[Federal Register Volume 77, Number 113 (Tuesday, June 12, 2012)]
[Notices]
[Pages 34961-34964]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-14200]


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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: National Evaluation of the Comprehensive Community Mental 
Health Services for Children and Their Families Program: Phase VI (OMB 
No. 0930-0307)--REVISION

    The Substance Abuse and Mental Health Services Administration 
(SAMHSA), Center of Mental Health Services is responsible for the 
national evaluation of the Comprehensive Community Mental Health 
Services for Children and Their Families Program (Children's Mental 
Health Initiative--CMHI) that will collect data on child mental health 
outcomes, family life, and service system development. Data will be 
collected on 47 service systems, and approximately 6,561 children and 
families.
    Principal changes from the previous Phase VI OMB approval include:
     Addition of nine (9) communities awarded cooperative 
agreements in FY2010 for data collection.
     Replacement of intake and follow-up questionnaires for the 
Child Welfare Sector and Comparison Study with an administrative record 
review form to lessen burden.
     Addition of a brief 8-item Education Sector Caregiver 
Questionnaire to the Education Sector and Comparison Study to capture 
family involvement in the development and use of Individualized 
Education Plans (IEPs).
     Removal of data collection activities for the Alumni 
Networking Study, the CQI Initiative Evaluation, and the Sustainability 
Study.
Data collection for this evaluation will be conducted over a five-year 
period. Child and family outcomes of interest will be collected at 
intake and during subsequent follow-up sessions at six-month intervals. 
The length of time that individual families will participate in the 
study is up to 24 months. The outcome measures include the following: 
Child symptomatology and functioning, family functioning, satisfaction, 
and caregiver strain. The core of service system data will be collected 
every 18-24 months throughout the 5-year evaluation period. Service 
utilization and cost data will be tracked and submitted to the national 
evaluation every six months using two tools: The Flex Fund Tool and the 
Services and Costs Data Tool to estimate

[[Page 34962]]

average cost of treatment per child, distribution of costs, and 
allocation of costs across service categories. Service delivery and 
system variables of interest include the following: Maturity of system 
of care development in funded system of care communities, adherence to 
the system of care program model, and client service experience.
    In addition, the evaluation will include one special study: The 
Sector and Comparison Study will examine in more detail the outcomes 
and service experience of children from multiple child-serving sectors 
and, through child-level matching, compare these outcomes with those 
not receiving system of care services.
    Internet-based technology such as data entry and management tools 
will be used in this evaluation. The measures of the national 
evaluation address annual Congressional reporting requirements of the 
program's authorizing legislation, and the national outcome measures 
for mental health programs as currently established by SAMHSA.
    The average annual respondent burden is estimated below. The 
estimate reflects the average number of respondents in each respondent 
category, the average number of responses per respondent per year, the 
average length of time it will take to complete each response, and the 
total average annual burden for each category of respondent, and for 
all categories of respondents combined.

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                                                                                           Total average
                                                                             Number of       number of       Hours per     Total burden       5-Year
                Instrument                           Respondent             respondents    responses per     response          hours      average annual
                                                                                            respondent                                     burden hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                System of Care Assessment
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Interview Guides A-S......................  Key site informants.........            1081               3            1.00           3,243             649
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                                                             Child and Family Outcome Study
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Caregiver Information Questionnaire,        Caregiver...................           6,561               1            0.37           2,406             481
 Revised: Caregiver--Intake (CIQ-RC-I).
Caregiver Information Questionnaire,        Staff as Caregiver..........
 Revised: Staff as Caregiver--Intake (CIQ-
 RS-I).
Caregiver Information Questionnaire,        Caregiver...................           6,561               4            0.28           7,436           1,487
 Revised: Caregiver--Follow-Up (CIQ-RC-F).
Caregiver Information Questionnaire,        Staff as Caregiver..........
 Revised: Staff as Caregiver--Follow-Up
 (CIQ-RS-F).
Caregiver Strain Questionnaire (CGSQ).....  Caregiver...................           6,561               5            0.17           5,478           1,096
Child Behavior Checklist 1\1/2\-5 (CBCL     Caregiver...................           6,561               5            0.33          10,924           2,185
 1\1/2\-5).
Child Behavior Checklist 6-18 (CBCL 6-18).
Education Questionnaire, Revision 2 (EQ-    Caregiver...................           6,561               5            0.33          10,924           2,185
 R2).
Living Situations Questionnaire (LSQ).....  Caregiver...................           6,561               5            0.08           2,723             545
Behavioral and Emotional Rating Scale--     Caregiver...................           5,389               5            0.17           4,500             900
 Second Edition, Parent Rating Scale (BERS-
 2C).
Columbia Impairment Scale (CIS)...........  Caregiver...................           6,281               5            0.08           2,607             521
Parenting Stress Index (PSI)..............  Caregiver...................           2,151               5            0.08             896             179
Devereux Early Childhood Assessment for     Caregiver...................           1,576               5            0.08             657             131
 Infants (DECA 1-18M).
Devereux Early Childhood Assessment for
 Toddlers (DECA 18-36M).
Devereux Early Childhood Assessment (DECA
 2-5Y).
Preschool Behavioral and Emotional Rating   Caregiver...................           1,576               5            0.10             788             158
 (PreBERS).
Delinquency Survey, Revised (DS-R)........  Youth.......................           3,986               5            0.13           2,657             531
Behavioral and Emotional Rating Scale--     Youth.......................           3,986               5            0.17           3,328             666
 Second Edition, Youth Rating Scale (BERS-
 2Y).
Gain Quick-R: Substance Problem Scale       Youth.......................           3,986               5            0.08           1,654             331
 (GAIN).
Substance Use Survey, Revised (SUS-R).....  Youth.......................           3,986               5            0.10           1,993             399
Revised Children's Manifest Anxiety Scale,  Youth.......................           3,986               5            0.07           1,329             266
 Second Edition (RCMAS-2).
Reynolds Adolescent Depression Scale,       Youth.......................           3,986               5            0.05             997             199
 Second Edition (RADS-2).
Youth Information Questionnaire, Revised--  Youth.......................           3,986               1            0.25             997             199
 Intake (YIQ-R-I).

