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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form N-SSATS 2021 Betwe N-SSATS 2021 Between Cycles N-SSATS	Form and Instruction	Modified	Available
Form Augmentation Scree Augmentation Screener Questionnaire	Form and Instruction	Modified	Available
Form N-SSATS 2021 CATI N-SSATS 2021 CATI Questionnaire	Form and Instruction	Modified	Available
Form N-SSATS 2021 Scree N-SSATS 2021 Screens for Online Questionnaire	Form and Instruction	Modified	Available
Form N-SSATS 2022 Quest N-SSATS 2022 Questionnaire (Version B)	Form and Instruction	Modified	Available
Form N-SSATS 2021 Quest N-SSATS 2021 Questionnaire (Version A)	Form and Instruction	Modified	Available
Form I-BHS Facility App I-BHS Facility Application Form	Form and Instruction	Modified	Repair queued
Form I-BHS Online State I-BHS Online State Add Update Form	Form and Instruction	Modified	Available
0930-0106 (N-SSATS) Public Comments Response Matrix Final 5-28-2020.xlsx	Supplementary Document	Uploaded 2020-06-04	Available
OMB SS-B 2021-2023 N-SSATS 2020_02_26.docx	Supporting Statement B	Uploaded 2020-06-03	Available
OMB SS-A 2021-2023 N-SSATS 2020_06_02.docx	Supporting Statement A	Uploaded 2020-06-03	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
191116	N-SSATS BC	Form and Instruction	Modified	N-SSATS 2021 Between Cycles N-SSATS
191115	Augmentation Screener	Form and Instruction	Modified	Augmentation Screener Questionnaire
191114	N-SSATS	Form and Instruction	Modified	N-SSATS 2021 CATI Questionnaire
191114	N-SSATS	Form and Instruction	Modified	N-SSATS 2021 Screens for Online Questionnaire
191114	N-SSATS	Form and Instruction	Modified	N-SSATS 2022 Questionnaire (Version B)
191114	N-SSATS	Form and Instruction	Modified	N-SSATS 2021 Questionnaire (Version A)
191113	I-BHS Application	Form and Instruction	Modified	I-BHS Facility Application Form
191112	I-BHS	Form and Instruction	Modified	I-BHS Online State Add Update Form

ICR Details

OMB Control No: 0930-0106	ICR Reference No: 202006-0930-001
Status: Historical Active	Previous ICR Reference No: 201810-0930-002
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: National Survey of Substance Abuse Treatment Services (N-SSATS)
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: 01/04/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/05/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2022	36 Months From Approved	12/31/2020
Responses	24,300	0	24,300
Time Burden (Hours)	12,417	0	12,417
Cost Burden (Dollars)	0	0	0

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Abstract: N-SSATS is the main survey that 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:
	85 FR 14952	03/16/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 34456	06/04/2020
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 Questionnaire	Augmentation Screener Questionnaire
I-BHS	I-BHS Online State Add Update Form	I-BHS Online State Add Update Form
I-BHS Application	I-BHS Facility Application Form	I-BHS Facility Application Form
N-SSATS	N-SSATS 2021 Questionnaire (Version A), N-SSATS 2022 Questionnaire (Version B), N-SSATS 2021 Screens for Online Questionnaire, N-SSATS 2021 CATI Questionnaire	N-SSATS 2021 Questionnaire (Version A) ,   N-SSATS 2022 Questionnaire (Version B) ,   N-SSATS 2021 Screens for Online Questionnaire ,   N-SSATS 2021 CATI Questionnaire
N-SSATS BC	N-SSATS 2021 Between Cycles N-SSATS	N-SSATS 2021 Between Cycles N-SSATS

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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	24,300	24,300	0	0	0	0
Annual Time Burden (Hours)	12,417	12,417	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: $7,130,000

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? No

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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: 06/05/2020

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