[Federal Register Volume 78, Number 116 (Monday, June 17, 2013)]
[Notices]
[Pages 36205-36211]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-14216]


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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) 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: 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

[[Page 36206]]

progress on key activities and milestones related to implementation of 
program plans; and (4) the impact \1\ stage assesses the impact of the 
program on early identification, referral for services, and service 
follow-up of youth at risk.
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    \1\ The evaluation as designed includes four stages (context, 
content, process, and impact) each of which is hinged to the 
fundable activities of the grantees, the research questions outlined 
in the evaluation statement of work, and the state of the knowledge 
base in the field of suicide prevention. As such, while the 
evaluation design does not currently include rigorous impact 
assessment, it does include the comparative assessment of proximal 
outcomes as a part of the impact stage. Hereafter, the impact stage 
is used as an umbrella term to cover evaluation protocols designed 
and implemented to understand the outcomes of the program.
---------------------------------------------------------------------------

    To date, 147 State/Tribal cooperative agreement awardees and 153 
Campus grantees have participated in the cross-site evaluation since FY 
2005. Currently, 61 State/Tribal cooperative agreement awardees and 60 
Campus grantees 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 
FY2016.
    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. While 
most of the data collection instruments described below are revised 
versions of instruments that have previously received Office of 
Management and Budget approval (OMB No. 0930-0286 with Expiration Date: 
August 2013) and are currently in use, new instruments include:

 The Training Utilization and Preservation--Survey (TUP-S): 6-
Month Follow-up, Adolescent, and Campus Versions
 The Life skills Activities Follow-up Interview (LAI)
 The Coalition Survey
 The Coalition Profile
 The Short Message Service Survey (SMSS)
 The Student Awareness Intercept Survey (SAIS)

    The addition of these new data collection activities does not 
increase the burden associated with the cross-site evaluation because 
several lengthy instruments, as well as campus case studies, have been 
removed from the data collection protocol. A summary table of the 
number of respondents and respondent burden has also been included.
    Previously approved instruments that have been removed include:
     The Training Exit Survey (TES) Individual Form for States/
Tribes
     The Suicide Prevention, Exposure, Awareness and Knowledge 
Survey for Students (SPEAKS-S)
     The Campus Infrastructure Interviews (CIFI)
     Three instruments collected by a subset of Campus grantees
     The Training Utilization and Preservation Interview (TUP-
I)

Data Collection Activities for State/Tribal Grantees

    For State/Tribal grantees, the Prevention Strategies Inventory 
State/Tribal (PSI-ST) Baseline and Follow-up, Referral Network Survey 
(RNS), and the Training Utilization and Preservation--Survey (TUP-S-
ST): State/Tribal Version described below are revised versions of 
instruments that previously received OMB approval (OMB No. 0930-0286 
with Expiration Date: August 2013) and are currently in use. The 
Training Activity Summary Page State/Tribal (TASP-ST), Early 
Identification, Referral and Follow-up Screening Form (EIRF-S) and the 
Early Identification, Referral and Follow-up Analysis (EIRF) are data 
collection activities that utilize existing data sources. The Training 
Utilization and Preservation Survey (TUP-S): 6-Month Follow-up and 
Adolescent Versions, the Coalition Profile, and the Coalition Survey 
are proposed as new data collection instruments.
    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, life skills 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, 61 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 has been revised to include response options that 
better capture subpopulations targeted for prevention strategies. 
Response options now include the following: American Indian/Alaska 
Native; Survivors of Suicide; Individuals who engage in nonsuicidal 
self-injury; Suicide attempters; Individuals with mental and/or 
substance abuse disorders; Lesbian, gay, bisexual, and transgender 
populations; Veterans, active military, or military families; Hispanic 
or Latino population. Additional guidance has also been provided for 
categorizing prevention strategies that fit in multiple categories. 
These changes enhance the utility and accuracy of the data collected. 
The PSI-ST primarily has multiple choice questions with several open-
ended questions. Respondents for the Prevention Strategies Inventory 
will be project evaluators and/or program staff. Each of the 61 State/
Tribal grantees will be required to complete the inventory.
    Training Activity Summary Page State/Tribal Version (TASP-ST)--
Revised: 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 
TASP-ST on a quarterly basis. The TASP has been revised to collect 
information about the settings of trainings and the training goal, as 
well as the follow-up plans of grantees. It is estimated that 
abstracting this information will take 20 minutes.
    Training Utilization and Preservation Survey (TUP-S): 3-Month 
Follow-up Version--(Revision) and 6-Month Follow-up Version--(New). The 
Training Utilization and Preservation Survey (TUP-S) is a quantitative, 
computer-assisted telephone interview.

