[Federal Register Volume 67, Number 146 (Tuesday, July 30, 2002)]
[Notices]
[Pages 49363-49365]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-19165]


-----------------------------------------------------------------------

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 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 (301) 443-7978.
    Comments are invited on: (a) Whether the proposed collections of 
information are necessary for the proper

[[Page 49364]]

performance of the functions of the agency, including whether the 
information will 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: Protection and Advocacy for Individuals with 
Mental Illness (PAIMI) Annual Program Performance Report (OMB No. 
0930-0169, Revision)

    The Protection and Advocacy for Individuals with Mental Illness 
(PAIMI) Act (42 U.S.C. 10801 et seq.) authorized funds to support 
protection and advocacy services on behalf of individuals with severe 
mental illness and severe emotional impairment who are at risk for 
abuse and neglect and other civil rights violations while under 
treatment in a residential facility.
    Under the PAIMI Act, formula grant awards are made to protection 
and advocacy (P&A) systems designated by the governors of the 50 states 
and 6 territories, and the District of Columbia to ensure that the 
rights of individuals with severe mental illness and severe emotional 
disturbance are not violated. In October 2000, the PAIMI Act was 
amended to create a 57th P&A system--the Native American Consortium in 
Shiprock, New Mexico. Whenever the annual PAIMI appropriation reaches 
$30 million or more, State P&A systems may serve eligible individuals 
with serious mental illness or severe emotional impairments, as defined 
under the Act, residing in the community, including their own homes. 
However, PAIMI eligible persons residing in public and private 
residential care or treatment facilities have priority for all P&A 
system services. The Children's Health Act of 2000 (42 U.S.C. 290aa et 
seq.), also referenced State P&A authority to obtain information on 
incidents of seclusion, restraint and related deaths (See Parts H and I 
of that Act.).
    The PAIMI Act requires P & A systems to file an annual report on 
their activities and accomplishments and to provide information on such 
topics as: Numbers of individuals served, types of complaints 
addressed, and the number of intervention strategies used to resolve 
the presenting issues. Under the Act, there is an Advisory Council 
which is also required to submit an annual report that assesses the 
effectiveness of the services provided to, and the activities conducted 
by, the P&A systems on behalf of PAIMI eligible individuals and their 
family members.
    The Substance Abuse Mental Health Services Administration (SAMHSA) 
is revising the PAIMI Annual Program Performance Report for the 
following reasons: (1) To make it consistent with the requirements of 
the annual reporting requirements under the PAIMI Act and the PAIMI 
Rules (42 CFR part 51), as well as the new reporting requirements under 
Parts H & I of the Children's Health Act of 2000 and Part C of the 
Developmental Disabilities and Patient's Bill of Rights Act of 2000 (42 
U.S.C. 6001 et seq.); (2) to conform to the GPRA requirements that 
SAMHSA obtain information that closely measures actual outcomes of 
programs that are funded by the agency, and (3) to determine if the 
reporting burden can be reduced by removing any information that does 
not facilitate evaluation of the programmatic and fiscal effectiveness 
of a State P&A system.
    SAMHSA proposes revisions to the Annual Advisory Council Report to 
reflect the statutory and regulatory requirements of the PAIMI Act. 
Planned revisions to the PAIMI Annual Program Performance Report 
include, but may not be limited to the following items: (1) Addition of 
annual actual budget/financial expenditures and sub-contractor 
information, as required by the PAIMI Act (42 U.S.C. 10805(a)(7) and 
the PAIMI Rules 42 CFR 51.8); (2) Advisory Council, Governing Board and 
PAIMI staff demographic information, such as, filled and vacant 
positions, will be revised in a comprehensive graph format; (3) P&A 
systems will have more choices so that all ``information not 
available'' and ``no information provided'' statements will be deleted 
to ensure that the systems focus on gathering more accurate client data 
during the intake and referral process; (4) Sections (such as, PAIMI 
program mechanisms for public comment, individual PAIMI clients, 
grievance procedures) will be revised to capture critical information 
required under the PAIMI Act, the PAIMI Rules and the Children's Health 
Act of 2000 and placed in a graph format; (5) Case complaints and 
problems of the PAIMI eligible individuals served by P&A systems will 
be modified to capture more accurate information, such as, the number 
of PAIMI eligible clients not served due to resource and/or priority 
limitations; (6) Information on the number of open and closed cases 
involving incidents of abuse, neglect, and civil rights complaints will 
be expanded to reflect the new PAIMI authorities, e.g., investigations 
of seclusion, and restraint, and related fatalities in public and 
private facilities, such as, emergency rooms of general hospitals, 
interim-care facilities, nursing homes, non-medical community-based 
facilities for children and youth, etc.; (7) Information on the actual 
annual program priorities and objectives achieved in the reporting year 
will be compared to the projected priorities and objectives, submitted 
with the corresponding grant application for that reporting year, to 
determine whether the P&A effectively used its resources to achieve 
individual, systemic or legislative advocacy outcomes and 
accomplishments on behalf of PAIMI eligible clients; (8) Sections 
focused on the types of intervention strategies, the public education, 
training and awareness activities of the P&A systems will be placed in 
a chart format; and, (9) the Advisory Council Report will be revised so 
that data collected is consistent with that captured in the Annual 
PAIMI Performance Report. The revised report formats will be effective 
for the report due on January 1, 2004.
    The annual burden estimate is as follows:

----------------------------------------------------------------------------------------------------------------
                                                                       No. of
                                                         No. of       responses      Hours per      Total hour
                                                       respondents       per         response         burden
                                                                     respondent
----------------------------------------------------------------------------------------------------------------
Annual Program Performance Report...................            57             1             28           1,596
  Activities and Accomplishments....................                                        (20)         (1,140)
  Performance outcomes..............................                                         (3)           (171)
  Expenses..........................................                                         (2)           (114)
  Budget............................................                                         (2)           (114)
  Priority statements and objectives................                                         (1)            (57)

[[Page 49365]]

 
Advisory Council Report.............................            57             1             10             570
                                                     -----------------------------------------------------------
    Total...........................................           114                                        2,166
----------------------------------------------------------------------------------------------------------------

    Send comments to Nancy Pearce, SAMHSA Reports Clearance Officer, 
Room 16-105, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. 
Written comments should be received within 60 days of this notice.

    Dated: July 23, 2002.
Richard Kopanda,
Executive Officer, SAMHSA.
[FR Doc. 02-19165 Filed 7-29-02; 8:45 am]
BILLING CODE 4162-20-U