[Federal Register Volume 76, Number 168 (Tuesday, August 30, 2011)]
[Notices]
[Pages 53913-53915]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-22095]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
Periodically, the Substance Abuse and Mental Health Services
Administration (SAMHSA) will publish a summary of information
collection requests under OMB review, in compliance with the Paperwork
Reduction Act (44 U.S.C. Chapter 35). To request a copy of these
documents, call the SAMHSA Reports Clearance Officer on (240) 276-1243.
Project: Services Accountability Improvement System--(OMB No. 0930-
0208)--Revision
This revised instrument will allow SAMHSA to collect information on
two new strategic initiatives--Trauma and Violence and Military
Families. The new items will be added to the Services Accountability
Improvement System (SAIS), which is a real-time, performance management
system that captures information on the substance abuse treatment and
mental health services delivered in the United States. A wide range of
client and program information is captured through SAIS for
approximately 600 grantees. Substance abuse treatment facilities submit
their data on a monthly and even a weekly basis to ensure that SAIS is
an accurate, up-to-date reflection on the scope of services delivered
and characteristics of the treatment population. Over 30 reports on
grantee performance are readily available on the SAIS website. The
reports inform staff on the grantees' ability to serve their target
populations and meet their client and budget targets. SAIS data allow
grantees information that can guide modifications to their service
array.
With the addition of new questions regarding military families,
experiences with trauma, and experiences with violence GFA, there is a
proposed new data collection instrument up for comment.
Approval of this information collection will allow SAMHSA to
continue to meet Government Performance and Results Act of 1993 (GPRA)
reporting requirements that quantify the effects and accomplishments of
its discretionary grant programs which are consistent with OMB
guidance.
CSAT has increased the number of questions in the instrument to
satisfy reporting needs. The following paragraphs present a description
of the changes made to the information collection. These questions will
be contained in new sections in the GPRA tool. Section H. Violence and
Trauma--CSAT proposes to add the following 6 items in a new section
entitled ``Violence and Trauma''.
1. Have you ever experienced violence or trauma in any setting
(including community or school violence; domestic violence;
physical, psychological, or sexual maltreatment/assault within or
outside of the family; natural disaster; terrorism; neglect; or
traumatic grief)? No, (skip to next section)
2. Did any of these experiences feel so frightening, horrible,
or upsetting that in the past and/or the present that you:
2a. Have had nightmares about it or thought about it when you
did not want to?
2b. Tried hard not to think about it or went out of your way to
avoid situations that remind you of it?
2c. Were constantly on guard, watchful, or easily startled?
2d. Felt numb and detached from others, activities, or your
surroundings?
3. In the past 30 days, how often have you been hit, kicked,
slapped, or otherwise physically hurt?
Experiences with Violence and Trauma--One of SAMHSA's 10
Strategic Initiatives is trauma and violence. In order to capture this
information, CSAT is adding six new questions to be asked of
respondents. This information will help in SAMHSA's overall goal of
reducing the behavioral health impacts of violence and trauma by
encouraging substance abuse treatment programs to focus on trauma-
informed services.
Section L. Military Family and Deployment--CSAT proposes to add the
following 6 new items in a new section entitled ``Military Family and
Deployment''.
1. Have you ever served in the Armed Forces, in the Reserves, or
the National Guard [select all that apply]? No, (Skip to 2)
1b. Are you currently on active duty in the Armed Forces, in the
Reserves, or the National Guard [select all that apply]?
1c. Have you ever been deployed to a combat zone?
2. Is anyone in your family or someone close to you on active
duty in the Armed
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Forces, in the Reserves, or the National Guard, or separated or
retired from Armed Forces, Reserves, or the National Guard? No,
(Skip to next section)
3. What is the relationship of that person (Service Member) to
you?
3b. Has the Service Member experienced any of the following
(check all that apply):
[cir] Deployed in support of Combat Operations (e.g. Iraq or
Afghanistan)
[cir] Was physically injured during Combat Operations
[cir] Developed combat stress symptoms/difficulties adjusting
following deployment, including PTSD, Depression, or suicidal
thoughts
[cir] Died or was killed
Veteran Family Status and Areas of Deployment--SAMHSA is
also interested in collecting data on active duty and veteran military
members. Collection of these data will allow CSAT to identify the
number of veterans served, deployment status and location, and family
veteran status in conjunction with the types of services they may
receive. Identifying a client's veteran status and deployment area
allows CSAT and the grantees to monitor these clients and explore
whether special services or programs are needed to treat them for
substance abuse and other related issues. Identification of veteran
status and other military family issues will also allow coordination
between SAMHSA and other Federal agencies in order to provide a full
range of services to veterans. CSAT will also be able to monitor their
outcomes and activities per the NOMS. The total annual burden estimate
is shown below:
Estimates of Annualized Hour Burden \1\--CSAT GPRA Client Outcome Measures for Discretionary Programs
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Added burden
Center/form/respondent type Number of Responses per Total Hours per response Total hour proportion
respondents respondent responses burden \2\
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Clients:
Adolescents................................. 3,900 4 15,600 .5............................ 7,800 .34
Adults:
General (non ATR or SBIRT).............. 28,000 3 84,000 .5............................ 42,000 .34
ATR..................................... 53,333 3 159,999 .5............................ 80,000 .34
SBIRT \4\ Screening Only................ 150,618 1 150,618 .13........................... 19,580 0
SBIRT Brief Intervention................ 27,679 3 83,037 .20........................... 16,607 0
SBIRT Brief Tx & Refer to Tx............ 9,200 3 27,600 .5............................ 13,800 .34
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Client Subtotal..................... 272,730 .............. 520,854 .............................. 179,787 .............
