Training and Technical Assistance (TTA) Program Monitoring

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form TTA Follow up Form TTA Follow up Form	Form and Instruction	New	Repair queued
Form TTA Post Event For TTA Post Event Form	Form and Instruction	New	Repair queued
Form TTA Event Descript TTA Event Description Form	Form and Instruction	New	Repair queued
Attachment 8_TTA Statement of Informed Consent_CLEAN.docx	Supplementary Document	Uploaded 2022-04-06	Repair queued
Attachment 7_TTA Contact Information Form_CLEAN.docx	Supplementary Document	Uploaded 2022-04-06	Repair queued
Attachment 6_TTA Model Statement_CLEAN.docx	Supplementary Document	Uploaded 2022-04-06	Repair queued
Attachment 5_ TTA Cover page for instruments_CLEAN 1-31-2022.docx	Supplementary Document	Uploaded 2022-04-06	Repair queued
Attachment 4_TTA Sample Cover Letters_CLEAN.docx	Supplementary Document	Uploaded 2022-04-06	Repair queued
TTA Public Comments Response Matrix- 2-18-2022_Final.pdf	Supplementary Document	Uploaded 2022-04-06	Repair queued
TTA_OMB SS-A_CLEAN 3-15-2022.docx	Supporting Statement A	Uploaded 2022-04-06	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
252648	TTA Follow up Form	Form and Instruction	New
252647	TTA Post Event Form	Form and Instruction	New
252646	TTA Event Description Form	Form and Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 202204-0930-002
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Training and Technical Assistance (TTA) Program Monitoring
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 04/06/2022

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	177,000	0
Time Burden (Hours)	28,320	0
Cost Burden (Dollars)	0	0

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Abstract: The TTA data collection is designed to monitor performance for fourteen (14) SAMHSA programs that offer information, tools, training, and technical assistance to practitioners in the fields of mental health and substance use disorders. The programs monitored under the TTA data collection are: the Addiction Technology Transfer Centers (ATTCs), the Mental Health Technology Transfer Centers (MHTTCs), the Prevention Technology Transfer Centers (PTTCs), the Rural Opioid Technical Assistance (ROTA), the Expansion of Practitioner’s Education (PRAC-Ed), The Clinical Support System for Serious Mental Illness (CSS-SMI), the Center of Excellence for Protected Health Information (CoE-PHI), the National Center of Excellence for Eating Disorders (NCEED), the Provider’s Clinical Support System - Medication Assisted Treatment (PCSS-MAT), the Homeless and Housing Resource Center (HHRC), the National Peer-Run Training and TA Center for Addiction Recovery Peer Support (APR-CoE), the Family Support Center of Excellence (FAM-CoE) and the Centers of Excellence for Behavioral Health Disparities (CoE-BD Disparities).

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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:
	86 FR 49042	09/01/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 19960	04/06/2022
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
TTA Event Description Form	TTA Event Description Form	TTA Event Description Form
TTA Follow up Form	TTA Follow up Form	TTA Follow up Form
TTA Post Event Form	TTA Post Event Form	TTA Post Event Form

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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	177,000	0	0	177,000	0	0
Annual Time Burden (Hours)	28,320	0	0	28,320	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: This is a new data collection.

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Annual Cost to Federal Government: $128,758

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 04/06/2022

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