[Federal Register Volume 80, Number 189 (Wednesday, September 30, 2015)]
[Notices]
[Pages 58742-58744]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-24811]


-----------------------------------------------------------------------

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 Minority Substance 
Abuse/HIV Prevention Program (MAI)--(OMB No. 0930-0298)--Revision

    The Substance Abuse and Mental Health Services Administration 
(SAMHSA), Center for Substance Abuse Prevention (CSAP) is requesting 
from the Office of Management and Budget (OMB) approval for the 
revision of data collection activities for the cross-site evaluation of 
the Minority Substance Abuse/HIV Prevention Program (MAI), which 
includes both youth and adult questionnaires. This revision includes 
the inclusion of 4 cohorts, substantial revisions to the youth and 
adult questionnaires, updates to the data used to estimate response 
rates and expected numbers of participants by service duration (see 
Table 1 below), and addition of two brief forms to collect dosage 
information. The current approval is under OMB No. 0930-0298, which 
expires on 2/29/16.
    This cross-site evaluation supports two of SAMHSA's 6 Strategic 
Initiatives: Prevention of Substance Abuse and Mental Illness and 
Health Care and Health Systems Integration. It builds on evaluations of 
data collected by ten previous cohorts of grantees funded by SAMHSA's 
CSAP to provide substance abuse and HIV prevention services for 
minority populations. The first two cohorts were planning grant 
programs and the rest were service grant programs. The goals for the 
Cohort 3-10 grants were to add, increase, or enhance integrated 
substance abuse (SA) and HIV prevention services by providing 
supportive services and strengthening linkages between service 
providers for at-risk minority populations. Cohorts 1-3 previously 
received clearance under OMB No. 0930-0208 and Cohort 6--10 grants 
previously received clearance under OMB No. 0930-0298. Since neither 
the Cohort 4 nor Cohort 5 Programs were cross-site studies, they did 
not require OMB clearance. The grant period for Cohort 9 and 10 grants 
will end on 9/30/2015.
    The cohorts of grantees funded by the MAI and included in this 
clearance request are:
     Minority Serving Institutions (MSI) in Partnerships with 
Community-Based Organizations (CBO): 29 three-year grants funded at the 
end of FY 2013 (MSI CBO 2013).

[[Page 58743]]

