[Federal Register Volume 75, Number 88 (Friday, May 7, 2010)]
[Notices]
[Pages 25262-25266]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-10907]


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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: Cross-site Evaluation of the Garrett Lee Smith Memorial 
Suicide Prevention and Early Intervention Programs (OMB No. 0930-
0286)--Revision

    The Substance Abuse and Mental Health Services Administration's 
(SAMHSA) Center for Mental Health Services (CMHS) will continue to 
conduct the cross-site evaluation of the Garrett Lee Smith Memorial 
Youth Suicide Prevention and Early Intervention State/Tribal Programs 
and the Garrett Lee Smith Memorial Youth Suicide Prevention Campus 
Programs. The data collected through the cross-site evaluation 
addresses four stages of program activity: (1) The context stage 
includes a review of program plans, such as grantee's target 
population, target region, service delivery mechanisms, service 
delivery setting, types of program activities to be funded and 
evaluation activities; (2) the product stage describes the prevention 
strategies that are developed and utilized by grantees; (3) the process 
stage assesses progress on key activities and milestones related to 
implementation of program plans; and (4) the impact stage assesses the 
impact of the program on early identification, referral for services 
and service follow up of youth at risk.
    Additionally, to obtain a comprehensive understanding of the 
integration of community-based behavioral health services with services 
provided by college or university campuses, SAMHSA will conduct case 
studies of four exemplary Campus suicide prevention programs. 
Currently, case studies of two campus grantees are underway. The goal 
of the Campus Case Studies is to understand how a public health 
approach is successfully applied as a model for campus suicide 
prevention efforts, and will explore, in a systematic manner: The 
suicide prevention related infrastructures and supports (e.g., clinical 
and non-clinical) that exist on selected GLS-funded campuses; the 
various student-level factors that are related to suicide prevention 
efforts (e.g., protective factors, coping strategies, social norms, and 
facilitators and barriers to student access and receipt of behavioral 
healthcare); campus interdepartmental collaboration and the 
relationship between various efforts to promote student mental health 
and wellness; and the extent to which the campus infrastructures and 
supports promote and address these factors.
    To date, 86 State/Tribal grants and 93 Campus grants have 
participated in the cross-site evaluation, since FY2007. Currently, 48 
State/Tribal grants and 38 Campus grants are participating in the 
cross-site evaluation. Data will continue to be collected from suicide 
prevention program staff (e.g. project directors, evaluators), key 
program stakeholders (e.g. State/local officials, child-serving agency 
directors, gatekeepers, mental health providers, and campus 
administrators), training participants, college students, and campus 
faculty/staff through FY2012.
    Since the State/Tribal grantees differ from the campus grantees in 
programmatic approaches, specific data collection activities also vary 
by type of program. The following describes the specific data 
collection activities and data collection instruments to be used across 
State/Tribal and Campus grantees for the cross-site evaluation and the 
specific data collection instruments to be used by selected Campus 
grantees for the Campus Case Studies. While most of the data collection 
instruments described below are revised versions of instruments that 
have previously received OMB approval (OMB No. 0930-0286 with 
Expiration Date: May 2010) and are currently in use, the Training 
Utilization and Preservation--Survey (TUP-S) for State/Tribal grantees 
and the Training Exit Survey for Campus grantees (TES-C) are proposed 
as new instruments. The addition of these two new data collection 
activities, the inclusion of the Campus Case studies, and an overall 
growth in number of grants for both the State/Tribal and Campus 
programs has increased the burden associated with the cross-site 
evaluation. A summary table of number of respondents and

[[Page 25263]]

respondent burden has also been included.

