[Federal Register Volume 73, Number 170 (Tuesday, September 2, 2008)]
[Notices]
[Pages 51311-51312]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-20213]


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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: GPRA Client Outcomes for the Substance Abuse and 
Mental Health Services Administration (SAMHSA)--(OMB No. 0930-0208)--
Revision

    SAMHSA's Center for Substance Abuse Treatment (CSAT) is responsible 
for collecting data from discretionary services grants and contracts 
where client outcomes are to be assessed at three points (intake, 
discharge, and post-intake). SAMHSA's CSAT-funded projects are required 
to submit these data as a contingency of their award. The analysis of 
the data also will help determine whether the goal of reducing health 
and social costs of drug use to the public is being achieved.
    The primary purpose of this data collection activity is to meet the 
reporting requirements of the Government Performance and Results Act 
(GPRA) by allowing SAMHSA to quantify the effects and accomplishments 
of SAMHSA's CSAT programs.
    CSAT requests approval to increase the number of questions in the 
instrument due to the agency's need for additional information from its 
programs to satisfy reporting needs. The additional information needed 
is the following:
     Co-Occurring Disorders Screening--Over the years, CSAT has 
focused attention on co-occurring disorders and has established 
programs designed specifically for persons with both co-occurring 
disorders and substance abuse problems. CSAT wants to make sure that 
all clients are screened regardless of the types of program they enter 
in order to get the treatment they need. CSAT has not had a formal way 
of assessing whether all programs screen clients for co-occurring 
disorders and consequently, these disorders potentially go untreated. 
CSAT will be able to monitor if clients are screened and for those who 
screen positive, monitor their outcomes and activities per the NOMS.
     Veteran Status--Collection of these data will allow CSAT 
to identify the number of veterans served and the types of services 
they received. Identifying a client's veteran's status allows CSAT and 
the grantees to monitor these clients and explore whether special 
services or programs are needed to treat them for substance abuse and 
other related issues. Identification of veteran status will also allow 
coordination between SAMHSA and other Federal agencies in order to 
provide a full range of services to veterans. CSAT will also be able to 
monitor their outcomes and activities per the NOMS.
     HIV Test Status--SAMHSA is committed to addressing the 
twin epidemics of HIV and substance abuse; the agency has received 
funding to augment the HIV testing program and hopes to reduce the 
number of new cases. The goal is for at least 80 percent of the clients 
to be tested for HIV. The test results give clients and programs an 
important piece of information needed for their substance abuse 
treatment plans. With the testing information, CSAT will monitor the 
numbers of treatment clients who have been tested.
    In addition, we will add a response option to an existing item:
     Housing for College Students--Housing stability is one of 
the NOMs and should be calculated as accurately as possible, 
particularly for programs that target college students such as Campus 
SBIRT. There currently is no way to distinguish the housing status of 
students living on campus from those housed elsewhere. This additional 
information can be captured by adding a new response option for the 
existing housing question.
    CSAT requests approval to add a grant program to this data 
collection:
     CSAT will add the Access to Recovery (ATR) grant program 
to this data collection for the CSAT Government Performance and Results 
Act (GPRA) Client Outcome Measures for Discretionary Programs 
instrument. The Voucher Information Form (OMB 0930-0266, Expiration 
Date 5/31/11) and Voucher Transaction Form (OMB 0930-0266, Expiration 
Date 5/31/11) will remain under separate data collections. ATR requires 
the integration of evidence-based practices and a systematic federal 
scrutiny of outcomes through GPRA. The GPRA focuses on results or 
outcomes in evaluating the effectiveness of Federal activities and on 
measuring progress toward achieving national goals and objectives.
    The estimated annual response burden for this data collection is 
provided in the table below:

[[Page 51312]]



