[Federal Register Volume 83, Number 205 (Tuesday, October 23, 2018)]
[Notices]
[Pages 53492-53494]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-23134]


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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: Community Mental Health Services Block Grant and 
Substance Abuse Prevention and Treatment Block Grant FY 2020-2021 Plan 
and Report Guidance and Instructions (OMB No. 0930-0168)--Extension

    The Substance Abuse and Mental Health Services Administration 
(SAMHSA) is requesting approval from the Office of Management and 
Budget (OMB) for an extension of the 2018-19 Community Mental Health 
Services Block Grant (MHBG) and Substance Abuse Prevention and 
Treatment Block Grant (SABG) Plan and Report Guidance and Instructions.
    Currently, the SABG and the MHBG differ on a number of their 
practices (e.g., data collection at individual or aggregate levels) and 
statutory authorities (e.g., method of calculating MOE, stakeholder 
input requirements for planning, set asides for specific populations or 
programs, etc.). Historically, the Centers within SAMHSA that 
administer these block grants have had different approaches to 
application requirements and reporting. To compound this variation, 
states have different structures for accepting, planning, and 
accounting for the block grants and the prevention set aside within the 
SABG. As a result, how these dollars are spent and what is known about 
the services and clients that receive these funds varies by block grant 
and by state.
    SAMHSA has conveyed that block grant funds must be directed toward 
four purposes: (1) To fund priority treatment and support services for 
individuals without insurance or who cycle in and out of health 
insurance coverage; (2) to fund those priority treatment and support 
services not covered by Medicaid, Medicare or private insurance offered 
through the exchanges and that demonstrate success in improving 
outcomes and/or supporting recovery; (3) to fund universal, selective 
and targeted prevention activities and services; and (4) to collect 
performance and outcome data to determine the ongoing effectiveness of 
behavioral health prevention, treatment and recovery support services 
and to plan the implementation of new services on a nationwide basis.
    To help states meet the challenges of 2020 and beyond, and to 
foster the implementation and management of an integrated physical 
health, mental health and addiction service system, SAMHSA has 
established standards and expectations that will lead to an improved 
system of care for individuals with or at risk of mental and substance 
use disorders. Therefore, this application package continues to fully 
exercise SAMHSA's existing authority regarding states', territories' 
and the Red Lake Band of the Chippewa Tribe's (subsequently referred to 
as ``states'') use of block grant funds as they fully integrate 
behavioral health services into the broader health care continuum.
    Consistent with previous applications, the FY 2020-2021 application 
has sections that are required and other sections where additional 
information is requested. The FY 2020-2021 application requires states 
to submit a face sheet, a table of contents, a behavioral health 
assessment and plan, reports of expenditures and persons served, an 
executive summary, and funding agreements and certifications. In 
addition, SAMHSA is requesting information on key areas that are 
critical to the states success in addressing health care integration. 
Therefore, as part of this block grant planning process, SAMHSA is 
asking states to identify both their promising or effective strategies 
as well as their technical assistance needs to implement the strategies 
they identify in their plans for FYs 2020 and 2021.
    To facilitate an efficient application process for states, SAMHSA 
utilized the questions and requests for clarification from 
representatives from SMHAs and SSAs to inform the proposed changes to 
the block grants. Based on these discussions with states, SAMHSA is 
proposing de minimis changes to the block grant program, consisting of 
updated dates and clarification to instructions.
    While the statutory deadlines and block grant award periods remain 
unchanged, SAMHSA encourages states to turn in their application as 
early as

[[Page 53493]]

possible to allow for a full discussion and review by SAMHSA. 
Applications for the MHBG-only is due no later than September 3, 2019. 
The application for SABG-only is due no later than October 1, 2019. A 
single application for MHBG and SABG combined is due no later than 
September 3, 2019.

Estimates of Annualized Hour Burden

    The estimated annualized burden for the uniform application remains 
unchanged at 33,374 hours. Burden estimates are broken out in the 
following tables showing burden separately for Year 1 and Year 2. Year 
1 includes the estimates of burden for the uniform application and 
annual reporting. Year 2 includes the estimates of burden for the 
recordkeeping and annual reporting. The reporting burden remains 
constant for both years.