Data Collection Activities for State/Tribal Grantees

    For State/Tribal grantees, the Prevention Strategies Inventory 
State/Tribal (PSI ST), Training Exit Survey State/Tribal (TES ST), 
Referral Network Survey (RNS) and Training Utilization and 
Preservation--Interview (TUP-I) described below are revised versions of 
instruments that previously received OMB approval (OMB No. 0930-0286 
with Expiration Date: May 2010) and are currently in use. The Training 
Utilization and Preservation--Survey (TUP-S) is proposed as a new data 
collection instrument.
     Prevention Strategies Inventory-State/Tribal (PSI ST)--
Revised. The Prevention Strategies Inventory will collect information 
on the suicide prevention strategies that grantees have developed and 
utilized. Prevention strategies include outreach and awareness, 
gatekeeper training, assessment and referral training for mental health 
professionals and hotline staff, lifeskills development programs, 
screening programs, hotlines and helplines, means restriction, policies 
and protocols for intervention and postvention, coalitions and 
partnerships, and direct services and traditional healing practices. 
Baseline data will be collected from the State/Tribal grantees at the 
beginning of their grant cycle. Thereafter, they will complete the PSI 
ST on a quarterly basis over the duration of their grant period. 
Baseline data will be collected on information on the types of 
prevention strategies grantees have developed and utilized, and the 
follow-up data collection asks the grantees to update the information 
they have provided on a quarterly basis over the period of the grant. 
On average, 48 State/Tribal grantees will fill out the PSI ST per year. 
One respondent from each site will be responsible for completing the 
survey. The survey will take approximately 45 minutes; however, the 
number of products, services and activities implemented under each 
strategy will determine the number of items each respondent will 
complete. The PSI ST primarily has multiple choice questions with 
several open-ended questions.
     Training Exit Survey State-Tribal Version (TES ST)--
Revised. The TES ST will be administered to all participants in suicide 
prevention training activities immediately following their training 
experience in order to assess the content of the training, the 
participants' intended use of the skills and knowledge learned and 
satisfaction with the training experience. The survey will also contain 
modules with questions tailored to specific types of training. It is 
estimated that approximately 94,848 trainees per year will respond to 
the TES ST. The questions on the TES ST are multiple-choice, Likert-
scale, and open-ended. The survey includes about 33 items and will take 
approximately 10 minutes to complete.
     Training Exit Survey Cover Page State/Tribal Version (TES 
CP)--Revision. State and Tribal grantees are required to report 
aggregate training participant information for all training conducted 
as part of their suicide prevention programs. These data are aggregated 
from existing data sources, some of which are attendance sheets, 
management information systems, etc. Grantees are responsible for 
aggregating these data and submitting to the cross-site evaluation team 
using the TES CP.
     Training Utilization and Preservation Survey (TUP-S)--New. 
The Training Utilization and Preservation Survey (TUP-S) is a 
quantitative, computer-assisted telephone interview that will be 
administered to a random sample of trainees two months following the 
training. The TUP-S will assess trainee knowledge retention and 
gatekeeper behavior, particularly behavior related to identifying youth 
at risk. The TUP-S will ask trainees to provide demographic information 
about individuals they have identified at risk, information about the 
subsequent referrals or supports provided by the trainee, and any 
available information about services accessed by the at-risk 
individual. An average of 2000 participants per year will be sampled. 
The TUP-S includes 26 items and will take approximately 10 minutes to 
complete.
     Training Utilization and Preservation Key Informant 
Interview (TUP-1)--Revision. The TUP-I is a qualitative follow-up 
interview that is targeted towards locally developed and understudied 
standardized training curricula as well as towards particular 
understudied gatekeeper trainee populations. The TUP-I will be 
administered to respondents two months following the training 
experience to assess whether the suicide prevention knowledge, skills 
or techniques learned through training were utilized and had an impact 
on youth. On average, the TUP-I will be administered to 100 respondents 
per year. The interviews are semistructured and open ended. The TUP 
includes 22 items and will take approximately 40 minutes to complete.
     Referral Network Survey (RNS)--Revision. The Referral 
Network Survey (RNS) will be administered to representatives of youth-
serving organizations or agencies that form referral networks 
supporting youth identified at risk. The RNS examines how collaboration 
and integration are used for sharing and transferring knowledge, 
resources, and technology among State/Tribal Program agencies and 
organizational stakeholders, how these networks influence referral 
mechanisms and service availability, policies and protocols regarding 
follow-up for youths who have attempted suicide and who are at risk for 
suicide, and access to electronic databases. Most State/Tribal grantees 
will select a single referral network for this survey, the average size 
of the network is 11 agencies/organizations and there will be 2 
respondents per agency. The RNS will be administered to referral 
networks on an annual basis over the period of the grant. On average, 
1056 respondents per year will complete the RNS. Questions on the RNS 
are multiple-choice, Likert-scale, and open-ended. The RNS includes 28 
items and will take approximately 30 minutes to complete.
     Early Identification, Referral and Follow up Aggregate 
Screening Form--State/Tribal grantees are also required to report 
aggregate screening information for all youth screened as part of their 
suicide prevention programs. These data are aggregated from existing 
data sources. Grantees are responsible for aggregating these data and 
submitting to the cross-site evaluation team using the Early 
Identification, Referral and Follow up Aggregate Screening Form.
     Early Identification, Referral and Follow Up Analyses--
State/Tribal grantees are required to share existing data with the 
cross-site evaluation team on the number of youth identified at risk as 
a result of early identification activities, referred for services, and 
who present for services.