                                                         Estimates of Annualized Hour Burden \1\
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                                                                                                                    Added                    Total hour
                                     Number of        Responses per       Total       Hours per    Total hour      burden     Total annual      cost/
  Center/form/respondent type       respondents        respondent       responses     response       burden      proportion   burden hours   respondent
                                                                                                                     \2\                         \3\
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                                              CSAT GPRA Client Outcome Measures for Discretionary Programs
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Clients:
    Adolescents................  3,900............  4...............        15,600           .35         5,460           .37         2,020       $10,403
    Adults.....................  81,333...........  3...............       243,999           .35        85,400           .37        31,598       162,730
SBIRT \4\ Screening Only.......  150,618..........  1...............       150,618           .13        19,580             0             0  ............
SBIRT Brief Intervention.......  27,679...........  3...............        83,037           .20        16,607             0             0  ............
SBIRT Brief Tx & Refer to Tx...  9,200............  3...............        27,600           .35         9,660           .37         3,574        18,406
                                ------------------------------------------------------------------------------------------------------------------------
    SBIRT Client Subtotal......  187,497..........  ................       261,255  ............        45,847  ............         3,574        18,406
                                ------------------------------------------------------------------------------------------------------------------------
    Client Subtotal............  272,730..........  ................       520,854  ............       136,707  ............        37,192       191,539
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                                                                          SBIRT
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 Data Extract by Grants: \5\
    Adult Records..............  400 grants.......  70 x 3..........           210           .18            38  ............            38           570
    Adolescent Records.........  73 grants........  53 x 4..........           212           .18            38  ............            38           570
    Screening Only.............  7 grants.........  21,517 x 1......        21,517           .07         1,506  ............         1,506        22,590
    Brief Intervention.........  7 grants.........  3,954 x 3.......        11,862           .10         1,186  ............         1,186        17,790
    Brief Tx & Refer to Tx.....  7 grants.........  1,314 x 3.......         3,942           .18           710  ............           710        10,650
                                ------------------------------------------------------------------------------------------------------------------------
        SBIRT Data Extract       494..............  ................        37,743  ............  ............  ............         3,402        52,170
         Subtotal.
Upload \6\.....................  5 grants.........  ................       171,639       ( \8\ )            29  ............            29           435
                                ------------------------------------------------------------------------------------------------------------------------
    SBIRT Upload Subtotal......  5 grants.........  ................       171,639  ............  ............  ............            29           435
                                ------------------------------------------------------------------------------------------------------------------------
    SBIRT Extract/Upload         499..............  ................       209,382  ............  ............  ............  ............  ............
     Subtotal.
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                                                                           ATR
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Data Extract: \4\
    Adult Records..............  53,333...........  3...............       160,000           .16        25,600  ............        25,600       640,000
                                ------------------------------------------------------------------------------------------------------------------------
        ATR Data Extract         53,333...........  ................       160,000  ............  ............  ............        25,600       640,000
         Subtotal.
Upload \7\.....................  24 grants........  3...............       160,000       ( \8\ )            27  ............            27           675
                                ------------------------------------------------------------------------------------------------------------------------
    ATR Upload Subtotal........  24 grants........  ................       160,000  ............  ............  ............            27           675
                                ------------------------------------------------------------------------------------------------------------------------
    ATR Extract/Upload Subtotal  53,357...........  ................       320,000  ............  ............  ............        25,627       640,675
                                ------------------------------------------------------------------------------------------------------------------------
        Total..................  273,229..........  ................     1,050,236  ............  ............  ............        45,530       883,680
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Notes:
\1\ This table represents the maximum additional burden if adult respondents, for the discretionary services programs including ATR, provide three sets
  of responses/data and if CSAT adolescent respondents provide four sets of responses/data.
\2\ Added burden proportion is an adjustment reflecting customary and usual business practices programs engage in (e.g., they already collect the data
  items).
\3\ Estimate based on $5.15 for program staff, $15 for IT staff, and $25 for more senior IT staff for ATR uploads.
\4\ Screening, Brief Intervention, Treatment and Referral (SBIRT) grant program:
* 150,618 Screening Only (SO) respondents complete section A of the GPRA instrument, all of these items are asked during a customary and usual intake
  process resulting in zero burden; and
* 27,679 Brief Intervention (BI) respondents complete sections A & B of the GPRA instrument, all of these items are asked during a customary and usual
  intake process resulting in zero burden; and
* 9,200 Brief Treatment (BT) & Referral to Treatment (RT) respondents complete all sections of the GPRA instrument.
\5\ Data Extract by Grants: Grant burden for capturing customary and usual data.
\6\ Upload: 5 of the 7 SBIRT grants upload data; the other 2 grants conduct direct data entry.
\7\ Upload: All 24 ATR grants upload data.
\8\ 1 hour per 6,000 records.

    The estimates in this table reflect the maximum annual burden for 
currently funded discretionary services programs. The number of 
clients/participants served in following years is estimated to be the 
same assuming level funding of the discretionary programs, resulting in 
the same annual burden estimate for those years.
    Send comments to Summer King, SAMHSA Reports Clearance Officer, 
Room 7-1044, One Choke Cherry Road, Rockville, MD 20857 and e-mail her 
a copy at [email protected]. Written comments should be 
received within 60 days of this notice.

    Dated: August 24, 2008.
Elaine Parry,
Acting Director, Office of Program Services.
[FR Doc. E8-20213 Filed 8-29-08; 8:45 am]
BILLING CODE 4162-20-P