OMB control number

National Substance Use and Mental Health Services Survey (N-SUMHSS) [CBHSQ]

OMB 0930-0386 · HHS/SAMHSA.

OMB 0930-0386

The National Substance Use and Mental Health Services Survey (N-SUMHSS) is a survey that combines the N-MHSS and N-SSATS into a single survey. As a component of the Behavioral Health Services Information System, the N-SUMHSS will update SAMHSA’s online Behavioral Health Treatment Services Locator for use by the general public, behavioral health professionals, and treatment service providers. The survey will annually collect descriptive data on the location, scope of services provided, and operational characteristics of all known substance use and mental health treatment facilities in the United States, territories and jurisdictions, and on utilization of services by means of a single-day count of clients in treatment.

The latest form for National Substance Use and Mental Health Services Survey (N-SUMHSS) [CBHSQ] expires 2027-03-31 and is listed under ICR 202311-0930-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form N-SUMHSS EHR Suppl N-SUMHSS EHR SupplementForm and Instruction
Form N-SUMHSS VA Supple N-SUMHSS VA SupplementForm and Instruction
Form N-SUMHSS Questionn N-SUMHSS (both SU and MH)Form and Instruction
Form N-SUMHSS Questionn N-SUMHSS (either SU or MH)Form and Instruction
Form N-SUMHSS Between C N-SUMHSS BCForm and Instruction
Form Augmentation Scree Augmentation ScreenerForm and Instruction
Form I-TF Facility Regi I-TF Facility Registration Application FormForm and Instruction
Form I-TF Online State I-TF Online State Add Update FormForm and Instruction
Attachment 11. N-SUMHSS Web Survey Prototype final.pdf Supplementary Document
Attachment 10. N-SUMHSS CATI Interviewer Instructions final.pdf Supplementary Document
Attachment 9. N-SUMHSS Information Website final.docx Supplementary Document
Attachment 8. N-SUMHSS Reminder Letter final.pdf Supplementary Document
Attachment 7. N-SUMHSS Thank-you Letter final.pdf Supplementary Document
Attachment 6. N-SUMHSS Client Counts Worksheet final.pdf Supplementary Document
Attachment 5. N-SUMHSS FAQs final.pdf Supplementary Document
Attachment 4. N-SUMHSS Web Access Instructions final.pdf Supplementary Document
Attachment 3. Sample State Invitation Letter final.pdf Supplementary Document
Attachment 2.3 N-SUMHSS Third Cover Letter final.pdf Supplementary Document
Attachment 2.2 N-SUMHSS Second Cover Letter final.pdf Supplementary Document
Attachment 2.1 N-SUMHSS Cover Letter final.pdf Supplementary Document
Attachment 1.2 N-SUMHSS Between Cycle Advance Letter final.pdf Supplementary Document
Attachment 1.1 N-SUMHSS Advance Letter final.pdf Supplementary Document
4. Supporting Statement A N-SUMHSS 2023 final _202308.docxSupporting Statement A
5. Supporting Statement B N-SUMHSS 2023_final _202308.docxSupporting Statement B
N-SUMHSS EHR Supplement Form and Instruction
N-SUMHSS VA Supplement Form and Instruction
N-SUMHSS (both SU and MH) Form and Instruction
N-SUMHSS (either SU or MH) Form and Instruction
N-SUMHSS BC Form and Instruction
Augmentation Screener Form and Instruction
I-TF Facility Registration Application Form Form and Instruction
I-TF Online State Add Update Form Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202311-0930-001 Revision of a currently approved collection 2023-11-30 Approved without change
202008-0930-002 New collection (Request for a new OMB Control Number) 2020-08-24 Approved without change

OMB Details

I-TF Online State Add Update Form

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
FormNameElectronic accessType
Form I-TF Online State Add Update FormI-TF Online State Add Update FormFillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.