[Federal Register Volume 73, Number 231 (Monday, December 1, 2008)]
[Notices]
[Pages 72809-72811]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-28431]


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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.

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 mental health 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 mental health problems potentially go untreated. 
CSAT will be able to monitor if clients are screened and for those who 
screen

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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 may receive. Identifying a client's veteran 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 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:

                          Estimates of Annualized Hour Burden \1\--CSAT GPRA Client Outcome Measures for Discretionary Programs
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                      Number of        Responses per       Total           Hours per        Total hour     Added burden    Total annual
  Center/form/respondent type        respondents        respondent       responses         response           burden      proportion \2\   burden hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                         Clients
--------------------------------------------------------------------------------------------------------------------------------------------------------
Adolescents....................  3,900..............               4          15,600  .35...............           5,460             .37           2,020
Adults:
    General (non ATR or SBIRT).  28,000.............               3          84,000  .35...............          29,400             .37          10,878
    ATR........................  53,333.............               3         159,999  .35...............          56,000             .37          20,720
    SBIRT \3\ 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    9,200..............               3          27,600  .35...............           9,660             .37           3,574
     Tx.
                                ------------------------------------------------------------------------------------------------------------------------
        Client Subtotal........  272,730............  ..............         520,854  ..................         136,707  ..............          37,192
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                                                               Data Extract \4\ and Upload
--------------------------------------------------------------------------------------------------------------------------------------------------------
Adolescent Records.............  73 grants..........          53 x 4             212  .18...............              38  ..............              38
Adult Records:
    General (non ATR or SBIRT).  400 grants.........          70 x 3             210  .18...............              38  ..............              38
    ATR Data Extract...........  53,333.............               3         160,000  .16...............          25,600  ..............          25,600
    ATR Upload \5\.............  24 grants..........               3         160,000  1 hr. per 6,000                 27  ..............              27
                                                                                       records.
    SBIRT Screening Only Data    7 grants...........      21,517 x 1          21,517  .07...............           1,506  ..............           1,506
     Extract.
    SBIRT Brief Intervention     7 grants...........       3,954 x 3          11,862  .10...............           1,186  ..............           1,186
     Data Extract.
    SBIRT Brief Tx&Refer to Tx   7 grants...........       1,314 x 3           3,942  .18...............             710  ..............             710
     Data Extract.
    SBIRT Upload \6\...........  5 grants...........  ..............         171,639  1 hr. per 6,000                 29  ..............              29
                                                                                       records.
                                ------------------------------------------------------------------------------------------------------------------------
        Data Extract and Upload  53,856.............  ..............         529,382  ..................          29,134  ..............          29,134
         Subtotal.
                                ------------------------------------------------------------------------------------------------------------------------

[[Page 72811]]

 
            Total..............  326,586............  ..............       1,050,236  ..................         165,841  ..............          66,326
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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\ 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.
\4\ Data Extract by Grants: Grant burden for capturing customary and usual data.
\5\ Upload: All 24 ATR grants upload data.
\6\ Upload: 5 of the 7 SBIRT grants upload data; the other 2 grants conduct direct data entry.

    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.
    Written comments and recommendations concerning the proposed 
information collection should be sent by December 31, 2008 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: November 24, 2008.
Elaine Parry,
Acting Director, Office of Program Services.
 [FR Doc. E8-28431 Filed 11-28-08; 8:45 am]
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