The Assistant Secretary for Planning and Evaluation (ASPE) is requesting clearance for a one-time survey of state agencies regarding the use of substance use disorder (SUD) patient placement criteria and assessment tools. This survey is one component of a larger project to assess the feasibility of gathering and utilizing needs assessment data to identify and address unmet patient needs by levels of care. Respondents will be two state officials in each of the 50 states and the District of Columbia and will take approximately 10 minutes to complete.
The latest form for SUD Placement Criteria Survey expires 2021-08-31 and can be found here.
Document Name |
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Supplementary Document |
Supporting Statement A |
Supplementary Document |
Supplementary Document |
Supporting Statement B |
Approved with change |
New collection (Request for a new OMB Control Number) | 2020-05-01 |