[Federal Register Volume 77, Number 71 (Thursday, April 12, 2012)]
[Notices]
[Pages 21986-21989]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-8803]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Agency Information Collection Activities; Proposed Collection;
Comment Request
In compliance with Section 3506(c)(2)(A) of the Paperwork Reduction
Act of 1995 concerning opportunity for public comment on proposed
collections of information, the Substance Abuse and Mental Health
Services Administration (SAMHSA) will publish periodic summaries of
proposed projects. To request more information on the proposed projects
or to obtain a copy of the information collection plans, call the
SAMHSA Reports Clearance Officer on (240) 276-1243.
Comments are invited on: (a) Whether the proposed collections of
information are necessary for the proper performance of the functions
of the agency, including whether the information shall have practical
utility; (b) the accuracy of the agency's estimate of the burden of the
proposed collection of information; (c) ways to enhance the quality,
utility, and clarity of the information to be collected; and (d) ways
to minimize the burden of the collection of information on respondents,
including through the use of automated collection techniques or other
forms of information technology.
Proposed Project: National Evaluation of the Comprehensive Community
Mental Health Services for Children and Their Families Program: Phase
VI (OMB No. 0930-0307)--REVISION
The Substance Abuse and Mental Health Services Administration
(SAMHSA), Center of Mental Health Services is responsible for the
national evaluation of the Comprehensive Community Mental Health
Services for Children and Their Families Program (Children's Mental
Health Initiative--CMHI) that will collect data on child mental health
outcomes, family life, and service system development. Data will be
collected on 47 service systems, and approximately 6,561 children and
families.
Principal changes from the previous Phase VI OMB approval include:
Addition of nine (9) communities awarded cooperative
agreements in FY2010 for data collection.
Replacement of intake and follow-up questionnaires for the
Child Welfare Sector and Comparison Study with an administrative record
review form to lessen burden.
Addition of a brief 8-item Education Sector Caregiver
Questionnaire to the Education Sector and Comparison Study to capture
family involvement in the development and use of Individualized
Education Plans (IEPs).
Removal of data collection activities for the Alumni
Networking Study, the CQI Initiative Evaluation, and the Sustainability
Study.
Data collection for this evaluation will be conducted over a five-
year period. Child and family outcomes of interest will be collected at
intake and during subsequent follow-up sessions at six-month intervals.
The length of time that individual families will participate in the
study is up to 24 months. The outcome measures include the following:
child symptomatology and functioning, family functioning, satisfaction,
and caregiver strain. The core of service system data will be collected
every 18-24 months throughout the 5-year evaluation period. Service
utilization and cost data will be tracked and submitted to the national
evaluation every six months using two tools: the Flex Fund Tool and the
Services and Costs Data Tool to estimate average cost of treatment per
child, distribution of costs, and allocation of costs across service
categories. Service delivery and system variables of interest include
the following: maturity of system of care development in funded system
of care communities, adherence to the system of care program model, and
client service experience.
In addition, the evaluation will include one special study: The
Sector and Comparison Study will examine in more detail the outcomes
and service experience of children from multiple child-serving sectors
and, through child-level matching, compare these outcomes with those
not receiving system of care services.
Internet-based technology such as data entry and management tools
will be used in this evaluation. The measures of the national
evaluation address annual Congressional reporting requirements of the
program's authorizing legislation, and the national outcome measures
for mental health programs as currently established by SAMHSA.
The average annual respondent burden is estimated below. The
estimate reflects the average number of respondents in each respondent
category, the average number of responses per respondent per year, the
average length of time it will take to complete each response, and the
total average annual burden for each category of respondent, and for
all categories of respondents combined.
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Total average
Number of number of Hours per Total burden 5-Year average
Instrument Respondent respondents responses per response hours annual burden
respondent hours
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System of Care Assessment
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Interview Guides A-S...................... Key site informants......... 1,081 3 1.00 3,243 649
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Child and Family Outcome Study
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Caregiver Information Questionnaire, Caregiver................... 6,561 1 0.37 2,406 481
Revised: Caregiver--Intake (CIQ-RC-I).
Caregiver Information Questionnaire, Staff as Caregiver.
Revised: Staff as Caregiver--Intake (CIQ-
RS-I).
[[Page 21987]]
Caregiver Information Questionnaire, Caregiver................... 6,561 4 0.28 7,436 1,487
Revised: Caregiver--Follow-Up (CIQ-RC-F).
Caregiver Information Questionnaire, Staff as Caregiver.
Revised: Staff as Caregiver--Follow-Up
(CIQ-RS-F).
Caregiver Strain Questionnaire (CGSQ)..... Caregiver................... 6,561 5 0.17 5,478 1,096
Child Behavior Checklist 1\1/2\-5 (CBCL Caregiver................... 6,561 5 0.33 10,924 2,185
1\1/2\-5).
Child Behavior Checklist 6-18 (CBCL 6-18)
Education Questionnaire, Revision 2 (EQ- Caregiver................... 6,561 5 0.33 10,924 2,185
R2).