     Minority Serving Institutions (MSI) in Partnerships with 
Community-Based Organizations (CBO): 21 three-year grants funded at the 
end of FY 2014 (MSI CBO 2014).
     Minority Serving Institutions (MSI) in Partnerships with 
Community-Based Organizations (CBO): 34 three-year grants were funded 
in FY 2015 (MSI CBO 2015).
     Capacity Building Initiative (CBI): 54 five-year grants 
were funded in 2015 (CBI 2015).
    MSI CBO grantees are Historically Black Colleges/Universities, 
Hispanic Serving Institutions, American Pacific Islander Serving 
Institutions, or Tribal Colleges/Universities in partnership with 
community based organizations in their surrounding communities. MSI CBO 
grantees are required to provide integrated substance abuse (SA), 
Hepatitis C (HCV), and HIV prevention services to young adults. The CBI 
grantees are community-level domestic, public and private nonprofit 
entities, federally recognized American Indian/Alaska Native Tribes and 
tribal organizations, and urban Indian organizations. CBI grantees will 
use grant funds for building a solid infrastructure for integrated SA, 
HIV, and HCV prevention service provision and implementing evidence-
based prevention interventions using the SPF process. The target 
population for the CBI grantees will be at-risk minority adolescents 
and young adults. All MAI grantees are expected to provide leadership 
and coordination on the planning and implementation of SAMHSA's 
Strategic Prevention Framework (SPF) and to target minority 
populations, as well as other high risk groups residing in communities 
of color with high prevalence of SA and HIV/AIDS. The primary 
objectives of the cross-site evaluation are to:
     Assess the success of the MAI in reducing risk factors and 
increasing protective factors associated with the transmission of the 
Human Immunodeficiency Virus (HIV), Hepatitis C Virus (HCV) and other 
sexually-transmitted diseases (STD).
     Measure the effectiveness of evidence-based programs and 
infrastructure development activities such as: Outreach and training, 
mobilization of key stakeholders, substance abuse and HIV/AIDS 
counseling and education, testing, referrals to appropriate medical 
treatment and/or other intervention strategies (i.e., cultural 
enrichment activities, educational and vocational resources, social 
marketing campaigns, and computer-based curricula).
     Investigate intervention types and features that yield the 
best outcomes for specific population groups.
     Assess the extent to which access to health care was 
enhanced for population groups and individuals vulnerable to behavioral 
health disparities residing in communities targeted by funded 
interventions.
     Assess the process of adopting and implementing the 
Strategic Prevention Framework (SPF) with the target populations.
    Continuing the cross-site evaluation will assist SAMHSA/CSAP in 
promoting and disseminating optimally effective prevention programs, 
counseling, health education, and referrals to appropriate medical 
treatment and/or other intervention strategies The MAI grantees are 
expected to provide an effective prevention process, direction, and a 
common set of goals, expectations, and accountabilities to be adapted 
and integrated at the community level. Grantees have substantial 
flexibility in choosing their individual evidence-based programs, but 
must base this selection on and build it into the five steps of the 
SPF. These SPF steps consist of assessing local needs, building service 
capacity specific to SA and HIV prevention services, developing a 
strategic prevention plan, implementing evidence-based interventions, 
and evaluating their outcomes. Grantees are also required to provide 
HIV and HCV testing and counseling services and referrals to 
appropriate treatment options. Grantees must also conduct ongoing 
monitoring and evaluation of their projects to assess program 
effectiveness including Federal reporting of the Government Performance 
and Results Act (GPRA) of 1993, The GPRA Modernization Act of 2010, 
SAMHSA/CSAP National Outcome Measures (NOMs), and the Department of 
Health and Human Services Core HIV Indicators.
    As part of the cross-site evaluation, survey data will be collected 
through self-report questionnaires administered to program 
participants. All grantees will use two questionnaires, one for youth 
aged between 12 and 17 and one for adults aged 18 and older. 
Participants in services lasting 30 days or longer will complete all 
three sections of the questionnaires at three time points (baseline, 
exit, follow-up), taking an average of 37 (youth) or 32 (adult) minutes 
per survey. Participants in services lasting 2-29 days will complete 
the first two sections of the questionnaires at two time points 
(baseline, exit), taking an average of 26 (youth) or 23 (adult) minutes 
to complete each survey. Participants in single-day services will 
complete Section 1 and 3-5 items from Section 2 at one time point (at 
exit), taking an average of 13 minutes for both youth and adult 
questionnaires. The revised youth questionnaire contains 94 questions, 
of which 24 relate to HIV/AIDS and the revised adult questionnaire 
contains 79 items, 29 of which relate to HIV/AIDS. This represents a 
substantial reduction from the current OMB-approved versions of the 
Youth and Adult Questionnaires (128 and 122 items, respectively; OMB 
No. 0930-0298).
    In addition to the shortened versions of the Youth and Adult 
Questionnaires, SAMHSA is requesting approval for two brief forms for 
collecting dosage data. Program staff will complete the Individual 
Dosage Form after each one-on-one service encounter with every 
participant to provide information on the types of services delivered 
during the encounter and the duration of each service type. The form 
takes approximately three minutes to complete. Program staff will 
complete the Group Dosage Form after each group-format service 
encounter to provide similar information, with the addition of a list 
of the unique identification numbers of all participants attending the 
session. A typical group session is expected to have approximately 20 
attendees and a typical Group Dosage Form takes about eight minutes to 
complete.
    Respondent burden and intrusiveness have been limited to the extent 
possible while providing sufficient power to fulfill the cross-site 
evaluation's objectives. Procedures such as the use of unique 
identification numbers in place of personal identification information, 
security measures at grant sites for limiting access to completed 
forms, and analysis guidelines that limit the reporting of outcome 
results for subgroups with small sample sizes, safeguard the privacy 
and confidentiality of participants. Every effort has been made to 
coordinate cross-site data collection with local data collection 
efforts in an attempt to minimize respondent burden.
    The cross-site evaluation results will have significant 
implications for the substance abuse and HIV/AIDS prevention fields, 
the allocation of grant funds, and other evaluation activities 
conducted by multiple Federal, State, and local government agencies. 
They will be used to develop federal policy in support of SAMHSA/CSAP 
program initiatives, inform the public of program outcomes and lessons 
learned, improve existing programs, and promote

[[Page 58744]]

replication and dissemination of effective prevention strategies.

Total Estimates of Annualized Hour Burden

    The following table displays estimates of the annualized hour 
burden for data collection using the Youth and Adult Questionnaires and 
the Individual and Group Dosage Forms. The expected numbers of 
participants by service duration and the numbers of completed dosage 
forms were estimated based on analysis of the data submitted by Cohort 
7-10 grantees. The numbers are adjusted for expected response rates, 
also estimated based on data analysis. Program staff will complete an 
Individual Dosage Form for each one-on-one service encounter with every 
participant, spending an estimated three minutes per form. A typical 
grantee is expected to complete 1,316 Individual Dosage Forms per year. 
A group Dosage Form will be completed for each group session held by 
the funded programs, and will take approximately eight minutes to 
complete. A typical grantee is expected to offer approximately 26 group 
sessions per year.

                                  Table 1--Estimates of Annualized Hour Burden
----------------------------------------------------------------------------------------------------------------
                                     Number of     Responses per       Total         Hours per     Total burden
   Type of respondent activity      respondents    respondent *      responses       response          hours
----------------------------------------------------------------------------------------------------------------
Youth Questionnaire/Single-day                64               1              64          0.2167              14
 service duration...............
Youth Questionnaire/2-29-day                 240               2             480          0.4333             208
 service duration...............
Youth Questionnaire/30-or-more-            1,136               2           2,158          0.6167           1,401
 day service duration...........
Adult Questionnaire/Single-day             1,040               1           1,040          0.2167             225
 service duration...............
Adult Questionnaire/2-29-day               4,314               2           8,628          0.3833           3,307
 service duration...............
Adult Questionnaire/30-or-more-           19,150               2          38,300          0.5333          20,425
 day service duration...........
Individual Dosage Form..........             138           1,316         181,608          0.0500           9,080
Group Dosage Form...............             138              26           3,588          0.1333             478
                                 -------------------------------------------------------------------------------
    Total.......................          26,220  ..............         235,980  ..............          35,139
----------------------------------------------------------------------------------------------------------------

    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 November 30, 2015.

Summer King,
Statistician.
[FR Doc. 2015-24811 Filed 9-29-15; 8:45 am]
 BILLING CODE 4162-20-P