[Federal Register Volume 70, Number 14 (Monday, January 24, 2005)]
[Notices]
[Pages 3376-3377]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-1216]


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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 (240) 276-1243.

Workplace Helpline Call Record Form (OMB NO. 0930-0232)--Revision

    Workplace Helpline is a toll-free, telephone consulting service 
which provides information, guidance and assistance to employers, 
community-based prevention organizations and labor offices on how to 
deal with alcohol and drug abuse problems in the workplace. The 
Helpline was required by Presidential Executive Order 12564 and has 
been operating since 1987. It is located in the Substance Abuse and 
Mental Health Services Administration's Center for Substance Abuse 
Prevention (CSAP), where it is managed out of the Division of Workplace 
Programs.
    Callers access the Helpline service through one of its Workplace 
Prevention Specialists (WPS) who may spend from several to up to 30 
minutes with a caller, providing guidance on how to develop a 
comprehensive workplace prevention program (written policy, employee 
assistance program services, employee education, supervisor training, 
and drug testing) or components thereof.
    When a call is received, the WPS uses a Call Record Form to record 
information about the call, including the name of the company or 
organization,

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the address, phone number, and the number of employees. Each caller is 
advised that their responses are completely voluntary, and that full 
and complete consultation will be provided by the WPS whether or not 
the caller agrees to answer any question. To determine if the caller is 
representing an employer or other organization that is seeking 
assistance in dealing with substance abuse in the workplace, each 
caller is asked for his/her position in the company/organization and 
the basis for the call. In the course of the call, the WPS will try to 
identify the following information: basis or reason for the call (i.e., 
crisis, compliance with State or Federal requirements, or just wants to 
implement a prevention program or initiative); nature of assistance 
requested; number of employees and whether the business has multiple 
locations; and the industry represented by the caller (e.g., mining, 
construction, etc.). Finally, a note is made on the Call Record Form 
about what specific type(s) of technical assistance was given.
    Below is the annual burden for the Helpline Call Record Form.

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                                                                                      Burden/
                      Form                           Number of      Responses/       response      Total burden
                                                    respondents     respondent        (hrs.)          (hrs.)
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Call Record Form................................           3,120               1            .250             780
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    Written comments and recommendations concerning the proposed 
information collection should be sent by February 23, 2005 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) 395-6974.

    Dated: January 13, 2005.
Anna Marsh,
Executive Officer, SAMHSA.
[FR Doc. 05-1216 Filed 1-21-05; 8:45 am]
BILLING CODE 4162-20-P