[[Page 36207]]

The previously approved 3-Month Follow-up Version will be administered 
to a random sample of trainees 3 months following the training. A new 
version of the survey, the 6-Month Follow-up Version, will be 
administered to participants 6 months following the training. Both 
versions 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 as being 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.
    The target population of TUP-S instruments is participants in GLS 
sponsored trainings. The different versions of the instrument target 
distinct strata within that population. The State/Tribal 3-Month 
Follow-up TUP-S and the 6-Month Follow-up TUP-S will target adults (18 
and older) who participated in State/Tribal sponsored trainings (about 
900 per grantee in FY 2012). All adult participants of GLS sponsored 
trainings will be administered a consent-to-contact form by the 
training facilitator or grantee staff during a training event. 
Respondents to the State/Tribal TUP-S will be asked to consent to be 
contacted for a second time (in 3 months).
    The cross-site evaluation team will select a probabilistic sample 
of participants who consent to be contacted on an ongoing basis, as 
trainings are implemented and consents received, using systematic 
sampling. The sample fraction will be determined and updated yearly 
based on the projected number of consents so as to ensure the target 
sample sizes per year. Changes in the sample fraction will alter 
inclusion probabilities and must be taken into account in the analysis 
across years through the use of sampling weights
    Target sample sizes were determined so as to afford small standard 
errors for the estimates of the quantities of interest in a given year 
considering available resources. In addition, the sample size for each 
version is roughly proportional to the size of the stratum they 
represent in FY 2012. Key survey estimates will take the form of the 
percentage or proportions, such as the proportion of trainees who 
identified a youth at risk for suicide during the 3 months after the 
training. In the case of the TUP-S 6-Month Follow-up, the main interest 
is the change between administrations in these proportions of interest. 
Results are presented for the maximum standard errors, i.e., for a 
proportion close to 50%--in which the variance is the largest--and for 
no correlation over time in the case of the TUP-S 6-month follow-up.

------------------------------------------------------------------------
                                                      Target    Maximum
                Instrument  version                   sample    standard
                                                       size     error %
------------------------------------------------------------------------
ST TUP-S..........................................      2,000        1.1
ST TUP-S 6-Month Follow-up (pilot)*...............        200        5.0
ST TUP-S 6-Month Follow-up*.......................        600        2.9
------------------------------------------------------------------------
*Note the precision here is for a difference in proportions, instead of
  a single proportion, assuming no correlation over time.

    An average of 2,000 participants per year will be sampled for 
completion of the 3-Month Follow-up Version. The 6-Month Follow-up 
Version will sample 200 participants the first year and will increase 
to 600 participants in subsequent years. The two versions of the TUP-S 
include 25 items each and will take approximately 10 minutes to 
complete.
    Training Utilization and Preservation Survey (TUP-S): Adolescent 
Version--New. The one-year pilot of the Adolescent version of the 
Training Utilization and Preservation--Survey will be implemented with 
grantees sponsoring trainings for youth as part of their grant program. 
Two methods to reach adolescents to complete the TUP-S will be piloted: 
One using a Web survey, and another using an SMSS, or text message, 
survey. The Adolescent Version of the TUP-S will assess adolescent 
trainees' knowledge retention and gatekeeper behavior. The adolescent 
version of the survey increases the comprehensiveness of the 
evaluation, as it allows for the collection of training utilization and 
retention data among adolescents under the age of 18, who represent 
more than a fifth of the trainees from States and Tribes, but who 
heretofore have not participated in the TUP-S.
    The Adolescent TUP-S will target adolescents (12 to 17) who 
participated in State and Tribal sponsored trainings (approximately 170 
per grantee in FY 2012). Consent to contact for the Adolescent TUP-S 
will be obtained from parent/guardians by training facilitators and/or 
grantee staff in conjunction with the consent to participate in the 
training itself.
    The cross-site evaluation team will select a probabilistic sample 
of participants who consent to be contacted on an ongoing basis, as 
trainings are implemented and consents received, using systematic 
sampling. The sample fraction will be determined and updated yearly 
based on the projected number of consents so as to ensure the target 
sample sizes per year. Changes in the sample fraction will alter 
inclusion probabilities and must be taken into account in the analysis 
across years through the use of sampling weights.
    Target sample sizes were determined so as to afford small standard 
errors for the estimates of the quantities of interest in a given year 
considering available resources. In addition, the sample size for the 
Adolescent Version is roughly proportional to the size of the stratum 
it represents in FY 2012. Key survey estimates will take the form of 
the percentage or proportions, such as the proportion of trainees who 
identified a youth at risk for suicide during the 3 months after the 
training.