Data Collection Activities for Campuses

    For Campus grantees, the Prevention Strategies Inventory-Campus 
Baseline and Follow Up (PSI C), Suicide Prevention Exposure, Awareness 
and Knowledge Survey--Student Version (SPEAKS-S), Suicide Prevention 
Exposure, Awareness and Knowledge Survey--Faculty/Staff Version 
(SPEAKS-FS) and Campus Infrastructure Interviews (CIFI) are revised 
versions of instruments that previously received OMB approval (OMB No. 
0930-0286 with Expiration Date: May 2010) and are currently in use, and 
the Training Exit Survey--Campus (TES C) is proposed as a new data 
collection instrument.

[[Page 25264]]

     Prevention Strategies Inventory-Campus (PSI C)--Revision. 
The Prevention Strategies Inventory will collect information on the 
suicide prevention strategies that grantees have developed and 
utilized. Prevention strategies include outreach and awareness, 
gatekeeper training, assessment and referral training for mental health 
professionals and hotline staff, lifeskills development activities, 
screening programs, hotlines and helplines, means restriction, policies 
and protocols for intervention and postvention, and coalitions and 
partnerships. The Campus grantees will first complete collecting 
baseline data. Thereafter, they will collect follow-up data on a 
quarterly basis over the duration of their grant period. Baseline data 
will be collected on information on the types of prevention strategies 
grantees have developed and utilized, and the follow-up data collection 
asks the grantees to update the information they have provided on a 
quarterly basis over the period of the grant. On average, 38 Campus 
grantees will fill out the PSI C per year. One respondent from each 
site will be responsible for completing the survey. The survey will 
take approximately 45 minutes. However, the number of products, 
services and activities implemented under each strategy will determine 
the number of items to complete. The survey primarily has multiple 
choice questions with several open-ended questions.
     Training Exit Survey Campus Version (TES C)--New. The TES 
C will be administered to all participants in suicide prevention 
training activities immediately following their training experience in 
order to assess the content of the training, the participants' intended 
use of the skills and knowledge learned, and satisfaction with the 
training experience. The survey will also contain modules with 
questions tailored to specific types of training. It is estimated that 
approximately 23,712 trainees per year will respond to the Training 
Exit Survey. The questions on the TES C are multiple-choice, Likert-
scale, and open-ended. The survey includes about 33 items and will take 
approximately 10 minutes to complete.
     Training Exit Survey Cover Page Campus Version (TES CP)--
Revision. State and Tribal grantees are required to report aggregate 
training participant information for all training conducted as part of 
their suicide prevention programs. These data are aggregated from 
existing data sources, some of which are attendance sheets, management 
information systems, etc. Grantees are responsible for aggregating 
these data and submitting to the cross-site evaluation team using the 
TES CP.
     Suicide Prevention Exposure, Awareness and Knowledge 
Survey--Student Version (SPEAKS-S)--Revision. This survey will examine: 
The exposure of campus populations to suicide prevention initiatives; 
awareness of appropriate crisis interventions, supports, services, and 
resources for mental health seeking; knowledge of myths and facts 
related to suicide and suicide prevention; perceived and personal 
stigma related to depression and mental health seeking; and behaviors 
related to seeking help and referring for mental health services. This 
survey will be administered annually over the grant period. It is 
estimated that 7,600 students per year will respond to the SPEAKS S. 
The SPEAKS-S is Web-based and includes multiple-choice, Likert-scale 
and true/false questions. The SPEAKS-Student Version includes 85 items 
and will take approximately 25 minutes to complete.
     Suicide Prevention Exposure, Awareness and Knowledge 
Survey--(SPEAKS FS)--Revision. The SPEAKS-FS assesses the exposure, 
awareness and knowledge of suicide prevention activities among faculty/
staff on campus as a result of the suicide prevention program. 
Questions include whether faculty/staff have been exposed to suicide 
prevention materials, their agreement with myths and facts about 
suicide, and the availability of resources to provide assistance to 
those at risk for suicide. This survey will be administered annually 
over the grant period. It is estimated that 1,900 faculty/staff per 
year will respond to the SPEAKS FS. The SPEAKS-FS is Web-based and 
includes multiple-choice, Likert-scale and true/false questions. The 
survey includes 54 items and will take approximately 15 minutes to 
complete.
     Campus Infrastructure Interviews (CIFI)--Revision. CIFI is 
designed to gather information around campus infrastructure, program, 
policy, and planning related to suicide prevention; it involves key 
informant interviews conducted by the cross-site evaluation team via 
teleconference for each campus twice during the life of the grant. 
These semistructured interviews are conducted with up to five site 
representatives to gather information from multiple and varied 
perspectives on campus-based infrastructure development around suicide 
prevention activities. These representatives include: (1) 
Administrator, (2) Student Leader, (3) Counseling Center Staff, (4) 
Faculty/Staff-human services department, and (5) Faculty/Staff-non-
human service department. Questions on the Campus Infrastructure 
Interview include whether respondents are aware of suicide prevention 
activities, what the campus culture is related to suicide prevention, 
and what specific efforts are in place to prevent suicide among the 
campus population. Questions will include close-ended background 
questions, with the remaining questions being open-ended and semi-
structured. It is estimated that on average 64 respondents per year 
will respond to CIFI. The Campus Infrastructure Interviews include 29 
items and will take approximately 60 minutes to complete.

