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N-ssats Bc
National Survey of Substance Abuse Treatment Services (N-SSATS)
OMB: 0930-0106
IC ID: 191116
OMB.report
HHS/SAMHSA
OMB 0930-0106
ICR 202006-0930-001
IC 191116
( )
Documents and Forms
Document Name
Document Type
Form N-SSATS 2021 Betwe
N-SSATS BC
Form and Instruction
N-SSATS 2021 Betwe N-SSATS 2021 Between Cycles N-SSATS
Attachment B3_as of 2020-02-26_N-SSATS 2021 Between Cycles N-SSATS (N-SSATS BC).DOCX
Form and Instruction
Attachment B12- Between Cycles N-SSATS advance letter.pdf
Between Cycles N-SSATS Advance Letter
IC Document
Attachment B14_as of 2020-02-26_N-SSATS 2021 Between Cycles N-SSATS (N-SSATS BC) Advance Letter.docx
N-SSATS 2021 Between Cycles Advance Letter
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
N-SSATS BC
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
N-SSATS 2021 Between Cycles N-SSATS
N-SSATS 2021 Between Cycles N-SSATS
Attachment B3_as of 2020-02-26_N-SSATS 2021 Between Cycles N-SSATS (N-SSATS BC).DOCX
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,000
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,000
0
0
0
0
1,000
Annual IC Time Burden (Hours)
580
0
0
0
0
580
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Between Cycles N-SSATS Advance Letter
Attachment B12- Between Cycles N-SSATS advance letter.pdf
10/12/2018
N-SSATS 2021 Between Cycles Advance Letter
Attachment B14_as of 2020-02-26_N-SSATS 2021 Between Cycles N-SSATS (N-SSATS BC) Advance Letter.docx
06/04/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.