------------------------------------------------------------------------
                                                      Target    Maximum
                Instrument  version                   sample    standard
                                                       size     error %
------------------------------------------------------------------------
Adolescent TUP-S (pilot)..........................        100        5.0
Adolescent TUP-S..................................        400        2.5
------------------------------------------------------------------------

    An average of 100 respondents will be sampled during the pilot 
year; they will increase to 400 participants in subsequent years. The 
Adolescent Version of the TUP-S will take approximately 10 minutes to 
complete.
    Referral Network Survey (RNS)--Revised: 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. Using zip code data submitted by 
grantees on the Training Activity Summary Page forms, cross-site 
evaluation staff will determine the county or region where the grantee 
has the greatest impact. The grantee will then be asked to provide 
contact information for at least one and up to three organizations in 
this county or region. Cross-site evaluation staff will make a 
preliminary phone call to ask these primary organizations for their 
referral network. Using snowball sampling to determine the entire 
referral network for the county or region, cross-site evaluation staff 
will contact all

[[Page 36208]]

organizations within the referral network to conduct the Referral 
Network Survey. Snowball sampling will be repeated until saturation is 
reached. However, in large networks, four waves with an average of 
three referrals per wave will be conducted, for a total of 27 
respondents. For these large networks, protocol will be followed:
     Wave 1--grantee identifies one respondent
     Wave 2--1 agency provides 3 respondents
     Wave 3--3 agencies each can provide 3 more respondents
     Wave 4--9 agencies can each provide 3 respondents
    If the participant agrees to participate in the survey during the 
initial phone call, respondents will be asked to provide a current 
email address. Once the referral network has been established, 
respondents will be sent an online survey. This online survey will be 
prefilled with the entire list of the network so respondents may select 
which organizations are in their direct referral network.
    The RNS will be administered to referral networks in years 1 and 3 
of the grant. On average, 1467 respondents per year will complete the 
RNS. Questions on the RNS are multiple-choice, Likert-scale, and open-
ended. The RNS includes 57 items and will take approximately 40 minutes 
to complete. The RNS has undergone several changes. It has been revised 
to gather more detail about the type, level, and quality of 
collaboration between agencies, including barriers, facilitators, and 
outcomes of the collaboration. The mode of administration for this 
survey will also be changed from phone to the Web to boost response 
rates.
    Coalition Profile--New: The Coalition Profile will be administered 
once during the grant period to States and Tribes that report engaging 
in coalition building activities on the Prevention Strategies Inventory 
(PSI). Grantees will be asked to identify up to ten members of their 
coalition to participate. The Coalition Profile is a brief survey that 
provides a summary of the coalition's mission and structure, and will 
be used in conjunction with the Coalition Survey and the Referral 
Network Survey. On average, 33 respondents per year will complete the 
Coalition Profile. The Coalition Profile includes 10 items and will 
take approximately 20 minutes to complete.
    Coalition Survey--New: The Coalition Survey will be administered to 
all State/Tribal grantees that indicate participation in coalition 
building activities in their Prevention Strategies Inventory (PSI) once 
in the first year of the grant, and again during the third year of 
grant funding. Each grantee will be asked to provide the names and 
contact information of up to ten individuals identified as part of the 
suicide prevention coalition. Respondents will be sent a link to 
complete the survey online. The Coalition Survey measures an 
organization's involvement in grantees' suicide prevention coalition. 
On average, 426 respondents per year will complete the Coalition 
Survey. The Coalition Survey includes 29 questions and will take 
approximately 40 minutes to complete.
    Early Identification, Referral and Follow-up Screening Form (EIRF-
S)--Revised: State/Tribal grantees are also required to report 
screening information for all youth screened as part of their suicide 
prevention programs. These data are compiled from existing data 
sources. Grantees are responsible for compiling these data and 
submitting to the cross-site evaluation team using the Early 
Identification, Referral and Follow-up Screening Form. Grantees are 
required to submit information on a quarterly basis, and it is 
estimated that abstracting this information will take 60 minutes. The 
form has been modified to collect the geographical location of 
screening events.
    Early Identification, Referral and Follow-up Analyses (EIRF)--
Revised: State/Tribal grantees are required to share existing data with 
the cross-site evaluation team on the youth identified at risk as a 
result of early identification activities, the types of services these 
youth are referred for, and whether these youth receive services within 
3 months of the referral. Grantees are required to submit information 
on a quarterly basis, and it is estimated that grantees spend 5 hours 
each quarter extracting this information. The form has been modified to 
collect the geographical location of the setting in which the youth was 
identified, and the setting in which the youth received services in an 
effort to track service availability and accessibility.

