[Federal Register Volume 81, Number 226 (Wednesday, November 23, 2016)]
[Notices]
[Pages 84601-84603]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-28211]


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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: Evaluation of the Cooperative Agreements to Benefit 
Homeless Individuals (CABHI) Program (OMB No. 0930-0339)--REVISION

    SAMHSA is conducting a cross-site evaluation of the FY2016 cohort 
of the CABHI grant program. The CABHI Evaluation builds on a previous 
evaluation of SAMHSA's 2009-2012 homeless services grant programs 
(i.e., Grants for the Benefit of Homeless Individuals, Services in 
Supportive Housing, and CABHI), under which the approved data 
collection tools were developed and implemented. SAMHSA is requesting 
approval from OMB to revise the burden inventory, which has been 
calculated based on the number of FY2016 CABHI grantees, and to modify

[[Page 84602]]

the data collection mode of a project director interview.
    In 2016, SAMHSA awarded 30 CABHI grants across three levels: States 
(up to $1.5 million per year), Local Governments (up to $800,000 per 
year), and Communities (up to $400,000 per year). The grantees are 
united by the goal of enhancing and expanding infrastructure and 
capacity for mental health and substance abuse treatment and related 
support services for individuals experiencing chronic homelessness or 
veterans, families, or youth experiencing homelessness as a result of 
these conditions. This is accomplished through the provision of 
permanent supportive housing, behavioral health treatment, and recovery 
support services, and enrollment in health insurance, Medicaid, or 
other mainstream benefit programs.
    The primary task of the CABHI evaluation is to conduct a 
comprehensive process and outcome evaluation, addressing questions 
related to the implementation of the CABHI grant projects and the 
extent to which they were able to meet the program's goals. Process 
evaluation primarily represents what is done to and for the client 
(e.g., services provided); this aspect of the evaluation will also 
include a focus on structure, or the resources available in the service 
delivery system, which represent the capacity to deliver quality care, 
but not the care itself. The outcome evaluation will focus on outputs, 
which are the most immediate or proximal results of project activities 
(e.g., changes in partner collaboration, the number of clients enrolled 
in mainstream benefits), and client outcomes, particularly those 
related to behavioral health and homelessness and housing instability. 
The data collection tools included in this request collect a wide range 
of quantitative and qualitative data on characteristics of the grantee 
organization and its partnerships; the system within which the project 
is embedded; relationships with stakeholders; characteristics of the 
target population; services received, including implementation of EBPs; 
staffing patterns; costs of services; barriers and facilitators of 
project implementation; and project sustainability efforts. Data 
collection efforts that will support the evaluation are described 
below.
    The Project Director (PD) Phone Interview/Web Survey is designed to 
systematically collect key grant project characteristics which will 
directly inform the process evaluation component and will also provide 
essential data by documenting the partnerships and services each 
grantee includes in their project. The interview includes two 
components, a semi-structured telephone interview and a Web survey, 
which represents a change from the original approval. The interview was 
developed to be conducted as a telephone interview; however, some 
sections are better suited for self-administration through a Web-based 
survey (e.g., reporting which services the project is providing to 
clients) and the instrument has been modified accordingly. The PD Phone 
Interview/Web Survey is composed of the following sections: Grantee 
Agency and Project Characteristics, Target Population, Stakeholders/
Partners, Services, Evidence-Based Practices (EBPs), Housing, Project 
Organization and Implementation, Sustainability, Local Evaluation, 
Technical Assistance, and Lessons Learned. A total of 39 respondents 
are expected to complete the PD Phone Interview/Web Survey; this 
includes one respondent from all of the CABHI grantees (n=30) and the 
State sub-recipients (n=9). This data collection will occur one time 
during Year 1 and one time during Year 3 of the evaluation.
    Site Visits will consist of in-person, semi-structured discussions 
with grant project directors, State sub-recipient coordinators, project 
evaluators, financial staff, behavioral health treatment staff, case 
managers, housing providers, other support services staff, primary 
partner staff and other key stakeholders, and project client 
participants. The purpose of the Site Visits is to collect detailed 
qualitative information and economic data on project activities 
conducted by the grantees and their partners, which will directly 
inform the process evaluation. The qualitative data will also provide 
essential information for the outcome evaluation component by 
documenting the interventions provided to clients and the 
implementation, barriers, facilitators, challenges and successes for 
each grant project visited. Each CABHI grant project (n=30) will be 
visited once during Year 2 and once during Year 3 of the evaluation. No 
changes have been made to the Site Visit instruments.
    The EBP Self-Assessment is a Web-based survey designed to collect 
information on the services implemented in CABHI grant projects that 
have a demonstrable evidence base, providing a description of the EBP 
interventions received by project clients. The EBP Self-Assessment tool 
is divided into two parts. Part 1 collects information on general 
implementation of the projects' primary EBPs (i.e., those received by 
the most project clients). Thirty-six respondents (9 State sub-
recipients, 12 Local Governments, and 15 Communities) are expected to 
complete Part 1 of the EBP Self-Assessment, which may be completed up 
to 3 times based on the number of primary EBPs being implemented by the 
project. Part 2 collects detailed implementation data on a selected 
group of EBPs (i.e., Assertive Community Treatment, Integrated Dual 
Disorders Treatment, Illness Management and Recovery, Supported 
Employment, Critical Time Intervention, and Supplemental Security 
Income [SSI]/Social Security Disability Insurance [SSDI] Outreach, 
Access, and Recovery) and will be administered only to projects using 
the selected EBPs and only for the EBPs they are implementing. Thirty-
six respondents (9 State sub-recipients, 12 Local Governments, and 15 
Communities) are expected to complete Part 2 of the EBP Self-
Assessment, which may be completed up to 3 times based on the number of 
Part 2 EBPs being implemented by the project. Respondents for both Part 
1 and 2 may include grant project directors, State sub-recipient 
coordinators, or other staff knowledgeable about the project's EBPs. 
The EBP Self-Assessment will be administered in Year 2 of the 
evaluation. No changes have been made to the EBP Self-Assessment 
instrument.
    The Permanent Supportive Housing (PSH) Self-Assessment is a Web-
based survey completed by the CABHI grant projects to understand the 
extent to which they are implementing key dimensions of PSH and capture 
the variability of the PSH model among the projects. Information is 
collected on the following dimensions: Choice of housing, separation of 
housing and services; decent, safe, and affordable housing; housing 
integration; tenancy rights; access to housing; flexible, voluntary 
services; service philosophy; and team-based behavioral health. Thirty-
six respondents (9 State sub-recipients, 12 Local Governments, and 15 
Communities) are expected to complete the PSH Self-Assessment one time, 
and may include grant project directors, State sub-recipient 
coordinators, or other staff knowledgeable about the project's PSH 
model. The PSH Self-Assessment will be administered in Year 2 of the 
evaluation. No changes have been made to the PSH Self-Assessment 
instrument.

