National Survey of Substance Abuse Treatment Services (N-SSATS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Between Cycle N-SS Between Cycle N-SSATS (N-SSATS BC)	Form and Instruction	Modified	Available
Form Between Cycles N-S Between Cycles N-SSATS	Form and Instruction	Modified	Repair queued
Form Augmentation scree Augmentation screener	Form and Instruction	Unchanged	Available
Form N-SSATS 2016 Quest N-SSATS 2016 Questionnaire (Version B)	Form and Instruction	Modified	Available
Form N-SSATS 2017 Quest N-SSATS 2017 Questionnaire (Version A)	Form and Instruction	Modified	Available
Form N-SSATS 2016 CATI N-SSATS 2016 CATI questionnaire	Form and Instruction	Modified	Available
Form N-SSATS 2016 quest N-SSATS 2016 questionnaire - B	Form and Instruction	Modified	Available
Form Between Cycles N-S Between Cycles N-SSATS - A	Form and Instruction	Modified	Available
Form I-BHS Facility app I-BHS Facility application	Form and Instruction	Unchanged	Repair queued
Form I-BHS Online I-BHS Online	Form and Instruction	Unchanged	Available
Notice to N-SSATS facilities re Search Engine Sharing.pdf	Supplementary Document	Uploaded 2016-05-04	Repair queued
2016 N-SSATS Update to OMB.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2016-05-04	Available
OMB SS-B N-SSATS 07-30-15.docx	Supporting Statement B	Uploaded 2015-10-08	Available
OMB SS-A N-SSATS 12-11-15.docx	Supporting Statement A	Uploaded 2015-12-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
191116	N-SSATS BC	Form and Instruction	Modified	Between Cycle N-SSATS (N-SSATS BC)
191116	N-SSATS BC	Form and Instruction	Modified	Between Cycles N-SSATS
191115	Augmentation Screener	Form and Instruction	Unchanged	Augmentation screener
191114	N-SSATS	Form and Instruction	Modified	N-SSATS 2016 Questionnaire (Version B)
191114	N-SSATS	Form and Instruction	Modified	N-SSATS 2017 Questionnaire (Version A)
191114	N-SSATS	Form and Instruction	Modified	N-SSATS 2016 CATI questionnaire
191114	N-SSATS	Form and Instruction	Modified	N-SSATS 2016 questionnaire - B
191114	N-SSATS	Form and Instruction	Modified	Between Cycles N-SSATS - A
191113	I-BHS Application	Form and Instruction	Unchanged	I-BHS Facility application
191112	I-BHS	Form and Instruction	Unchanged	I-BHS Online

ICR Details

OMB Control No: 0930-0106	ICR Reference No: 201605-0930-002
Status: Historical Active	Previous ICR Reference No: 201510-0930-004
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: National Survey of Substance Abuse Treatment Services (N-SSATS)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/20/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/05/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2018	12/31/2018	12/31/2018
Responses	25,800	0	25,800
Time Burden (Hours)	11,754	0	11,754
Cost Burden (Dollars)	0	0	0

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Abstract: There has been a name change for this data collection; from "DASIS" to the "National Survey of Substance Abuse Treatment Services (N SSATS)." N-SSATS is the main survey component from the prior collection which provides both national and state-level data on the numbers and types of patients treated and the characteristics of facilities providing substance abuse treatment services.

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Authorizing Statute(s): US Code: 42 USC 505 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:
	80 FR 43449	07/22/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 60926	10/08/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Augmentation Screener	Augmentation screener	Augmentation screener
I-BHS	I-BHS Online	I-BHS Online
I-BHS Application	I-BHS Facility application	I-BHS Facility application
N-SSATS	N-SSATS 2017 Questionnaire (Version A), N-SSATS 2016 Questionnaire (Version B), Between Cycles N-SSATS - A, N-SSATS 2016 questionnaire - B, N-SSATS 2016 CATI questionnaire	Between Cycles N-SSATS - A ,   N-SSATS 2016 questionnaire - B ,   N-SSATS 2016 CATI questionnaire ,   N-SSATS 2017 Questionnaire (Version A) ,   N-SSATS 2016 Questionnaire (Version B)
N-SSATS BC	Between Cycle N-SSATS (N-SSATS BC), Between Cycles N-SSATS	Between Cycles N-SSATS ,   Between Cycle N-SSATS (N-SSATS BC)

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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	25,800	25,800	0	0	0	0
Annual Time Burden (Hours)	11,754	11,754	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: $6,400,000

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: 05/05/2016

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