Mandatory Guidelines for Federal Workplace Drug Testing Programs

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0930-0158 _2023_Fe 0930-0158 _2023_FedCCF_PROOF	Form and Instruction	Modified	Available
Form 0930-0158 _2023_Fe Donor	Form and Instruction	Modified	Repair queued
Form 0930-0158 CCF_Urin 0930-0158 CCF_Urine_LAB_Info_Checklist	Form and Instruction	Modified	Available
Form 0930-0158 CCF_Urin 0930-0158 CCF_Urine_LAB_Application_Jan2020_	Form and Instruction	Modified	Available
Form 0930-0158 CCF_Urin Laboratory Application	Form and Instruction	Modified	Repair queued
0930-0158 CCF _ Supporting Statement A_2023_.docx	Supporting Statement A	Uploaded 2023-03-21	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43644	Donor	Form and Instruction	Modified	0930-0158 _2023_FedCCF_PROOF
43644	Donor	Form and Instruction	Modified
193838	Laboratory Recordkeeping	Instruction	Modified
193837	Laboratory Inspection Checklist	Instruction	Modified
193836	Laboratory Application	Form and Instruction	Modified	0930-0158 CCF_Urine_LAB_Info_Checklist
193836	Laboratory Application	Form and Instruction	Modified	0930-0158 CCF_Urine_LAB_Application_Jan2020_
193836	Laboratory Application	Form and Instruction	Modified
193835	Medical Review Officer	Instruction	Unchanged
193834	Laboratory	Instruction	Unchanged
193833	Collector	Instruction	Modified

ICR Details

OMB Control No: 0930-0158	ICR Reference No: 202303-0930-002
Status: Historical Active	Previous ICR Reference No: 202111-0930-002
Agency/Subagency: HHS/SAMHSA	Agency Tracking No: 20007
Title: Mandatory Guidelines for Federal Workplace Drug Testing Programs
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: 05/01/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/22/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2026	36 Months From Approved	08/31/2023
Responses	26,906,498	0	26,906,503
Time Burden (Hours)	1,687,708	0	1,688,948
Cost Burden (Dollars)	0	0	0

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Abstract: The Federal Drug Testing Custody and Control Form is used for the Mandatory Guidelines required to in the chain of custody procedures to document the integrity and security of a urine specimen from the time it is collected until it is received by the laboratory.

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Authorizing Statute(s): US Code: 42 USC 290 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:
	88 FR 1394	01/10/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 16019	03/15/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
Collector
Donor	0930-0158 _2023_FedCCF_PROOF	0930-0158 _2023_FedCCF_PROOF
Laboratory
Laboratory Application	0930-0158 CCF_Urine_LAB_Application_Jan2020_, 0930-0158 CCF_Urine_LAB_Info_Checklist	0930-0158 CCF_Urine_LAB_Application_Jan2020_ ,   0930-0158 CCF_Urine_LAB_Info_Checklist
Laboratory Inspection Checklist
Laboratory Recordkeeping
Medical Review Officer

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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	26,906,498	26,906,503	0	-5	0	0
Annual Time Burden (Hours)	1,687,708	1,688,948	0	-1,240	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There is a slight decrease of 1,240 in burden hours due to change in the agency estimates. The new burden estimate is based on program experience and review of responses during the previous cycle.

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Annual Cost to Federal Government: $18,400,000

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: 03/22/2023

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