Data Collection Activities for Campuses

    For Campus grantees, the Prevention Strategies Inventory-Campus 
Baseline and Follow-up (PSI-C) and the Training Exit Survey--Campus 
(TES-C), are revised versions of instruments that previously received 
OMB approval (OMB No. 0930-0286 with Expiration Date: August 2013) and 
are currently in use. The Training Activity Summary Page Campus (TASP-
C) and the MIS Data Collection Activity utilize existing data sources. 
The Life skills Activity Follow-up Interview (LAI), the Short Message 
Service Survey (SMSS), the Student Awareness Intercept Survey (SAIS), 
and the Training Utilization and Preservation--Survey (TUP-S): Campus 
Version are proposed as new data collection instruments.
    Prevention Strategies Inventory-Campus (PSI-C)--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, life skills 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 collect 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, 60 Campus grantees will 
complete the PSI-C each 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 PSI has been revised to include response options 
that better capture subpopulations targeted for prevention strategies. 
Response options now include the following: American Indian/Alaska 
Native; Survivors of Suicide; Individuals who engage in nonsuicidal 
self-injury; Suicide attempters; Individuals with mental and/or 
substance abuse disorders; Lesbian, gay, bisexual, and transgender 
populations; Veterans, active military, or military families; Hispanic 
or Latino population. Additional guidance has also been provided for 
categorizing prevention strategies that fit in multiple categories. 
These changes enhance the utility and accuracy of the data collected. 
The survey primarily has multiple choice questions with several open-
ended questions. Respondents for the Prevention Strategies Inventory 
will be project evaluators and/or program staff. Each of the 60 Campus 
grantees will be required to complete the inventory.
    Training Exit Survey Campus Version (TES-C): The TES-C will be

[[Page 36209]]

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 acquired, and satisfaction with the training 
experience. The survey will also contain modules with questions 
tailored to specific types of training. Respondents will include all 
individuals who participate in a training activity sponsored by the 60 
Campus grantees. It is estimated that approximately 37,920 trainees per 
year will respond to the Training Exit Survey. This estimate is based 
on data previously collected which indicate that Campus sites train a 
mean of 632 participants per year. Because the respondents to the 
survey represent the entire trainee population in each grantee site, 
there is no need for calculation of precision of point estimates for 
survey responses. The number of respondents will be sufficient to 
conduct assessments of the psychometric properties of the scales 
developed for this study both within and across grantee sites. 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 Activity Summary Page Campus Version (TASP-C)--Revised: 
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 
TASP-C data elements. Grantees are responsible for aggregating these 
data and submitting to the cross-site evaluation team using the TASP-C 
on a quarterly basis. The TASP has been revised to collect information 
about the settings of trainings and the training goal, as well as the 
follow-up plans of grantees. It is estimated that abstracting this 
information will take 20 minutes.
    Training Utilization and Preservation--Survey (TUP-S): Campus 
Version--New. The Training Utilization and Preservation--Survey (TUP-
S): Campus Version collects information about the utilization and 
retention of participants' knowledge, skills and/or techniques learned 
through trainings conducted on campuses. It will be administered to a 
random sample of training participants 3 months following the training 
to students who participated in a GLS sponsored training (about 450 per 
grantee in FY 2012). All student (over the age of 18) participants of 
GLS sponsored trainings will be administered a consent-to-contact form 
by the training facilitator or grantee staff during a training event. 
The cross-site evaluation team will select a probabilistic sample of 
participants who consent to be contacted on an ongoing basis, as 
trainings are implemented and consents received, using systematic 
sampling. The sample fraction will be determined and updated yearly 
based on the projected number of consents so as to ensure the target 
sample sizes per year. Changes in the sample fraction will alter 
inclusion probabilities and must be taken into account in the analysis 
across years through the use of sampling weights.
    The target sample size was determined so as to afford small 
standard errors for the estimates of the quantities of interest in a 
given year considering available resources. In addition, the sample 
size for the Campus version is roughly proportional to the size of the 
stratum they represent in FY 2012. Key survey estimates will take the 
form of the percentage or proportions, such as the proportion of 
trainees who identified a youth at risk for suicide during the 3 months 
after the training.