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Data Extract \5\ and Upload:
Adolescent Records.......................... 44 grants 44 x 4 176 .18........................... 32 .............
Adult Records:
General (non ATR or SBIRT).............. 528 grants 70 x 3 210 .18........................... 38 .............
ATR Data Extract........................ 53,333 3 160,000 .16........................... 25,600 .............
ATR Upload \6\.......................... 24 grants 3 160,000 1 hr. per 6,000 records....... 27 .............
SBIRT Screening Only Data Extract....... 9 grants 21,517 x 1 21,517 .07........................... 1,506 .............
SBIRT Brief Intervention Data Extract... 9 grants 3,954 x 3 11,862 .10........................... 1,186 .............
SBIRT Brief Tx&Refer to Tx Data Extract. 9 grants 1,314 x 3 3,942 .18........................... 710 .............
SBIRT Upload \7\........................ 7 grants .............. 171,639 1 hr. per 6,000 records....... 29 .............
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Data Extract and Upload Subtotal.... 53,856 .............. 529,382 .............................. 29,134 .............
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Total........................... 326,586 .............. 1,050,236 .............................. 208,921 .............
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NOTES:
\1\ This table represents the maximum additional burden if adult respondents, for the discretionary services programs including ATR, provide three sets
of responses/data and if CSAT adolescent respondents, provide four sets of responses/data.
\2\ Added burden proportion is an adjustment reflecting customary and usual business practices programs engage in (e.g., they already collect the data
items).
\3\ Estimate based on 2010 hourly wave of $19.97 for U.S. workforce eligible from the Bureau of Labor Statistics.
\4\ Screening, Brief Intervention, Treatment and Referral (SBIRT) grant program:
* 27,679 Brief Intervention (BI) respondents complete sections A & B of the GPRA instrument, all of these items are asked during a customary and usual
intake process resulting in zero burden; and
* 9,200 Brief Treatment (BT) & Referral to Treatment (RT) respondents complete all sections of the GPRA instrument.
\5\ Data Extract by Grants: Grant burden for capturing customary and usual data.
\6\ Upload: all 24 ATR grants upload data.
\7\ Upload: 7 of the 9 SBIRT grants upload data; the other 2 grants conduct direct data entry.
Based on current funding and planned fiscal year 2010 notice of
funding announcements (NOFA), the CSAT programs that will use these
measures in fiscal years 2010 through 2012 include: the Access to
Recovery 2 (ATR2), ATR3, Addictions Treatment for Homeless; Adult
Criminal Justice Treatment; Assertive Adolescent Family Treatment; HIV/
AIDS Outreach; Office of Juvenile Justice and Delinquency Prevention--
Brief Intervention and Referral to Treatment (OJJDP-BIRT); OJJDP-
Juvenile Drug Court (OJJDP-JDC); Offender Re-entry Program; Pregnant
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and Postpartum Women; Recovery Community Services Program--Services;
Recovery Oriented Systems of Care; Screening and Brief Intervention and
Referral to Treatment (SBIRT), Targeted Capacity Expansion (TCE); TCE/
HIV; Treatment Drug Court; and the Youth Offender Reentry Program.
SAMHSA uses the performance measures to report on the performance of
its discretionary services grant programs. The performance measures
information is used by individuals at three different levels: the
SAMHSA administrator and staff, the Center administrators and
government project officers, and grantees
SAMHSA and its Centers will use the data for annual reporting
required by GPRA and for NOMs comparing baseline with discharge and
follow-up data. GPRA requires that SAMHSA's report for each fiscal year
include actual results of performance monitoring for the three
preceding fiscal years. The additional information collected through
this process will allow SAMHSA to report on the results of these
performance outcomes as well as be consistent with the specific
performance domains that SAMHSA is implementing as the NOMs, to assess
the accountability and performance of its discretionary and formula
grant programs.
Written comments and recommendations concerning the proposed
information collection should be sent by September 29, 2011 to: SAMHSA
Desk Officer, Human Resources and Housing Branch, Office of Management
and Budget, New Executive Office Building, Room 10235, Washington, DC
20503; due to potential delays in OMB's receipt and processing of mail
sent through the U.S. Postal Service, respondents are encouraged to
submit comments by fax to: 202-395-7285.
Rose Shannon,
Director, Division of Executive Correspondence.
[FR Doc. 2011-22095 Filed 8-29-11; 8:45 am]
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