Living Situations Questionnaire (LSQ)..... Caregiver................... 6,561 5 0.08 2,723 545
Behavioral and Emotional Rating Scale-- Caregiver................... 5,389 5 0.17 4,500 900
Second Edition, Parent Rating Scale (BERS-
2C).
Columbia Impairment Scale (CIS)........... Caregiver................... 6,281 5 0.08 2,607 521
Parenting Stress Index (PSI).............. Caregiver................... 2,151 5 0.08 896 179
Devereux Early Childhood Assessment for Caregiver................... 1,576 5 0.08 657 131
Infants (DECA 1-18M).
Devereux Early Childhood Assessment for
Toddlers (DECA 18-36M)
Devereux Early Childhood Assessment (DECA
2-5Y)
Preschool Behavioral and Emotional Rating Caregiver................... 1,576 5 0.10 788 158
(PreBERS).
Delinquency Survey, Revised (DS-R)........ Youth....................... 3,986 5 0.13 2,657 531
Behavioral and Emotional Rating Scale-- Youth....................... 3,986 5 0.17 3,328 666
Second Edition, Youth Rating Scale (BERS-
2Y).
Gain Quick-R: Substance Problem Scale Youth....................... 3,986 5 0.08 1,654 331
(GAIN).
Substance Use Survey, Revised (SUS-R)..... Youth....................... 3,986 5 0.10 1,993 399
Revised Children's Manifest Anxiety Scale, Youth....................... 3,986 5 0.07 1,329 266
Second Edition (RCMAS-2).
Reynolds Adolescent Depression Scale, Youth....................... 3,986 5 0.05 997 199
Second Edition (RADS-2).
Youth Information Questionnaire, Revised-- Youth....................... 3,986 1 0.25 997 199
Intake (YIQ-R-I).
Youth Information Questionnaire, Revised-- Youth....................... 3,986 4 0.25 3,986 797
Follow-Up (YIQ-R-F).
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Service Experience Study
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Multi-Sector Service Contacts, Revised: Caregiver................... 6,561 1 0.25 1,640 328
Caregiver--Intake (MSSC-RC-I).
[[Page 21988]]
Multi-Sector Service Contacts, Revised: Staff as Caregiver.
Staff as Caregiver--Intake (MSSC-RS-I).
Multi-Sector Service Contacts, Revised: Caregiver................... 6,561 4 0.25 6,561 1,312
Caregiver--Follow-Up (MSSC-RC-F).
Multi-Sector Service Contacts, Revised: Staff as Caregiver.
Staff as Caregiver--Follow-Up (MSSC-RS-F).
Cultural Competence and Service Provision Caregiver................... 6,561 4 0.13 3,499 700
Questionnaire, Revised (CCSP-R).
Youth Services Survey for Families (YSS-F) Caregiver................... 6,561 4 0.12 3,071 614
Youth Services Survey (YSS)............... Youth....................... 3,986 4 0.08 1,323 265
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Comparison and Sector Study: Juvenile Justice
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Court Representative Questionnaire (CRQ).. Court representatives....... 202 5 0.50 505 101
Electronic Data Transfer of Juvenile Key site personnel.......... 202 5 0.03 34 7
Justice Records.
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Comparison and Sector Study: Education
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Teacher Questionnaire (TQ)................ Teacher..................... 202 5 0.50 505 101
School Administrator Questionnaire (SAQ).. School administrators....... 202 5 0.50 505 101
Electronic Data Transfer of Education Key site personnel.......... 202 5 0.03 34 7
Records.
Education Sector Caregiver Questionnaire Caregiver................... 202 5 0.08 81 16
(ESCQ).
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Comparison and Sector Study: Child Welfare
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Electronic Data Transfer of Child Welfare Key site personnel.......... 202 5 0.03 34 7
Records.
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Services and Costs Study
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Flex Funds Data Dictionary/Tool........... Local programming staff 1,565 3 0.03 155 31
compiling/entering
administrative data on
children/youth.
Services and Costs Data Dictionary/Data Local evaluator, staff at 6,561 100 0.05 32,805 6,561
Entry Application. partner agencies, and
programming staff compiling/
entering service and cost
records on children/youth.
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Number of
Respondent Number of responses/ Average burden/ Total average
respondents respondent response annual burden
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Caregiver........................... 6,561 0.9 2.2 12,838
Youth............................... 3,986 0.9 1.1 3,653
Provider/Administrator.............. 1,081 12.9 0.5 7,564
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Total........................... 11,628 ................. ................. 24,055
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Send comments to Summer King, SAMHSA Reports Clearance Officer,
Room 8-1099, One Choke Cherry Road, Rockville, MD 20857 or email her a
copy at [email protected].
[[Page 21989]]
Written comments should be received within 60 days of this notice.
Summer King,
Statistician.
[FR Doc. 2012-8803 Filed 4-11-12; 8:45 am]
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