SAMHSA Unified Performance Reporting Tool (SUPRT)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SUPRT- Administrat SUPRT- Administrative Level Tool	Form and Instruction	Modified	Available
Form SUPRT- Administrat SUPRT-Admin	Form and Instruction	Modified	Repair queued
Form SUPRT Client Level SUPRT Client Level Tool	Form and Instruction	Modified	Available
Form SUPRT Client Level SUPRT-Client	Form and Instruction	Modified	Missing upstream
No Material or Nonsubstantive Change-0930-0400-SUPRT.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-02-26	Available
No Material or Nonsubstantive Change-0930-0400-SUPRT.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-02-26	Repair queued
SUPRT-Supporting Statement (Clean).docx	Supporting Statement A	Uploaded 2025-01-03	Available
SUPRT-Supporting Statement (Clean).docx	Supporting Statement A	Uploaded 2025-01-03	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
272852	SUPRT-Admin	Form and Instruction	Modified	SUPRT- Administrative Level Tool
272852	SUPRT-Admin	Form and Instruction	Modified
272841	SUPRT-Client	Form and Instruction	Modified	SUPRT Client Level Tool
272841	SUPRT-Client	Form and Instruction	Modified

ICR Details

OMB Control No: 0930-0400	ICR Reference No: 202502-0930-001
Status: Historical Inactive	Previous ICR Reference No: 202412-0930-001
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: SAMHSA Unified Performance Reporting Tool (SUPRT)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 04/07/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/28/2025
Terms of Clearance: Returned to agency for reconsideration.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2028	01/31/2028	01/31/2028
Responses	2,849,321	0	2,849,321
Time Burden (Hours)	634,356	0	634,356
Cost Burden (Dollars)	0	0	0

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Abstract: In an effort to continue to meet Government Performance and Results Modernization Act (GPRAMA) of 2010 reporting requirements and to align performance reporting requirements with other parts of the Federal Statistical System, SAMHSA will combine and align the existing client-level performance instrument for the SAMHSA Center for Substance Abuse Treatment (CSAT) and National Outcomes Measures (NOMs) instrument for the SAMHSA Center for Mental Health Services (CMHS), and (2) create a two-component tool that will allow for a client (or caregiver) self-administered questionnaire (called SAMHSA Unified Performance Reporting Tool (SUPRT) – C: Client or Caregiver Form or ‘SUPRT-C’) and a grantee completion of administrative data (called SAMHSA Unified Performance Reporting Tool (SUPRT) – A: Administrative Report or ‘SUPRT-A’).

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Authorizing Statute(s): US Code: 5 USC 1105(a)(29) Name of Law: GPRA
  

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:
	89 FR 72860	09/06/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 97015	12/06/2024
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
SUPRT-Admin	SUPRT- Administrative Level Tool	SUPRT- Administrative Level Tool
SUPRT-Client	SUPRT Client Level Tool	SUPRT Client Level Tool

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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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $4,857,982

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: 03/28/2025

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