[Federal Register Volume 66, Number 14 (Monday, January 22, 2001)]
[Notices]
[Pages 6642-6643]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-1593]


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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 list 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 (301) 443-7978.
    Obligated Service for Mental Health Traineeships: Regulations (42 
CFR Part 62a) and Forms--(Extension; OMB No. 0930-0074)--SAMHSA's 
Center for Mental Health Services (CMHS) awards grants to institutions 
for training instruction and traineeships in mental health and related 
disciplines. Graduate student recipients of these clinical

[[Page 6643]]

traineeships must perform service, as determined by the Secretary to be 
appropriate in terms of the individual's training and experience, for a 
length of time equal to the period of support. The clinical trainees 
are required to submit SAMHSA Form SMA 111, a payback agreement, SAMHSA 
Form 111-1, which ensures agency receipt of a termination notice prior 
to the end of support, and the SAMHSA Form SMA 111-2, which is an 
annual report on employment status and any changes in name and/or 
address, to SAMHSA. The annual burden estimate is provided below.

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                                                                              No. of                    Total
                       42 CFR Section                            No. of     responses/   Hours per      burden
                                                              respondents   respondent    response      hours
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64a.104(a-b),(c)(1)--Termination Notice and Exit Interview            100            1          .25           25
 (Form SMA 111).............................................
64a.104(c)(2,3)--Payback Agreement and Entrance Interview             100            1          .25           25
 (Form SMA 111-1)...........................................
64a.105(b)(2)Annual Payback Activities Certification (Form            700            1          .18          126
 SMA 111-2..................................................
    Total burden............................................          900  ...........  ...........          176
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    Written comments and recommendations concerning the proposed 
information collection should be sent within 30 days of this notice to: 
Stuart Shapiro, Human Resources and Housing Branch, Office of 
Management and Budget, New Executive Office Building, Room 10235, 
Washington, DC 20503.

    Dated: January 12, 2001.
Richard Kopanda,
Executive Officer, SAMHSA.
[FR Doc. 01-1593 Filed 1-19-01; 8:45 am]
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