[Federal Register Volume 82, Number 91 (Friday, May 12, 2017)]
[Notices]
[Pages 22148-22149]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-09631]


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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: Evaluation of the Cooperative Agreements to Benefit Homeless 
Individuals (CABHI) Program (OMB No. 0930-0320)--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 potential 
future cohorts of grantees to be awarded in FY2017, and to revise some 
of the measures used on current tools.
    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. Potential grantees awarded in FY2017 
will have the same funding options and grant requirements.
    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

[[Page 22149]]

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. 
Data collection efforts that will support the evaluation are described 
below.
    The Client Interview--Baseline and the Client Interview--6-Month 
Follow-up have been developed to provide descriptive information about 
clients, and assess changes in client outcomes and their association 
with project characteristics. The tools were developed based on review 
of the literature and consultation with a panel of national experts, 
grantees, and SAMHSA. The tools were successfully used with over 7,000 
clients during the previous evaluation of SAMHSA's Homeless programs.
    The Client Interview is comprised of questions (unique from 
SAMHSA's Government Performance and Results Act [GPRA] client-level 
tool) that measure the outcomes of interest and subpopulations of 
focus: homelessness, housing, treatment history, trauma symptoms, 
housing and treatment choice, burden and satisfaction, and criminal 
justice involvement. For the CABHI Evaluation, the Client Interview 
Baseline and 6-Month Follow-up have been updated to (1) reflect changes 
to the GPRA client-level tool which allowed the questions on military 
service to be removed, (2) align with the newest version of the 
Diagnostic and Statistical Manual of Mental Disorders (DSM), (3) remove 
the Readiness to Change measure, and (4) add detailed housing and 
homelessness questions. For the 6-Month Follow-up only, questions 
documenting services and evidence based practices received were added 
to improve data on client service receipt. Immediately following the 
SAMHSA-required administration of the GPRA client-level tools, which 
are completed by enrolled clients for each grantee project at baseline 
and 6-month follow-up, the paper and pencil Client Interview will be 
administered face-to-face by the GPRA interviewer. Questions regarding 
perception of care and treatment coercion will be self-administered by 
participating clients and returned to the interviewer in a sealed 
envelope to be included in the full package mailed to the evaluation 
coordinating center. Client participation is voluntary; gift card 
incentives will be given at baseline worth a $15 value and at 6-month 
follow-up worth a $30 value. Clients will be assigned unique 
identifiers by local projects; responses will be recorded on a paper 
and pencil answer sheet, mailed by the grantee project to the 
evaluation coordinating center, and scanned into a secure dataset. This 
process will eliminate the need for data entry, thereby reducing cost 
and potential for data entry error, and ensuring privacy for evaluation 
data.
    The Stakeholder Survey will be conducted with CABHI project 
stakeholders and partners via a web survey to assess the types of 
stakeholder partnerships involved in the CABHI projects, the services 
provided, and the effectiveness of implementation and collaboration in 
the CABHI projects. For the CABHI Evaluation, the survey has been 
divided into three waves so that questions are relevant to the current 
phase of grant implementation (e.g. wave 1 will be administered in year 
1 of the project). Also, a section on healthcare services was added and 
the current section on collaboration was expanded to include new 
measures on collaboration. One wave of the survey will be administered 
each year of the three year grants. Each survey respondent will be 
issued a username and password to login to and complete the secure web-
based survey. The web-based survey format will reduce burden on the 
respondent and minimize potential for measurement error.
    Annual burden has increased from 4,006 to 5,098 hours per year as 
the response burden times have been revised to reflect real-world 
experience during the Homeless Programs evaluation and the number of 
respondents has been increased for the Stakeholder Survey.

                                             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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Baseline data collection                   5,827               1           5,827            0.42           2,447
 (Clients)......................
6-month follow-up data                     4,662               1           4,662             0.5           2,331
 collection (Clients)...........
Client Subtotal.................       \b\ 5,827  ..............          10,489  ..............           4,778
Stakeholder Survey..............             780               1             780            0.41             320
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    Total.......................       \b\ 6,607  ..............          11,269  ..............           5,098
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\a\ Total respondent cost is calculated as hourly wage x time spent on survey x total number of responses.
\b\ Estimated number of total unique respondents.

    Written comments and recommendations concerning the proposed 
information collection should be sent by June 12, 2017 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. 2017-09631 Filed 5-11-17; 8:45 am]
 BILLING CODE 4162-20-P