[Federal Register Volume 70, Number 18 (Friday, January 28, 2005)]
[Notices]
[Pages 4136-4137]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-1583]


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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.

Access to Recovery (ATR) Program--New

    In preparation for implementing Performance Partnership Grants, 
SAMHSA has developed a set of performance outcome measures for 
substance abuse treatment that cover seven domains. The domains are: 
Abstinence from drug use and alcohol abuse, or decreased mental illness 
symptomatology; increased or retained employment and school enrollment; 
decreased involvement with the criminal justice system; increased 
stability in family and living conditions; increased access to 
services; increased retention in services for substance abuse treatment 
or decreased utilization of psychiatric inpatient beds for mental 
health treatment; and increased social connectedness to family, 
friends, co-workers and classmates.
    SAMHSA's Center for Substance Abuse Treatment (CSAT), is 
responsible for implementing the new Access to Recovery (ATR) grant 
program. States funded in the ATR program will use these outcome 
measures to meet the reporting requirements of the Government 
Performance and Results Act (GPRA) by quantifying the effects and 
accomplishments of the funded programs. The ATR Program is part of a 
Presidential initiative to: (1) Provide client choice among substance 
abuse clinical treatment and recovery support service providers, (2) 
expand access to a comprehensive array of clinical treatment and 
recovery support options (including faith-based programmatic options), 
and (3) increase substance abuse treatment capacity. Monitoring 
outcomes, tracking costs, and preventing waste, fraud and abuse to 
ensure accountability and effectiveness in the use of Federal funds are 
also important elements of the ATR program. Grantees, as a contingency 
of their award, are responsible for collecting data from their clients 
at intake, discharge, at 30 days after intake, and every two months 
during an episode of care. An episode of care is defined as a client's 
entry to and exit from the ATR.
    The following tables summarize the annual response burden for the 
ATR activities using the performance outcome measures.

----------------------------------------------------------------------------------------------------------------
                                                                                                    Total hour
                                     Number of     Responses per       Total         Hours per        burden
      Data collection point         respondents     respondent       responses       response     (proportion of
                                                                                                  added burden)*
----------------------------------------------------------------------------------------------------------------
Client Interviews:
    ATR Intake..................          42,095               1          42,095            0.33           7,640
    Discharge/30 day interview**          42,095               1          42,095            0.33          13,891
    3 months....................          28,625               1          28,625            0.33           9,446
    5 months....................          22,732               1          22,732            0.33           7,502
    7 months....................          18,101               1          18,101            0.33           5,973
    9 months....................          15,155               1          15,155            0.33           5,001

[[Page 4137]]

 
    11 months...................          11,787               1          11,787            0.33           3,890
    12 months***................           7,999               1           7,999            0.33           2,640
                                 -----------------
        Total...................         188,589  ..............         188,589  ..............          55,983
Record Management by Provider
 Staff:
    Sections A and G per client      \1\ 146,494               1         146,494             .16          23,439
     at each data collection
     point after intake.........
    Voucher information and               42,095             1.5          63,143             .03           1,894
     transaction................
                                 -----------------
        Provider staff total per         188,589  ..............         209,637  ..............          25,333
         client.................
Grantees (14 States and 1 Tribal
 Organization):
    Grantee extract and upload..              15               4              60             .03               2
                                 -----------------
        Total...................         377,193  ..............         398,226  ..............         81,318
----------------------------------------------------------------------------------------------------------------
* This estimate is an added burden proportion which is an adjustment reflecting the extent to which programs
  typically already collect the data items. The formula for calculating the proportion of added burden is: total
  number of items in the standard instrument, minus the number of core items currently included, divided by the
  total number of items in the standard instrument. Thus, 13,891 times .55 proportion of added burden = 7,640.
  This only applies to the intake interview.
** The ATR interview will be administered every 2 months beginning at 30 days. It is assumed that those who are
  discharged at 30 days or less will receive an intake and discharge interview only and are included in the
  number in the first two rows. The number of respondents who are still in treatment by month is based on
  experience with CSAT's GPRA services data.
*** Based on experience with CSAT's GPRA services data, it is expected that few clients will still be in
  treatment longer than 12 months.
\1\ Clients.

    Written comments and recommendations concerning the proposed 
information collection should be sent by February 28, 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 24, 2005.
Anna Marsh,
Executive Officer, SAMHSA.
[FR Doc. 05-1583 Filed 1-27-05; 8:45 am]
BILLING CODE 4162-20-P