------------------------------------------------------------------------
                                                      Target    Maximum
                Instrument version                    sample    standard
                                                       size    error (%)
------------------------------------------------------------------------
Campus TUP-S (pilot)..............................        100        5.0
Campus TUP-S......................................        500        2.2
------------------------------------------------------------------------

    This version of the TUP-S will be piloted for 1 year. During the 
first pilot year, 100 respondents will participate. On average, in 
subsequent years, 500 respondents will participate in the TUP-S: Campus 
Version. This instrument includes 25 items and will take approximately 
10 minutes to complete.
    Life skills Activities Follow-up Interview (LAI)--New: The Life 
skills Activities Follow-up Interview (LAI) will be administered to 
randomly selected participants of selected Campus trainings. This 
qualitative interview will address how students apply the skills and 
information learned through campus life skills and wellness activities 
aimed at enhancing protective factors. The cross-site evaluation team, 
in consultation with local program staff, will select five particular 
training activities per year in which to administer the LAI. Trainees 
will be asked to complete consent-to-contact form indicating their 
willingness to be contacted to participate in the LAI and return the 
form to local program staff. Key informants for the LAI will be 
randomly selected from those individuals who consent to be contacted by 
the cross-site evaluation team. Local program staff will forward the 
consent-to-contact forms to the cross-site evaluation team. Up to seven 
respondents from each of the five selected trainings will be randomly 
selected from among the potential respondents based on consent-to-
contact information, for a total of up to 35 respondents per year. 
Interviews will be conducted within 3 months of completion of the 
training activity. It is estimated that seven respondents per grantee 
will be sufficient to ensure saturation of themes in the content 
analysis of results from the qualitative interviews. The LAI will take 
approximately 30 minutes to complete.
    This instrument will be administered to up to 7 trainees from up to 
5 selected campus trainings per year, for a total of up to 35 
respondents per year. The LAI will take approximately 30 minutes to 
complete.
    Short Message Service Survey (SMSS)--New: The Short Message Service 
Survey (SMSS) will be administered to a random sample of students, once 
in the first year of the grant, and again in the third year. The four-
question text message survey will assess student exposure to and 
participation in suicide prevention activities on campus, and will 
collect information on suicidal ideation. The target population is 
students enrolled in each Campus at years 1 and 3 of the grant funding. 
Each year, the list of mobile phone numbers for all students will be 
obtained from each campus. A random sample of mobile phone numbers will 
be selected. The target number of respondents will be 100 per campus. 
It is expected that 1,000 mobile phone numbers will be required to 
achieve 100 responses. The list of mobile phone numbers from year 3 
will be compared to that of year 1 to identify a stratum of mobile 
phone numbers present both years and to determine its relative size. 
Respondents in year 1 will be contacted again in year 3 if their mobile 
phone number is still present in the year 3 list. Oversampling mobile 
phone numbers present in both years will result in a more precise 
estimate of change. On average, 5,200 students per year will 
participate in the SMSS, which takes approximately 5 minutes to 
complete.
    Student Awareness Intercept Survey (SAIS)--New: Respondents for the 
SAIS will represent a sample of the student

