[Federal Register Volume 76, Number 168 (Tuesday, August 30, 2011)]
[Notices]
[Pages 53913-53915]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-22095]


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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: Services Accountability Improvement System--(OMB No. 0930-
0208)--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 Services Accountability 
Improvement System (SAIS), which is a real-time, performance management 
system that captures information on the substance abuse treatment and 
mental health services delivered in the United States. A wide range of 
client and program information is captured through SAIS for 
approximately 600 grantees. Substance abuse treatment facilities submit 
their data on a monthly and even a weekly basis to ensure that SAIS is 
an accurate, up-to-date reflection on the scope of services delivered 
and characteristics of the treatment population. Over 30 reports on 
grantee performance are readily available on the SAIS website. The 
reports inform staff on the grantees' ability to serve their target 
populations and meet their client and budget targets. SAIS data allow 
grantees information that can guide modifications to their service 
array.
    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.
    CSAT 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 GPRA tool. Section H. Violence and 
Trauma--CSAT 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, CSAT 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.
    Section L. Military Family and Deployment--CSAT 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

[[Page 53914]]

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 CSAT 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 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 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. CSAT 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 \1\--CSAT GPRA Client Outcome Measures for Discretionary Programs
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                                            Added burden
         Center/form/respondent type             Number of     Responses per       Total            Hours per response         Total hour    proportion
                                                respondents     respondent       responses                                       burden         \2\
--------------------------------------------------------------------------------------------------------------------------------------------------------
Clients:
Adolescents.................................           3,900               4          15,600  .5............................        7,800            .34
Adults:
    General (non ATR or SBIRT)..............          28,000               3          84,000  .5............................       42,000            .34
    ATR.....................................          53,333               3         159,999  .5............................       80,000            .34
    SBIRT \4\ Screening Only................         150,618               1         150,618  .13...........................       19,580           0
    SBIRT Brief Intervention................          27,679               3          83,037  .20...........................       16,607           0
    SBIRT Brief Tx & Refer to Tx............           9,200               3          27,600  .5............................       13,800            .34
                                             -----------------------------------------------------------------------------------------------------------
        Client Subtotal.....................         272,730  ..............         520,854  ..............................      179,787  .............
--------------------------------------------------------------------------------------------------------------------------------------------------------
Data Extract \5\ and Upload:
Adolescent Records..........................       44 grants          44 x 4             176  .18...........................           32  .............
Adult Records:
    General (non ATR or SBIRT)..............      528 grants          70 x 3             210  .18...........................           38  .............
    ATR Data Extract........................          53,333               3         160,000  .16...........................       25,600  .............
    ATR Upload \6\..........................       24 grants               3         160,000  1 hr. per 6,000 records.......           27  .............
    SBIRT Screening Only Data Extract.......        9 grants      21,517 x 1          21,517  .07...........................        1,506  .............
    SBIRT Brief Intervention Data Extract...        9 grants       3,954 x 3          11,862  .10...........................        1,186  .............
    SBIRT Brief Tx&Refer to Tx Data Extract.        9 grants       1,314 x 3           3,942  .18...........................          710  .............
    SBIRT Upload \7\........................        7 grants  ..............         171,639  1 hr. per 6,000 records.......           29  .............
                                             -----------------------------------------------------------------------------------------------------------
        Data Extract and Upload Subtotal....          53,856  ..............         529,382  ..............................       29,134  .............
                                             -----------------------------------------------------------------------------------------------------------
            Total...........................         326,586  ..............       1,050,236  ..............................      208,921  .............
--------------------------------------------------------------------------------------------------------------------------------------------------------
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\ Estimate based on 2010 hourly wave of $19.97 for U.S. workforce eligible from the Bureau of Labor Statistics.
\4\ Screening, Brief Intervention, Treatment and Referral (SBIRT) grant program:
* 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.
\5\ Data Extract by Grants: Grant burden for capturing customary and usual data.
\6\ Upload: all 24 ATR grants upload data.
\7\ Upload: 7 of the 9 SBIRT grants upload data; the other 2 grants conduct direct data entry.

    Based on current funding and planned fiscal year 2010 notice of 
funding announcements (NOFA), the CSAT programs that will use these 
measures in fiscal years 2010 through 2012 include: the Access to 
Recovery 2 (ATR2), ATR3, Addictions Treatment for Homeless; Adult 
Criminal Justice Treatment; Assertive Adolescent Family Treatment; HIV/
AIDS Outreach; Office of Juvenile Justice and Delinquency Prevention--
Brief Intervention and Referral to Treatment (OJJDP-BIRT); OJJDP-
Juvenile Drug Court (OJJDP-JDC); Offender Re-entry Program; Pregnant

[[Page 53915]]

and Postpartum Women; Recovery Community Services Program--Services; 
Recovery Oriented Systems of Care; Screening and Brief Intervention and 
Referral to Treatment (SBIRT), Targeted Capacity Expansion (TCE); TCE/
HIV; Treatment Drug Court; and the Youth Offender Reentry Program. 
SAMHSA uses the performance measures to report on the performance of 
its discretionary services grant programs. The performance measures 
information is used by individuals at three different levels: the 
SAMHSA administrator and staff, the Center administrators and 
government project officers, and grantees
    SAMHSA and its Centers will use the data for annual reporting 
required by GPRA and for NOMs comparing baseline with discharge and 
follow-up data. GPRA requires that SAMHSA's report for each fiscal year 
include actual results of performance monitoring for the three 
preceding fiscal years. The additional information collected through 
this process will allow SAMHSA to report on the results of these 
performance outcomes as well as be consistent with the specific 
performance domains that SAMHSA is implementing as the NOMs, to assess 
the accountability and performance of its discretionary and formula 
grant programs.
    Written comments and recommendations concerning the proposed 
information collection should be sent by September 29, 2011 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: 202-395-7285.

Rose Shannon,
Director, Division of Executive Correspondence.
[FR Doc. 2011-22095 Filed 8-29-11; 8:45 am]
BILLING CODE 4162-20-P