening Form and Instruction	Modified
Form Scripts Interview Verification Form and Instruction	Modified
Form Scripts Screening Verification Form and Instruction	Modified
Form 2015 Questionnaire Interview Form and Instruction	Modified
PDF 11 - att D Z.pdf Supplementary Document	2014-06-10
PDF 10 - att B C.pdf Supplementary Document	2014-06-10
PDF 8 - att S.pdf Supplementary Document	2014-06-10
PDF 7 - att N O.pdf Supplementary Document	2014-06-10
PDF 6 - att A P W.pdf Supplementary Document	2014-06-10
PDF 5 - att R I.pdf Supplementary Document	2014-06-10
PDF 4 - att F V.pdf Supplementary Document	2014-06-10
2015 NSDUH_OMB SS-B_8_21_2014.docx Supporting Statement B	2014-08-21
2015 NSDUH_OMB SS-A_8_21_2014.docx Supporting Statement A	2014-08-21

IC Document Collections

IC ID	Document Title	Status
43643	Household Screening Form and Instruction	Modified
195362	Interview Verification Form and Instruction	Modified
195361	Screening Verification Form and Instruction	Modified
195358	Interview Form and Instruction	Modified

ICR Details

OMB Control No: 0930-0110	ICR Reference No: 201406-0930-003
Status: Historical Active	Previous ICR Reference No: 201307-0930-002
Agency/Subagency: HHS/SAMHSA	Agency Tracking No: 19864
Title: 2015 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: 08/21/2014
	Date Received in OIRA: 06/18/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2017	36 Months From Approved	09/30/2016
Responses	206,564	0	200,389
Time Burden (Hours)	78,826	0	78,317
Cost Burden (Dollars)	0	0	0

---

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.

---

Authorizing Statute(s): US Code: 42 USC 501 Name of Law: Data Collection
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 22823	04/24/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 35759	06/24/2014
Did the Agency receive public comments on this ICR? Yes

---

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

IC Title	Form No.	Form Name
Household Screening	Screening	Screening
Interview	2015 Questionnaire	2015 Questionnaire
Screening Verification	Scripts	Scripts
Interview Verification	Scripts	Scripts

---

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	206,564	200,389	0	6,175	0	0
Annual Time Burden (Hours)	78,826	78,317	0	509	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: Currently there are 78,317 total burden hours in the 2014 OMB inventory. The 2015 NSDUH is requesting 78,827 burden hours. This program change represents an increase of 510 burden hours. This slight increase is due to a decline in response rates, which results in the need to contact additional dwelling units to yield the targeted number of completed interviews.

---

Annual Cost to Federal Government: $14,758,202

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

---

Common Form ICR:  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:

(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: 06/18/2014

---