Government Performance and Results Act Client/Participant Outcome Measures

Forms and Documents

Document Name	Status
Form Client Outcome Ins GPRA Client Outcome Form and Instruction	Modified
0208-SS-A-12.11.15 CSAT.docx Supporting Statement A	2015-12-11
0208-SS-B-8.27.15 CSAT.docx Supporting Statement B	2015-12-11

IC Document Collections

IC ID	Document Title	Status
187484	GPRA Client Outcome Form and Instruction	Modified

ICR Details

OMB Control No: 0930-0208	ICR Reference No: 201512-0930-001
Status: Historical Active	Previous ICR Reference No: 201302-0930-003
Agency/Subagency: HHS/SAMHSA	Agency Tracking No: 18876
Title: Government Performance and Results Act Client/Participant Outcome Measures
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: 03/01/2016
	Date Received in OIRA: 12/22/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2019	36 Months From Approved	02/29/2016
Responses	1,257,647	0	1,061,956
Time Burden (Hours)	321,085	0	85,498
Cost Burden (Dollars)	0	0	0

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Abstract: SAMHSA uses the performance measures to report on the performance of its discretionary services grant programs. This information is collected using a client tool that provides CSAT the capacity to report for all of its discretionary program: particular populations served, numbers of people served, types and locations of particular activities supported, effectiveness across programs for particular populations, the characteristics and effectiveness across programs of activities relative to national, subpopulation and geographic area data and trends.

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Authorizing Statute(s): US Code: 5 USC 1105(a)(29) 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:
	80 FR 54797	09/11/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 76556	12/09/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
GPRA Client Outcome	Client Outcome Instrument	Client Outcome Instrument

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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	1,257,647	1,061,956	0	195,691	0	0
Annual Time Burden (Hours)	321,085	85,498	0	235,587	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 85,498 burden hours in the OMB inventory. CSAT is requesting 321,085 hours. The increase of 802,258 hours is a program change due to the addition in the number of overall grant programs and number of respondents receiving substance abuse treatment services.

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Annual Cost to Federal Government: $74,685

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: 12/22/2015

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