National Cross-Site Assessment of Addiction Technology Transfer Centers (ATTC) Network

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Event.Description. Event.Description.Form	Form and Instruction	Modified	Repair queued
Form Training Followup Training Followup Form	Form and Instruction	Modified	Available
Form Technica Assistanc Technical Assistance Followup Form	Form and Instruction	Modified	Available
Form Meeting Followup F Meeting Followup Form	Form and Instruction	Modified	Available
Form Technical.Assistan Technical.Assistance.Post.Event.Form	Form and Instruction	Modified	Available
Form Meeting Post Event Meeting Post Event	Form and Instruction	Modified	Available
Form Training Post Even Training Post Event Form	Form and Instruction	Modified	Available
Attachment.9.Contact.Information.Form.doc	Supplementary Document	Uploaded 2016-08-17	Available
Attachment.8.Model.Statement.doc	Supplementary Document	Uploaded 2016-08-17	Available
Attachment.7.Cover.page.for.instruments.doc	Supplementary Document	Uploaded 2016-08-17	Available
Attachment.6.Sample.Cover.Letters.doc	Supplementary Document	Uploaded 2016-08-17	Available
Attachment.5.ATTCs.doc	Supplementary Document	Uploaded 2016-08-17	Available
0216_OMB SS-B_6.7.16.doc	Supporting Statement B	Uploaded 2016-08-17	Available
0216_OMB SS-A_6.20.16.doc	Supporting Statement A	Uploaded 2016-08-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
7618	Staff Event Description Form	Form and Instruction	Modified	Event.Description.Form
46705	Participants - Training Follow-up	Form and Instruction	Modified	Training Followup Form
46703	Participants - Training Post Event	Form and Instruction	Modified	Technical Assistance Followup Form
46703	Participants - Training Post Event	Form and Instruction	Modified	Meeting Followup Form
46701	Staff - TA - Post Event	Form and Instruction	Modified	Technical.Assistance.Post.Event.Form
46701	Staff - TA - Post Event	Form and Instruction	Modified	Meeting Post Event
46701	Staff - TA - Post Event	Form and Instruction	Modified	Training Post Event Form

ICR Details

OMB Control No: 0930-0216	ICR Reference No: 201608-0930-005
Status: Historical Active	Previous ICR Reference No: 201304-0930-002
Agency/Subagency: HHS/SAMHSA	Agency Tracking No: 19258
Title: National Cross-Site Assessment of Addiction Technology Transfer Centers (ATTC) Network
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/30/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/25/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2019	36 Months From Approved	09/30/2016
Responses	42,750	0	42,750
Time Burden (Hours)	6,663	0	6,663
Cost Burden (Dollars)	0	0	0

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Abstract: The ATTC Network is a nationwide, multi-disciplinary resource that draws upon the knowledge, experience, and latest research of recognized experts in the field of addictions. The network is comprised of 14 ATTCs representing all States, the District of Columbia, Puerto Rico, the Virgin Islands and the Pacific Islands and a National Office to coordinate cross-site activities. Training activities, meetings and technical assistance are provided to treatment professionals through the network. The National Cross-Site Assessment will obtain pre-event, followup, and post event information from all participants.

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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:
	81 FR 39938	06/20/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 56670	08/22/2016
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
Participants - Training Follow-up	Training Followup Form	Training Followup Form
Participants - Training Post Event	Meeting Followup Form, Technica Assistance Followup Form	Meeting Followup Form ,   Technical Assistance Followup Form
Staff - TA - Post Event	Technical.Assistance.Post.Event.Form , Training Post Event Form, Meeting Post Event	Training Post Event Form ,   Meeting Post Event ,   Technical.Assistance.Post.Event.Form
Staff Event Description Form	Event.Description.Form	Event.Description.Form

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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	42,750	42,750	0	0	0	0
Annual Time Burden (Hours)	6,663	6,663	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: $7,600,000

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: 08/25/2016

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