[[Page 34963]]

 
Youth Information Questionnaire, Revised--  Youth.......................           3,986               4            0.25           3,986             797
 Follow-Up (YIQ-R-F).
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                                                                Service Experience Study
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Multi-Sector Service Contacts, Revised:     Caregiver...................           6,561               1            0.25           1,640             328
 Caregiver--Intake (MSSC-RC-I).
Multi-Sector Service Contacts, Revised:     Staff as Caregiver..........
 Staff as Caregiver--Intake (MSSC-RS-I).
Multi-Sector Service Contacts, Revised:     Caregiver...................           6,561               4            0.25           6,561           1,312
 Caregiver--Follow-Up (MSSC-RC-F).
Multi-Sector Service Contacts, Revised:     Staff as Caregiver..........
 Staff as Caregiver--Follow-Up (MSSC-RS-F).
Cultural Competence and Service Provision   Caregiver...................           6,561               4            0.13           3,499             700
 Questionnaire, Revised (CCSP-R).
Youth Services Survey for Families (YSS-F)  Caregiver...................           6,561               4            0.12           3,071             614
Youth Services Survey (YSS)...............  Youth.......................           3,986               4            0.08           1,323             265
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                                                      Comparison and Sector Study: Juvenile Justice
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Court Representative Questionnaire (CRQ)..  Court representatives.......             202               5            0.50             505             101
Electronic Data Transfer of Juvenile        Key site personnel..........             202               5            0.03              34               7
 Justice Records.
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                                                         Comparison and Sector Study: Education
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Teacher Questionnaire (TQ)................  Teacher.....................             202               5            0.50             505             101
School Administrator Questionnaire (SAQ)..  School administrators.......             202               5            0.50             505             101
Electronic Data Transfer of Education       Key site personnel..........             202               5            0.03              34               7
 Records.
Education Sector Caregiver Questionnaire    Caregiver...................             202               5            0.08              81              16
 (ESCQ).
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                                                       Comparison and Sector Study: Child Welfare
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Electronic Data Transfer of Child Welfare   Key site personnel..........             202               5            0.03              34               7
 Records.
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                                                                Services and Costs Study
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Flex Funds Data Dictionary/Tool...........  Local programming staff                1,565               3            0.03             155              31
                                             compiling/entering
                                             administrative data on
                                             children/youth.
Services and Costs Data Dictionary/Data     Local evaluator, staff at              6,561             100            0.05          32,805           6,561
 Entry Application.                          partner agencies, and
                                             programming staff compiling/
                                             entering service and cost
                                             records on children/youth.
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                                                                     Number of        Average
                   Respondent                        Number of      responses/        burden/      Total average
                                                    respondents     respondent       response      annual burden
----------------------------------------------------------------------------------------------------------------
Caregiver.......................................           6,561             0.9             2.2          12,838
Youth...........................................           3,986             0.9             1.1           3,653

[[Page 34964]]

 
Provider/Administrator..........................           1,081            12.9             0.5           7,564
                                                 ---------------------------------------------------------------
    Total.......................................          11,628  ..............  ..............          24,055
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    Written comments and recommendations concerning the proposed 
information collection should be sent by July 12, 2012 to the SAMHSA 
Desk Officer at the Office of Information and Regulatory Affairs, 
Office of Management and Budget (OMB). To ensure timely receipt of 
comments, and to avoid potential delays in OMB's receipt and processing 
of mail sent through the U.S. Postal Service, commenters are encouraged 
to submit their comments to OMB via email to: [email protected]. Although commenters are encouraged to send 
their comments via email, commenters may also fax their comments to: 
202-395-7285. Commenters may also mail them to: Office of Management 
and Budget, Office of Information and Regulatory Affairs, New Executive 
Office Building, Room 10102, Washington, DC 20503.

Summer King,
Statistician.
[FR Doc. 2012-14200 Filed 6-11-12; 8:45 am]
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