Data Collection Activities for Campus Case Studies

    For Campus Case Studies, the instruments described below are 
currently used by 2 Campus grantees. These instruments are proposed for 
4 additional Campus grantees. The Campus Case Studies will take place 
over the period of the grant.
     Student Focus Group Moderator's Guide. This component will 
assess student risk and protective factors related to mental health, 
help-seeking behaviors, and knowledge of prevention activities on 
campus and their perceived effectiveness. This will help researchers 
more fully understand student-level factors in relation to population-
level factors addressed by the SPEAKS-S. Questions address stressors 
that different groups of students face while in college, barriers to 
seeking help, attitudes and stigma related to seeking help, and the 
accessibility of the campus counseling center. Six focus groups will be 
conducted on each campus twice over the data collection period. The 
following groups of students will potentially be represented in the 
focus groups, as decided by the campus: (1) First-year students, (2) 
athletes, (3) international students, (4) Lesbian, Gay, Bisexual, and 
Transgender (LGBT) students, (5) Greek life students, (6) graduate 
students, and (7) residential advisors/peer educators. Recruitment will 
be conducted by campus project staff. Focus groups will include a 
maximum of 9 students. It is estimated that on average 432 students 
will participate in focus groups. Groups will last approximately 90 
minutes.
     Faculty/Staff Focus Group Moderator's Guide. The faculty 
and staff focus groups will assess the campus' approach to prevention, 
attitudes and stigma around student mental health and wellness on 
campus, campus infrastructure supports for students who need mental 
health help, and the general campus climate around mental

