2019 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	Unchanged	Available
Form CATI Verification Interview Verification	Form and Instruction	Unchanged	Repair queued
Form CATI Verification Screening Verification	Form and Instruction	Unchanged	Available
Form CAI Questionnaire Interview	Form and Instruction	Modified	Available
Attachment Y. Response AKA Comment.docx	Supplementary Document	Uploaded 2018-10-25	Available
Kratom memo.pdf	Supplementary Document	Uploaded 2018-10-25	Available
2019 NSDUH_PDF 9_attachments H U W.pdf	Supplementary Document	Uploaded 2018-05-29	Available
2019 NSDUH_PDF 8_attachment P.pdf	Supplementary Document	Uploaded 2018-05-29	Available
2019 NSDUH_PDF 7_attachment J K.pdf	Supplementary Document	Uploaded 2018-05-29	Available
2019 NSDUH_PDF 6_attachment A L S.pdf	Supplementary Document	Uploaded 2018-05-29	Available
2019 NSDUH_PDF 5_attachment N.pdf	Supplementary Document	Uploaded 2018-05-29	Available
2019 NSDUH_PDF 4_attachments D R.pdf	Supplementary Document	Uploaded 2018-05-29	Available
2019 NSDUH_PDF 3_attachments E O V.pdf	Supplementary Document	Uploaded 2018-05-29	Available
2019 NSDUH_PDF 1_attachments C F G M Q.pdf	Supplementary Document	Uploaded 2018-05-29	Available
2019 NSDUH SS_Part B_Comment_10.25.18.docx	Supporting Statement B	Uploaded 2018-10-25	Available
2019 NSDUH SS_Part A_Comment_10.25.18.DOCX	Supporting Statement A	Uploaded 2018-10-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43643	Household Screening	Form and Instruction	Unchanged
195362	Interview Verification	Form and Instruction	Unchanged
195361	Screening Verification	Form and Instruction	Unchanged
195358	Interview	Form and Instruction	Modified

ICR Details

OMB Control No: 0930-0110	ICR Reference No: 201810-0930-004
Status: Historical Active	Previous ICR Reference No: 201805-0930-001
Agency/Subagency: HHS/SAMHSA	Agency Tracking No: 19864
Title: 2019 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: Emergency	Approval Requested By: 10/25/2018
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/26/2018
	Date Received in OIRA: 10/25/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2019	6 Months From Approved	08/31/2020
Responses	218,980	0	218,980
Time Burden (Hours)	79,852	0	79,852
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.

Emergency Justfication: Two questions about the use of kratom (a tropical tree, native to Southeast Asia, with leaves that have psychotropic effects and is generally regarded as an opioid given its known properties. The two questions on kratom will allow SAMHSA to estimate the prevalence use of kratom in this country – an easily accessible, unregulated, opioid-like drug. Not currently illegal in the United States, kratom is easy to order on the internet, typically ingested as a leaf, pill or capsule and contains chemical compounds which interact with opioid receptors in the brain. Some users of kratom products reported becoming addicted to the drug.

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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:
	83 FR 13290	03/28/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 50386	10/05/2018
Did the Agency receive public comments on this ICR? Yes

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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	CAI Questionnaire ,   CAI Questionnaire
Screening Verification	CATI Verification Scripts	CATI Verification Scripts
Interview Verification	CATI Verification Scripts	CATI Verification 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	218,980	218,980	0	0	0	0
Annual Time Burden (Hours)	79,852	79,852	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: $15,494,708

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 10/25/2018

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