[[Page 36210]]

population at up to four selected campuses. Campuses implementing 
targeted suicide prevention campaigns will be identified and selected 
by reviewing grant applications and through technical assistance 
activities. A sampling plan to obtain 400 student respondents at up to 
four participating campuses will be developed by the cross-site 
evaluation team in conjunction with the campus project team using 
geographical and temporal sampling frames of student activity. Working 
with the campus grantee, the evaluation team will recruit respondents 
utilizing a systematic process that randomly selects campus locations 
and times. For the follow-up administration, the same sample size will 
be targeted. However, that sample will result from a combination of 
follow-up interviews with students from the initial sample, in 
combination with students newly recruited through an intercept 
procedure similar to the procedure. The SAIS will collect information 
about: Exposure to suicide prevention outreach and awareness 
initiatives with targeted student populations; awareness of appropriate 
crisis interventions, supports, services, and resources for mental 
health seeking; knowledge of myths and facts related to suicide and 
suicide prevention; and attitudes toward mental health seeking, access, 
and utilization of mental health services on campus. A follow-up 
version of the survey will be administered 3 months after baseline. On 
average, 1,600 students per year will participate in the SAIS, which 
takes approximately 60 minutes to complete.
    MIS Data Abstraction--Revised: For the cross-site evaluation of the 
Campus programs, existing program data related to student retention 
rates, student use of mental health services, and student use of 
emergency services will be requested from Campuses once a year. The 
form has been modified to allow grantees to capture data on the number 
of attempted or completed suicides among students who live on and off 
campus. It is estimated that abstracting this information will take 20 
minutes.
    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.

                                                      Table 1--Estimates of Annualized Hour Burden
                                                     State/Tribal Cross-Site Evaluation Instruments
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                   Responses      Total      Burden per    Annual     Hourly
           Type of respondent                    Instrument           Number of       per       number of     response     burden   wage rate    Total
                                                                     respondents   respondent   responses     (hours)     (hours)      ($)      cost ($)
--------------------------------------------------------------------------------------------------------------------------------------------------------
Project Evaluator......................  Prevention Strategies                61            4          244         0.75        183      37.82      6,922
                                          Inventory--State Tribal
                                          (PSI-ST).
Provider (Trainees)....................  Training Utilization and          2,000            1         2000         0.16        320      21.35      6,832
                                          Preservation Survey (TUP-
                                          S).
Adolescents (Trainees).................  Training Utilization and            300            1          300         0.16         48       7.25        348
                                          Preservation Survey (TUP-
                                          S).
Provider (Trainees)....................  Training Utilization and            467            1        1,467         0.16         75      21.35      1,602
                                          Preservation Survey (TUP-
                                          S): 6-Month Follow-up.
Provider (Stakeholder).................  Referral Network Survey           1,426            1         1426         0.67        956      21.35     20,411
                                          (RNS).
Project Evaluator......................  Coalition Profile (CP)....           33            1           33         0.33         11      37.82        417
Provider (Stakeholder).................  Coalition Survey (CS).....          426            1          426         0.67        286      21.35      6,107
Project Evaluator......................  Early Identification,                61            4          244         5         1,220      37.82     46,141
                                          Referral and Follow-up
                                          Analysis (EIRF).
Project Evaluator......................  Early Identification,                27            4          108         1           108      37.82      4,085
                                          Referral and Follow-up
                                          Screening Form (EIRF-S).
Project Evaluator......................  Training Activity Summary            61            4          244          .33         81      37.82      3,064
                                          Page (TASP-ST).
--------------------------------------------------------------------------------------------------------------------------------------------------------


[[Page 36211]]

    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, it is assumed that new 
cohorts will replace previous cohorts. Therefore, the number of 
grantees in each year is assumed to be constant.
    Send comments to Summer King, SAMHSA Reports Clearance Officer, 
Room 2-1057, One Choke Cherry Road, Rockville, MD 20857 or email her a 
copy at [email protected]. Written comments should be received 
by August 16, 2013.

Summer King,
Statistician.
[FR Doc. 2013-14216 Filed 6-14-13; 8:45 am]
BILLING CODE 4162-20-P