Mandatory Guidelines for Federal Workplace Drug Testing Programs

ICR 202111-0930-002

OMB: 0930-0158

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Supplementary Document
2021-11-15
Justification for No Material/Nonsubstantive Change
2021-11-15
Supporting Statement A
2021-11-15
Supplementary Document
2020-06-30
IC Document Collections
ICR Details
0930-0158 202111-0930-002
Received in OIRA 202006-0930-004
HHS/SAMHSA 20007
Mandatory Guidelines for Federal Workplace Drug Testing Programs
No material or nonsubstantive change to a currently approved collection   No
Regular 11/16/2021
  Requested Previously Approved
08/31/2023 08/31/2023
26,906,503 26,906,503
1,688,948 1,688,948
0 0

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.

US Code: 42 USC 290 Name of Law: Data Collection
  
None

Not associated with rulemaking

  85 FR 7776 02/11/2020
85 FR 39204 06/30/2020
Yes

7
IC Title Form No. Form Name
Collector
Donor 2020 Proposed Fed CCF Proof Changes Highlighted 2020 Proposed Fed CCF Proof Changes Highlighted
Laboratory
Laboratory Application Urine Lab a_b_c Checklist, Urine Lab App form 2018 Urine Lab App form ,   2018 Urine Lab a_b_c Checklist
Laboratory Inspection Checklist
Laboratory Recordkeeping
Medical Review Officer

  Total Request 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 26,906,503 26,906,503 0 0 0 0
Annual Time Burden (Hours) 1,688,948 1,688,948 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
To ensure uniformity among all federally regulated workplace drug testing programs, the UrMG and OFMG require using an OMB-approved Federal CCF (Federal CCF - Attachment F). To facilitate ease of use and uniform reporting, the UrMG and OFMG will use a combined format to streamline the Federal CCF. The combined form will collect all information required by both Mandatory Guidelines and minimize duplication and cost to the users.

$18,400,000
No
    No
    No
No
No
No
No
Carlos Graham 204 276-0361 carlos.graham@samhsa.hhs.gov

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
11/16/2021


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