2017 National Survey on Drug Use and Health (NSDUH)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Screening Question Household Screening	Form and Instruction	Modified	Available
Form CATI Verifications Interview Verification	Form and Instruction	Modified	Available
Form CATI Verifications Screening Verification	Form and Instruction	Modified	Available
Form CAI Questionnaire Interview	Form and Instruction	Modified	Available
2017 NSDUH SS-A 5-31-2016.docx	Supporting Statement A	Uploaded 2016-05-31	Available
2017 NSDUH_PDF 9 (ATT H U W).pdf	Supplementary Document	Uploaded 2016-05-31	Available
2017 NSDUH_PDF 8 (ATT P).pdf	Supplementary Document	Uploaded 2016-05-31	Available
2017 NSDUH_PDF 7 (ATT J K).pdf	Supplementary Document	Uploaded 2016-05-31	Repair queued
2017 NSDUH_PDF 6 (ATT A L S).pdf	Supplementary Document	Uploaded 2016-05-31	Available
2017 NSDUH_PDF 5 (ATT N).pdf	Supplementary Document	Uploaded 2016-05-31	Available
2017 NSDUH_PDF 4 (ATT D R).pdf	Supplementary Document	Uploaded 2016-05-31	Available
2017 NSDUH_PDF 3 (ATT E O V).pdf	Supplementary Document	Uploaded 2016-05-31	Available
2017 NSDUH_PDF 1(ATT C F G M Q).pdf	Supplementary Document	Uploaded 2016-05-31	Available
2017 NSDUH SS-B 3-7-2016.docx	Supporting Statement B	Uploaded 2016-05-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
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: 201605-0930-004
Status: Historical Active	Previous ICR Reference No: 201406-0930-003
Agency/Subagency: HHS/SAMHSA	Agency Tracking No: 19864
Title: 2017 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 without change	Conclusion Date: 07/26/2016
	Date Received in OIRA: 06/03/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2019	36 Months From Approved	08/31/2017
Responses	213,371	0	206,564
Time Burden (Hours)	79,392	0	78,826
Cost Burden (Dollars)	0	0	0

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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.

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Authorizing Statute(s): US Code: 42 USC 501 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:
	81 FR 16190	03/25/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 12345	05/26/2016
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Household Screening	Screening Questions	Screening Questions
Interview	CAI Questionnaire	CAI Questionnaire
Screening Verification	CATI Verifications Scripts	CATI Verifications Scripts
Interview Verification	CATI Verifications Scripts	CATI Verifications Scripts

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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	213,371	206,564	0	0	6,807	0
Annual Time Burden (Hours)	79,392	78,826	0	0	566	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: Currently, there are 78,826 total burden hours in the OMB inventory. SAMHSA is requesting 79,392 burden hours. This adjustment of an increase of 566 burden hours are 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.

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Annual Cost to Federal Government: $14,268,959

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: 06/03/2016

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