[Federal Register Volume 73, Number 211 (Thursday, October 30, 2008)]
[Notices]
[Pages 64620-64621]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-25898]


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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: SAMHSA Fetal Alcohol Spectrum Disorders Center for 
Excellence Screening and Brief Intervention Evaluation--New

    Since 2001, SAMHSA's Center for Substance Abuse Prevention has been 
operating the SAMHSA Fetal Alcohol Spectrum Disorders (FASD) Center for 
Excellence. The purpose of the FASD Center is to prevent FASD and 
improve the treatment of FASD. The FASD Center's activities include 
providing training, technical assistance, and subcontracts to increase 
the use of effective evidence-based interventions.
    The FASD Center will be integrating Screening and Brief 
Intervention (SBI) for pregnant women through service delivery 
organizations and will be evaluating the results. Seven sites will 
implement the SBI program operated through WIC or Healthy/Health Start. 
Using the protocol developed by O'Connor and Whaley, each of the 
participating WIC and Healthy Start programs will be screening pregnant 
women to identify those who are currently drinking. The SBI focuses on 
10- to 15-minute sessions of counseling by a counselor who will use a 
scripted manual to guide the intervention. Participants in the SBI will 
be assessed at each visit (to monitor alcohol use), referred for 
additional services to support their efforts to stop drinking, and will 
be provided with the 10-15 minute intervention. Clients will be 
followed up until their 36th week of pregnancy.
    At baseline, a screening tool will be administered by the WIC or 
Healthy/Health Start counselor to assess pregnant women at the 
participating sites or health care delivery programs. Women will be 
assessed for risk using the T-ACE or TWEAK screening instruments which 
have been used successfully with pregnant women. Both quantity and 
frequency of drinking will be assessed. In addition, basic demographic 
data will be collected (age, race/ethnicity, education, and marital 
status) at baseline by participating sites but no personal 
identification information will be transmitted to SAMHSA.
    On a monthly basis, as clients return for their WIC or Healthy/
Health Start program counseling session, follow-up data will be 
collected by the WIC or Healthy Start counselor. At each monthly 
follow-up visit, the quantity and frequency of drinking will be 
assessed and the client's goals for drinking will be recorded. In 
addition, process level variables will be assessed to understand how 
the program is being implemented (e.g., whether SBI was delivered; what 
referrals were made; which referral services were received). At the 
36th week of pregnancy, the client will be asked for permission to 
place her record from this program into her infant's medical record 
(upon delivery) and quantity and frequency of drinking will be 
assessed.
    The data collection is designed to evaluate the implementation of 
the proposed Screening and Brief

[[Page 64621]]

Intervention by measuring whether abstinence from alcohol is achieved. 
Furthermore, the project will include process measures to assess 
whether and how the intervention was provided.

                                        Estimated Annualized Burden Hours
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                                                     Number of       Number of        Average      Total burden
             Screening tool/activity              respondents (7   responses per    burden per       hours per
                                                      Sites)        respondent       response       collection
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Assessment/Baseline Data Collection.............           3,428               1             .25             857
Monthly Follow-up (75% of baseline x 4 months              2,571               4             .33           3,393
 maximum).......................................
Assessment Data Collection at 36th week (75% of            2,571               1             .25             642
 baseline)......................................
                                                 ---------------------------------------------------------------
    Total.......................................           8,570               6  ..............           4,892
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    Send comments to Summer King, SAMHSA Reports Clearance Officer, 
Room 7-1044, One Choke Cherry Road, Rockville, MD 20857. Written 
comments should be received within 60 days of this notice.

    Dated: October 23, 2008.
Elaine Parry,
Acting Director, Office of Program Services.
[FR Doc. E8-25898 Filed 10-29-08; 8:45 am]
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