[Federal Register Volume 76, Number 115 (Wednesday, June 15, 2011)]
[Notices]
[Pages 35000-35002]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-14797]


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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)

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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: Transformation Accountability Reporting System--(OMB 
No. 0930-0285)--Revision

    This revised instrument will allow SAMHSA to collect information on 
two new strategic initiatives--Trauma and Violence and Military 
Families. The new items will be added to the Transformation 
Accountability (TRAC) Reporting System is a real-time, performance 
management system that captures information on mental health services 
delivered in the United States. A wide range of client and program 
information is captured through TRAC for approximately 400 grantees.
    With the addition of new questions regarding military families, 
experiences with trauma, and experiences with violence GFA, there is a 
proposed new data collection instrument up for comment. Approval of 
this information collection will allow SAMHSA to continue to meet 
Government Performance and Results Act of 1993 (GPRA) reporting 
requirements that quantify the effects and accomplishments of its 
discretionary grant programs which are consistent with OMB guidance.
    CMHS has increased the number of questions in the instrument to 
satisfy reporting needs. The following paragraphs present a description 
of the changes made to the information collection. These questions will 
be contained in new sections in the Services tool.
    Violence and Trauma--CMHS proposes to add the following 6 items in 
a new section entitled ``Violence and Trauma''

    1. Have you ever experienced violence or trauma in any setting 
(including community or school violence; domestic violence; 
physical, psychological, or sexual maltreatment/assault within or 
outside of the family; natural disaster; terrorism; neglect; or 
traumatic grief)? No, (skip to next section)
    2. Did any of these experiences feel so frightening, horrible, 
or upsetting that in the past and/or the present that you:
    2a. Have had nightmares about it or thought about it when you 
did not want to?
    2b. Tried hard not to think about it or went out of your way to 
avoid situations that remind you of it?
    2c. Were constantly on guard, watchful, or easily startled?
    2d. Felt numb and detached from others, activities, or your 
surroundings?
    3. In the past 30 days, how often have you been hit, kicked, 
slapped, or otherwise physically hurt?

     Experiences with Violence and Trauma--One of SAMHSA's 10 
Strategic Initiatives is trauma and violence. In order to capture this 
information, CMHS is adding six new questions to be asked of 
respondents. This information will help in SAMHSA's overall goal of 
reducing the behavioral health impacts of violence and trauma by 
encouraging substance abuse treatment programs to focus on trauma-
informed services.
    Military Family and Deployment--CMHS proposes to add the following 
6 new items in a new section entitled ``Military Family and 
Deployment''

    1. Have you ever served in the Armed Forces, in the Reserves, or 
the National Guard [select all that apply]? No, (Skip to 2)
    1b. Are you currently on active duty in the Armed Forces, in the 
Reserves, or the National Guard [select all that apply]?
    1c. Have you ever been deployed to a combat zone?
    2. Is anyone in your family or someone close to you on active 
duty in the Armed Forces, in the Reserves, or the National Guard, or 
separated or retired from Armed Forces, Reserves, or the National 
Guard? No, (Skip to next section)
    3. What is the relationship of that person (Service Member) to 
you?
    3b. Has the Service Member experienced any of the following 
(check all that apply):

[cir] Deployed in support of Combat Operations (e.g. Iraq or 
Afghanistan)
[cir] Was physically Injured during combat Operations
[cir] Developed combat stress symptoms/difficulties adjusting 
following deployment, including PTSD, Depression, or suicidal 
thoughts
[cir] Died or was killed

     Veteran Family Status and Areas of Deployment--SAMHSA is 
also interested in collecting data on active duty and veteran military 
members. Collection of these data will allow CMHS to identify the 
number of veterans served, deployment status and location, and family 
veteran status in conjunction with the types of services they may 
receive. Identifying a client's veteran status and deployment area 
allows CMHS 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 and other military family issues will also allow coordination 
between SAMHSA and other Federal agencies in order to provide a full 
range of services to veterans. CMHS will also be able to monitor their 
outcomes and activities per the NOMS. The total annual burden estimate 
is shown below:

                              Estimates of Annualized Hour Burden--CMHS Client Outcome Measures for Discretionary Programs
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                             Number of     Responses per       Total         Hours per      Total hour      Hourly wage     Total hour
            Type of response                respondents     respondent       responses       response         burden           cost            cost
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Client-level baseline interview.........          15,681               1          15,681            0.48           7,527         $15 \1\        $112,905
Client-level 6-month reassessment                 10,646               1          10,646           0.367           3,907              15          58,605
 interview..............................
    Client-level discharge interview \2\           4,508               1           4,508           0.367           1,655              15          24,825
Client-level baseline chart abstraction.           2,352               1           2,352             0.1             235              15           3,525
Client-level reassessment chart                    9,017               1           9,017             0.1             902              15          13,530
 abstraction \3\........................
                                         ---------------------------------------------------------------------------------------------------------------
    Client-level Subtotal \4\...........          15,681  ..............          15,681  ..............          14,226              15         213,390

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Infrastructure development, prevention,              942               4           3,768               4          15,072          35 \5\         527,520
 and mental health promotion quarterly
 record abstraction.....................
                                         ---------------------------------------------------------------------------------------------------------------
    Total...............................          16,623  ..............  ..............  ..............          29,298  ..............         740,910
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\1\ Based on minimum wage.
\2\ Based on an estimate that it will be possible to conduct discharge interviews on 40 percent of those who leave the program.
\3\ Chart abstraction will be conducted on 100 percent of those discharged.
\4\ This is the maximum additional burden if all consumers complete the baseline and periodic reassessment interviews.
\5\ To be completed by grantee Project Directors, hence the higher hourly wage.

    Send comments to Summer King, SAMHSA Reports Clearance Officer, 
Room 8-1099, 1 Choke Cherry Road, Rockville, MD 20857 or e-mail her a 
copy at [email protected]. Written comments should be received 
within 60 days of this notice.

    Dated: June 8, 2011.
Elaine Parry,
Director, Office of Management, Technology and Operations.
[FR Doc. 2011-14797 Filed 6-14-11; 8:45 am]
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