Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0930-0158	ICR Reference No: 202111-0930-002
Status: Historical Active	Previous ICR Reference No: 202006-0930-004
Agency/Subagency: HHS/SAMHSA	Agency Tracking No: 20007
Title: Mandatory Guidelines for Federal Workplace Drug Testing Programs
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/23/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/16/2021
Terms of Clearance: OMB temporarily approves the previous version of the form due to a supply shortage. The agency expects the shortage to be resolved by 11/30/2022. As of that date, the agency should submit another change request to remove the old form from the package or provide another update to OMB about the status of the shortage if it hasn’t been resolved.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2023	08/31/2023	08/31/2023
Responses	26,906,503	0	26,906,503
Time Burden (Hours)	1,688,948	0	1,688,948
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	26,906,503	26,906,503
Annual Time Burden (Hours)	1,688,948	1,688,948
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: 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.

Annual Cost to Federal Government: $18,400,000

Does this IC contain surveys, censuses, or employ statistical methods? No

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? No

Agency Contact: Carlos Graham 204 276-0361 carlos.graham@samhsa.hhs.gov