2022 National Survey on Drug Use and Health (NSDUH)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 2022_NSDUH_Screene Household Screening	Form and Instruction	Modified	Repair queued
Form CVS Follow-up Clinical Interviews	Form and Instruction	Removed	Repair queued
Form CVS Follow-up Clinical Certification	Form and Instruction	Removed	Repair queued
Form CATI Verification Interview Verification	Form and Instruction	Modified	Missing upstream
Form CATI Verification Screening Verification	Form and Instruction	Modified	Repair queued
Form 2022_NSDUH_CAI_Spe Interview	Form and Instruction	Modified	Repair queued
2022 NSDUH Supporting Statement_Part A_Post_60-day_7-1-2021.docx	Supporting Statement A	Uploaded 2021-07-01	Repair queued
Attachment WEB 7_Web Q&A Brochure.docx	Supplementary Document	Uploaded 2021-06-30	Repair queued
Attachment WEB 6_Incentive Thank You Letters.docx	Supplementary Document	Uploaded 2021-06-30	Repair queued
Attachment WEB 5_Web Follow-up Letters.docx	Supplementary Document	Uploaded 2021-06-30	Missing upstream
Attachment WEB 4_Web Screening Questions.docx	Supplementary Document	Uploaded 2021-06-30	Repair queued
Attachment WEB 3_Web Parent Permission Scripts.docx	Supplementary Document	Uploaded 2021-06-30	Repair queued
Attachment WEB 2_Web Study Description.docx	Supplementary Document	Uploaded 2021-06-30	Available
Attachment WEB 1_Interview Questionnaire.docx	Supplementary Document	Uploaded 2021-06-30	Missing upstream
0930-0110 NSDUH 2022_ Public Comments Response Matrix CBHSQ 62121.pdf	Supplementary Document	Uploaded 2021-06-30	Missing upstream
Attachment V_NonresponseAmongSampleMembers50andOlder.docx	Supplementary Document	Uploaded 2021-06-30	Missing upstream
Attachment U_Doorperson Card.docx	Supplementary Document	Uploaded 2021-06-30	Repair queued
Attachment T_CATI Verification Scripts.docx	Supplementary Document	Uploaded 2021-06-30	Repair queued
Attachment S_Certificate of Participation_2022.pptx	Supplementary Document	Uploaded 2021-06-30	Repair queued
Attachment R_Highlights_Articles.docx	Supplementary Document	Uploaded 2021-06-30	Repair queued
Attachment Q_COVID-19 Risk Form.docx	Supplementary Document	Uploaded 2021-06-30	Repair queued
Attachment P_Confidentiality and DC Agreements.docx	Supplementary Document	Uploaded 2021-06-30	Missing upstream
Attachment O_Parental Intro Script.docx	Supplementary Document	Uploaded 2021-06-30	Missing upstream
Attachment N_Showcard Booklet.docx	Supplementary Document	Uploaded 2021-06-30	Repair queued
Attachment M_Federalwide Assurance.docx	Supplementary Document	Uploaded 2021-06-30	Repair queued
Attachment L_Interview Incentive Receipt.pdf	Supplementary Document	Uploaded 2021-06-30	Repair queued
Attachment K_Refusal Letters.docx	Supplementary Document	Uploaded 2021-06-30	Repair queued
Attachment J_UTC Letters.docx	Supplementary Document	Uploaded 2021-06-30	Repair queued
Attachment J_Controlled Access Letters.docx	Supplementary Document	Uploaded 2021-06-30	Repair queued
Attachment I_In Person Screening Questions.docx	Supplementary Document	Uploaded 2021-06-30	Available
Attachment H_Intro and Informed Consent.docx	Supplementary Document	Uploaded 2021-06-30	Missing upstream
Attachment G_Study Description.docx	Supplementary Document	Uploaded 2021-06-30	Repair queued
Attachment F_SIMY_Appt Cards.docx	Supplementary Document	Uploaded 2021-06-30	Repair queued
Attachment D_Q&A Brochure.pdf	Supplementary Document	Uploaded 2021-06-30	Repair queued
Attachment E_Tablet Video Scripts.docx	Supplementary Document	Uploaded 2021-06-30	Repair queued
Attachment C_Lead Letter.docx	Supplementary Document	Uploaded 2021-06-30	Repair queued
Attachment B_In Person CAI Questionnaire.docx	Supplementary Document	Uploaded 2021-06-30	Repair queued
Attachment A_2022 Sample Design_REVISED.docx	Supplementary Document	Uploaded 2021-06-30	Repair queued
2022 NSDUH Supporting Statement_Part B_Post_60-day.docx	Supporting Statement B	Uploaded 2021-06-30	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43643	Household Screening	Form and Instruction	Modified
237757	Follow-up Clinical Interviews	Form and Instruction	Removed
237756	Follow-up Clinical Certification	Form and Instruction	Removed
195362	Interview Verification	Form and Instruction	Modified
195361	Screening Verification	Form and Instruction	Modified
195358	Interview	Form and Instruction	Modified

ICR Details

OMB Control No: 0930-0110	ICR Reference No: 202106-0930-001
Status: Received in OIRA	Previous ICR Reference No: 202009-0930-001
Agency/Subagency: HHS/SAMHSA	Agency Tracking No: 19864
Title: 2022 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: Regular	Date Submitted to OIRA: 07/02/2021

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	10/31/2022
Responses	248,478	459,793
Time Burden (Hours)	82,331	219,105
Cost Burden (Dollars)	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.

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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:
	86 FR 17614	04/05/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 34773	06/30/2021
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
Follow-up Clinical Certification	CVS	CVS
Follow-up Clinical Interviews	CVS	CVS
Household Screening	2022_NSDUH_Screener_Specs	2022_NSDUH_Screener_Specs
Interview	Attachment WEB 1_Interview Questionnaire, 2022_NSDUH_CAI_Specs	2022_NSDUH_CAI_Specs ,   Attachment WEB 1_Interview Questionnaire
Interview Verification	CATI Verification Scripts	CATI Verification Scripts
Screening Verification	CATI Verification Scripts	CATI Verification Scripts

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	248,478	459,793	0	-211,315	0	0
Annual Time Burden (Hours)	82,331	219,105	0	-136,774	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This decrease of 211,315 Responses and 136,030 Burden Hours is due to accumulation of combined burden hours from the 2019 and 2020 NSDUH ICR submissions.

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Annual Cost to Federal Government: $17,359,199

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? Yes

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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: 07/02/2021

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