Addiction Technology Transfer Centers (ATTC) Network National Workforce Surveys

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Workforce Study Ke Key Staff Selected Treatment Organization Telephone Interview	Form and Instruction	New	Available
Form Workforce Study SS SSA Telephone Interview	Form and Instruction	New	Available
Form Workforce Study Pr Provider Association Survey	Form and Instruction	New	Available
Attachment 4_ATTC Workforce Study Interview Protocol_12-10-14.docx	Supplementary Document	Uploaded 2015-07-16	Available
Attachment 6_ATTC Literature Review_12-4-14.doc	Supplementary Document	Uploaded 2015-04-15	Available
Attachment 5_List ATTC Regional Centers 12-4-14.doc	Supplementary Document	Uploaded 2015-04-15	Available
OMB_SS-B_7-14-15.docx	Supporting Statement B	Uploaded 2015-07-16	Available
OMB_SS-A_7-14-15.docx	Supporting Statement A	Uploaded 2015-07-16	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
216133	Key Staff Selected Treatment Organization Telephone Interview	Form and Instruction	New
216132	SSA Telephone Interview	Form and Instruction	New
216130	Provider Association Survey	Form and Instruction	New

ICR Details

OMB Control No: 0930-0351	ICR Reference No: 201504-0930-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Addiction Technology Transfer Centers (ATTC) Network 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: 07/16/2015
	Date Received in OIRA: 04/16/2015
Terms of Clearance: In accordance with 5 CFR 1320, this information collection is approved for 3 years.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2018	36 Months From Approved
Responses	170	0	0
Time Burden (Hours)	133	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The ATTC study is designed to better understand how the industry is adapting and identify successful strategies in workforce recruitment, retention and development. This study intends to use three (3) instruments to collect original data related to understanding and guiding America's substance abuse treatment workforce efforts. This data collection effort will provide guidance to organizations, programs, states, and regions in improving their own workforce development efforts. These three (3) instruments will be outlined in section two (2) and include: Provider Association Survey, Telephone Interview of Single State Authorities (SSAs), and Telephone Interview of key staff at selected addiction treatment organizations.

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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:
	80 FR 6094	02/04/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 19333	04/10/2015
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
SSA Telephone Interview	Workforce Study SSA Interview Protocol	Workforce Study SSA Interview Protocol
Key Staff Selected Treatment Organization Telephone Interview	Workforce Study Key Staff Telephone Interview	Workforce Study Key Staff Telephone Interview
Provider Association Survey	Workforce Study Provider Assoc Dir Survey	Workforce Study Provider Assoc Dir Survey

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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	170	0	0	170	0	0
Annual Time Burden (Hours)	133	0	0	133	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: $105,940

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 04/16/2015

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