Government Performance and Results Act Client/Participant Outcome Measures

Forms and Documents

Document Name	Status
Form Recovery Measure C GPRA Client Outcome Form and Instruction	Modified
0208-SS-B-9.23.2016 CSAT 9 26.docx Supporting Statement B	2016-12-08
0208-SS-A- CSAT 12.8.16.docx Supporting Statement A	2016-12-08

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: 201612-0930-002
Status: Historical Active	Previous ICR Reference No: 201512-0930-001
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: 01/23/2017
	Date Received in OIRA: 12/12/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2020	36 Months From Approved	03/31/2019
Responses	1,252,030	0	1,257,647
Time Burden (Hours)	338,748	0	321,085
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:
	81 FR 69836	10/07/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 89124	12/09/2016
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	Recovery Measure CSAT_GPRA_Client_Outcome	Recovery Measure CSAT_GPRA_Client_Outcome

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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	1,252,030	1,257,647	0	-5,617	0	0
Annual Time Burden (Hours)	338,748	321,085	0	17,663	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 321,085 burden hours in the OMB inventory. SAMHSA is now requesting 338,748 hours. This increase of 17,663 hours is due to the following program changes: 1) A decrease in 2,485 respondents, 1,044 hours in the elimination of the Teen Drug Court (TDC) program; and 2)Addition of the WHO-QOL 8 recovery measure questions (16,619 additional burden hours). The estimated time to complete the client interview with the revised tool has been revised to 28 minutes from 25.

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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: 12/12/2016

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