SAMHSA's Publications and Digital Products Website Registration Survey

Fast Track Generic Clearance for the Collection of Qualitative Feedback on the Substance Abuse and Mental Health Services Administration (SAMHSA) Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0393 can be found here:

Documents and Forms

Document Name Document Type
Form SAMHSA Main Site S SAMHSA's Publications and Digital Products Website Registration Survey Form and Instruction
SAMHSA Main Site S SAMHSA Main Site Survey (Attachment 2) SAMHSA Main site v3 Survey_3.15.23_.docx Form and Instruction
SAMHSA Store Surve SAMHSA Store Survey (Attachment 3) SAMHSA Store v2 Survey_3.15.23_.docx Form and Instruction
(Attachment 1) SAMHSA_Web Site Registration Survey Questions_10.3.22_.docx SAMHSA_Web Site Registration Survey Question Pool IC Document
0930-0393 Submission_Registration for Behavioral Health Web Site and Resources 3-14-2023.docx 0930-0393 Submission Registration for Behavioral Health Web Site and Resources IC Document

Information Collection (IC) Details

IC Title:	SAMHSA's Publications and Digital Products Website Registration Survey	Agency IC Tracking Number:

IC Status: New

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	SAMHSA Main Site Survey	SAMHSA Main Site Survey	(Attachment 2) SAMHSA Main site v3 Survey_3.15.23_.docx		Yes	Yes	Fillable Fileable
Form and Instruction	SAMHSA Store Survey	SAMHSA Store Survey	(Attachment 3) SAMHSA Store v2 Survey_3.15.23_.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Privacy Act of 1974 (Title 5 United States Code [U.S.C.] 552a)	FR Citation: 75 FR 28264

Number of Respondents: 22,000	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 Agency Discretion
Annual Number of Responses for this IC	22,000	22,000
Annual IC Time Burden (Hours)	6,280	6,280
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SAMHSA_Web Site Registration Survey Question Pool	(Attachment 1) SAMHSA_Web Site Registration Survey Questions_10.3.22_.docx	03/06/2023
0930-0393 Submission Registration for Behavioral Health Web Site and Resources	0930-0393 Submission_Registration for Behavioral Health Web Site and Resources 3-14-2023.docx	03/16/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.