[Federal Register Volume 74, Number 87 (Thursday, May 7, 2009)]
[Notices]
[Pages 21376-21377]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-10608]


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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.

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 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        Average      Total burden
             Screening tool/activity                 Number of     responses per    burden per       hours per
                                                    respondents     respondent       response       collection
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Client Surveys: Assessment/Baseline Data                   3,428               1             .25             857
 Collection (Form A, B or C)....................
Client Surveys: Monthly Follow-up (85% of                  2,914               4             .21           2,448
 baseline x 4 months maximum) (Form D, E and F).
Assessment Data Collection at 36th week (85% of            2,914               1             .16             466
 baseline) (Form D, G, and H)...................
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[[Page 21377]]

 
    Total.......................................           3,428  ..............  ..............           3,771
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    Written comments and recommendations concerning the proposed 
information collection should be sent by June 8, 2009 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: April 29, 2009.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. E9-10608 Filed 5-6-09; 8:45 am]
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