National Survey of Substance Abuse Treatment Services (N-SSATS)

Forms and Documents

Document Name	Status
Form Between Cycles N-S N-SSATS BC Form and Instruction	Modified
Form Augmentation Scree Augmentation Screener Form and Instruction	Modified
Form N-SSATS 2019 Scree N-SSATS Form and Instruction	Modified
Form I-BHS Facility App I-BHS Application Form and Instruction	Modified
Form I-BHS Online Form I-BHS Form and Instruction	Modified
OMB SS-B-N-SSATS 3.6.19_FINAL.docx Supporting Statement B	2019-03-19
OMB SS-A-N-SSATS 3.6.19_FINAL.docx Supporting Statement A	2019-03-19

IC Document Collections

IC ID	Document Title	Status
191116	N-SSATS BC Form and Instruction	Modified
191115	Augmentation Screener Form and Instruction	Modified
191114	N-SSATS Form and Instruction	Modified
191113	I-BHS Application Form and Instruction	Modified
191112	I-BHS Form and Instruction	Modified

ICR Details

OMB Control No: 0930-0106	ICR Reference No: 201810-0930-002
Status: Historical Active	Previous ICR Reference No: 201605-0930-002
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: National Survey of Substance Abuse Treatment Services (N-SSATS)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/26/2019
	Date Received in OIRA: 10/12/2018
Terms of Clearance: Clearance is provided for 18 months consistent with a commitment by the program to increase the efficiency and value added of this collection 1. by obtaining statistical advice regarding the necessity of conducting a census to generate the information required by Congress and 2. by obtaining insight from agency officials about how to optimize the utility of content for the current policy environment.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2020	36 Months From Approved	03/31/2019
Responses	24,300	0	25,800
Time Burden (Hours)	12,417	0	11,754
Cost Burden (Dollars)	0	0	0

---

Abstract: There has been a name change for this data collection; from "DASIS" to the "National Survey of Substance Abuse Treatment Services (N SSATS)." N-SSATS is the main survey component from the prior collection which provides both national and state-level data on the numbers and types of patients treated and the characteristics of facilities providing substance abuse treatment services.

---

Authorizing Statute(s): US Code: 42 USC 505 Name of Law: Data Collection
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 35670	07/27/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 49403	10/01/2018
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
I-BHS	I-BHS Online Form	I-BHS Online Form
I-BHS Application	I-BHS Facility Application	I-BHS Facility Application
N-SSATS	N-SSATS 2019 questionnaire (Version A), N-SSATS 2020 questionnaire (Version B), N-SSATS 2019 Questionnaire (Version A), N-SSATS 2020 Questionnaire (Version B), N-SSATS 2019 Screens for Online Questionnaire, CATI Questionnaire	N-SSATS 2019 Screens for Online Questionnaire ,   CATI Questionnaire ,   N-SSATS 2019 questionnaire (Version A) ,   N-SSATS 2020 questionnaire (Version B)
Augmentation Screener	Augmentation Screener Questionnaire	Augmentation Screener Questionnaire
N-SSATS BC	Between Cycles N-SSATS (N-SSATS BC)	Between Cycles N-SSATS (N-SSATS BC)

---

ICR Summary 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	24,300	25,800	0	-1,500	0	0
Annual Time Burden (Hours)	12,417	11,754	0	663	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: Currently there are 11,754 burden hours in the OMB inventory. SAMHSA is now requesting 12,417 hours. The net increase of 663 hours is due to a 40 hour decrease for BHSIS adjustments and a 703 hour increase due to program changes.

---

Annual Cost to Federal Government: $7,130,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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? Uncollected

---

Common Form ICR:  No

---

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: 10/12/2018

---