[[Page 84603]]



                                             Annualized Burden Hours
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                                     Number of    Responses  per   Total  number     Hours per     Total  burden
       Instrument/activity          respondents      respondent    of  responses     response          hours
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PD Phone Interview/Web Survey...              39               1              39             2.1              82
Site Visits:
    Opening Session/Project              \a\ 300               1             300             2.5             750
     Director Interview.........
    Case Manager, Treatment,             \b\ 540               1             540               2           1,080
     Housing Staff/Provider
     Interview..................
    Stakeholder Interview.......         \c\ 270               1             270             1.5             405
    Evaluator Interview.........          \d\ 60               1              60               1              60
    Client Focus Group..........         \e\ 450               1             450             1.5             675
    Cost Interview..............          \f\ 60               1              60               2             120
Evidence-Based Practice Self-                 36               3             108            0.58              63
 Assessment Part 1..............
Evidence-Based Practice Self-                 36               3             108            0.25              27
 Assessment Part 2..............
Permanent Supportive Housing                  36               1              36            0.67              24
 Self-Assessment................
                                 -------------------------------------------------------------------------------
        Total...................       \g\ 1,650  ..............           1,971  ..............           3,286
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\a\ 10 respondents x 30 site visits = 300 respondents.
\b\ 18 respondents x 30 site visits = 540 respondents.
\c\ 9 respondents x 30 site visits = 270 respondents.
\d\ 2 respondents x 30 site visits = 60 respondents.
\e\ 15 respondents x 30 site visits = 450 respondents.
\f\ 2 respondents x 30 site visits = 60 respondents.
\g\ This is an unduplicated count of total respondents.

    Send comments to Summer King, SAMHSA Reports Clearance Officer, 
5600 Fishers Lane, Room 15E57-B, Rockville, MD 20857 OR email a copy to 
[email protected]. Written comments should be received by 
January 23, 2017.

Summer King,
Statistician.
[FR Doc. 2016-28211 Filed 11-22-16; 8:45 am]
 BILLING CODE 4162-20-P