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health and wellness. Faculty and staff will also describe their 
knowledge of prevention activities on campus and their perceived 
effectiveness of these efforts. Local campus staff will recruit 
appropriate respondents for the faculty and staff focus groups to 
include a maximum of 9 respondents per group. Two faculty focus groups 
and one staff focus group will be conducted on each campus twice over 
the period of data collection. It is estimated that 216 faculty/staff 
will participate in focus groups. The groups will last approximately 90 
minutes.
     Case Study Key Informant Interviews (7 versions). The Case 
Study Key Informant Interviews (CSIs) include 7 qualitative interview 
versions: (1) Administrator, (2) Counseling Staff, (3) Coalition 
Member--Faculty, (4) Prevention Staff, (5) Case Finder, (6) Campus 
Police, and (7) Student Leader. Local project staff will be responsible 
for identifying appropriate respondents for each CSI version and 
scheduling the interview to occur during site visits by the case study 
team. Fourteen individuals from each of the campus sites will be 
selected as key informants to participate in the CSIs in each of the 
two stages of the GLS Campus Case Studies. Questions on the CSIs 
include whether respondents are aware of suicide prevention activities, 
what the campus culture is related to suicide prevention, and what 
specific efforts are in place to prevent suicide among the campus 
population. Items are formatted as open-ended and semi-structured 
questions. The CSIs include 16 to 21 items and will take approximately 
60 minutes to complete. On the second site visit, the case study team 
will incorporate preliminary findings from the case studies in the 
interviews, which may be modified to some extent to collect more 
comprehensive information and gather feedback from local key informants 
surrounding the context of the preliminary findings. It is estimated 
that the CSI will be administered to 112 respondents. The CSIs for the 
second site visit will last 60 minutes.
    In addition to the above described data collection activities, data 
from existing sources (i.e., management information systems (MIS), 
administrative records, case files, etc.) will continue to be analyzed 
across grantee sites to support the impact stage of the cross-site 
evaluation. For the cross-site evaluation of the Campus programs, 
existing program data related to the number of students who are at risk 
for suicide, the number who seek services, and the type of services 
received are analyzed to determine the impact of Campus program 
activities on the student and campus populations. Because this 
information is obtained through existing sources, data collection 
instruments were not developed as part of the cross-site evaluation and 
no identifiable respondents exist; therefore no respondent burden has 
been estimated.
    Internet-based technology will continue to be used for collecting 
data via Web-based surveys, and for data entry and management. The 
average annual respondent burden is estimated below. The estimate 
reflects the average annual number of respondents, the average annual 
number of responses, the time it will take for each response, and the 
average annual burden. While the different cohorts of grantees finish 
their grants at different times, we have assumed that new cohorts will 
replace previous cohorts. Therefore, the number of grantees in each 
year is assumed to be constant.

                                   Table--Estimates of Annualized Hour Burden
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                                                                                                     Response
            Measure name                 Number of       Number of  responses/    Hours/response    burden  (in
                                        respondents           respondent                              hours)
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Prevention Strategies Inventory--                 48                           4            0.75             144
 State Tribal (PSI-ST)..............
Training Exit Survey State/Tribal             94,848                           1            0.17          16,125
 (TES-ST)...........................
Training Utilization and Penetration           2,000                           1            0.25             500
 Survey (TUP-S).....................
Training Utilization and Penetration             100                           1            0.67              67
 Interview (TUP-I)..................
Referral Network Survey (RNS).......           1,024                           1            0.67             687
Early Identification, Referral and                48                           4            1                192
 Follow Up Analysis (EIRF)..........
Early Identification, Referral and                48                           4            0.33              64
 Follow Up Aggregate Screening Form
 (EIRF-S)...........................
Training Exit Survey Cover Page                   48                           4            0.33              64
 State/Tribal (TES-CP-ST)...........
Prevention Strategies Inventory-                  38                           4            0.75             114
 Campus (PSI-C).....................
Training Exit Survey Campus (TES-C).          23,712                           1            0.17           4,032
Suicide Prevention Exposure,                   7,600                           1            0.42           3,192
 Awareness and Knowledge Survey-
 Student Version (SPEAKS-S).........
Suicide Prevention Exposure,                   1,900                           1            0.25             475
 Awareness and Knowledge Survey-
 Faculty/Staff (SPEAKS-FS)..........
Campus Infrastructure Interview                   38                           1            0.75              29
 (CIFI) for Student.................
Campus Infrastructure Interview                   76                           1            0.75              57
 (CIFI) for Faculty.................
Campus Infrastructure Interview                   38                           1            0.75              29
 (CIFI) for Administrator...........
Campus Infrastructure Interview                   38                           1            0.75              29
 (CIFI) for Counselor...............
Training Exit Survey Cover Page                   38                           4            0.33              51
 Campus (TES-CP-C)..................
MIS Data Abstraction................              38                           4            0.33              51
Focus Group--Student Version........             216                           1            1.5              324
Focus Group--Faculty Version........              72                           1            1.5              108
Focus Group--Staff Version..........              36                           1            1.5               54
Interview--Student Leader Version...               8                           1            1                  8
Interview--Case Finder Version......               4                           1            1                  4
Interview--Faculty Version..........               8                           1            1                  8
Interview--Campus Police Version....               8                           1            1                  8
Interview--Counseling Staff Version.               8                           1            1                  8
Interview--Prevention Staff Version.              12                           1            1                 12
Interview--Administrator Version....               8                           1            1                  8
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    Total...........................         132,060  ..........................  ..............          26,444
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    Written comments and recommendations concerning the proposed 
information collection should be sent by June 7, 2010 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 28, 2010.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. 2010-10907 Filed 5-6-10; 8:45 am]
BILLING CODE 4162-20-P