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 can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form N-SUMHSS EHR Suppl N-SUMHSS EHR Supplement Form and Instruction
Form N-SUMHSS VA Supple N-SUMHSS VA Supplement Form 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 BC Form and Instruction
Form Augmentation Scree Augmentation Screener Form and Instruction
Form I-TF Facility Regi I-TF Facility Registration Application Form Form and Instruction
Form I-TF Online State I-TF Online State Add Update Form Form 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.docx Supporting Statement A
5. Supporting Statement B N-SUMHSS 2023_final _202308.docx Supporting 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

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

OMB Details

I-TF Online State Add Update Form

Federal Enterprise Architecture: Health - Public Health Monitoring

Form I-TF Online State Add Update Form

I-TF Online State Add Update Form

Fillable Fileable

Form and instruction

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