                                            Table 1--Estimates of Application and Reporting Burden for Year 1
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                             Number of       Number of
                                    Authorizing        Authorizing        Implementing       Number of     responses per     hours per      Total hours
                                  legislation SABG   legislation MHBG      regulation       respondent         year          response
--------------------------------------------------------------------------------------------------------------------------------------------------------
                               Substance Abuse Prevention and Treatment and Community Mental Health Services Block Grants
--------------------------------------------------------------------------------------------------------------------------------------------------------
Reporting......................  Standard Form and  .................  .................  ..............  ..............  ..............  ..............
                                  Content.
                                 42 U.S.C. Sec.     .................  .................  ..............  ..............  ..............  ..............
                                  300x-32(a).
SABG...........................  Annual Report....  .................  .................  ..............  ..............  ..............          11,160
                                 42 U.S.C. 300x-    .................  45 CFR 96.122(f).              60               1  ..............  ..............
                                  52(a).
                                 42 U.S.C. 300x-30- .................  .................               5               1  ..............  ..............
                                  b.
                                 42 U.S.C. 300x-    .................  45 CFR 96.134(d).              60               1  ..............  ..............
                                  30(d)(2).
MHBG...........................  Annual Report....  .................  .................  ..............  ..............  ..............          10,974
                                 .................  42 U.S.C. Sec.     .................              59               1  ..............  ..............
                                                     300x-6(a).
                                 .................  42 U.S.C. 300x-    .................  ..............  ..............  ..............  ..............
                                                     52(a).
                                 .................  42 U.S.C. 300x-    .................              59               1  ..............  ..............
                                                     4(b)(3)B.
                                 State Plan         .................  .................  ..............  ..............  ..............  ..............
                                  (Covers 2 years).
SABG elements..................  42 U.S.C. 300x-    .................  45 CFR                         60               1  ..............  ..............
                                  22(b).                                96.124(c)()1).
                                 42 U.S.C. 300x-23  .................  45 CFR 96.126(f).              60               1  ..............  ..............
                                 42 U.S.C. 300x-27  .................  45 CFR 96.131(f).              60               1  ..............  ..............
                                 42 U.S.C. 300x-    .................  45 CFR 96.122(g).              60               1             120           7,200
                                  32(b).
MHBG elements..................  .................  42 U.S.C. 300x-    .................              59               1             120           7,080
                                                     1(b).
                                 .................  42 U.S.C. 300x-    .................              59               1  ..............  ..............
                                                     1(b)(2).
                                 .................  42 U.S.C. 300x-    .................              59               1  ..............  ..............
                                                     2(a).
                                 Waivers..........  .................  .................  ..............  ..............  ..............           3,240
                                 42 U.S.C. 300x-    .................  .................              20               1  ..............  ..............
                                  24(b)(5)(B).
                                 42 U.S.C. 300x-    .................  45 CFR 96.132(d).               5               1  ..............  ..............
                                  28(d).
                                 42 U.S.C. 300x-    .................  45 CFR 96.134(b).              10               1  ..............  ..............
                                  30(c).
                                 42 U.S.C. 300x-    .................  .................               1               1  ..............  ..............
                                  31(c).
                                 42 U.S.C. 300x-    .................  .................               7               1  ..............  ..............
                                  32(c).
                                 42 U.S.C. 300x-    .................  .................              10  ..............  ..............  ..............
                                  32(e).
                                 .................  42 U.S.C. 300x-    .................              10  ..............  ..............  ..............
                                                     2(a)(2).
                                 .................  42 U.S.C 300x-     .................              10  ..............  ..............  ..............
                                                     4(b)(3).
                                 .................  42 U.S.C 300x-     .................               7  ..............  ..............  ..............
                                                     6(b).
Recordkeeping..................  42 U.S.C. 300x-23  42 U.S.C. 300x-3.  45 CFR 96.126(c).           60/59               1              20           1,200
                                 42 U.S.C. 300x-25  .................  45 CFR                         10               1              20             200
                                                                        96.129(a)(13).

[[Page 53494]]

 
                                 42 U.S.C 300x-65.  .................  42 CFR Part 54...              60               1              20           1,200
                                ------------------------------------------------------------------------------------------------------------------------
    Combined Burden............  .................  .................  .................  ..............  ..............  ..............          42,254
--------------------------------------------------------------------------------------------------------------------------------------------------------

Report
300x-52(a)--Requirement of Reports and Audits by States--Report
300x-30(b)--Maintenance of Effort Regarding State Expenditures--
Exclusion of Certain Funds (SABG)
300x-30(d)(2)--Maintenance of Effort--Noncompliance--Submission of 
Information to Secretary (SABG)
State Plan--SABG
300x-22(b)--Allocations for Women
300x-23--Intravenous Substance Abuse
300x-27--Priority in Admissions to Treatment
300x-29--Statewide Assessment of Need
300x-32(b)--State Plan
State Plan--MHBG
42 U.S.C. 300x-1(b)--Criteria for Plan
42 U.S.C. 300x-1(b)(2)--State Plan for Comprehensive Community Mental 
Health Services for Certain Individuals--Criteria for Plan--Mental 
Health System Data and Epidemiology
42 U.S.C. 300x-2(a)--Certain Agreements--Allocations for Systems 
Integrated Services for Children
Waivers--SABG
300x-24(b)(5)(B)--Human Immunodeficiency Virus--Requirement regarding 
Rural Areas
300x-28(d)--Additional Agreements
300x-30(c)--Maintenance of Effort
300x-31(c)--Restrictions on Expenditure of Grant--Waiver Regarding 
Construction of Facilities
300x-32(c)--Certain Territories
300x-32(e)--Waiver amendment for 1922, 1923, 1924 and 1927
Waivers--MHBG
300x-2(a)(2)--Allocations for Systems Integrated Services for Children
300x-6(b)--Waiver for Certain Territories
Recordkeeping
300x-23--Waiting list
300x-25--Group Homes for Persons in Recovery from Substance Use 
Disorders
300x-65--Charitable Choice

                        Table 2--Estimates of Application and Reporting Burden for Year 2
----------------------------------------------------------------------------------------------------------------
                                                                     Number of       Number of
                                                     Number of     responses per     hours per      Total hours
                                                    respondent         year          response
----------------------------------------------------------------------------------------------------------------
Reporting:......................................  ..............  ..............  ..............  ..............
                                                  ..............  ..............  ..............  ..............
SABG............................................              60               1             186          11.160
MHBG............................................              59               1             186          10,974
                                                  ..............  ..............  ..............  ..............
Recordkeeping...................................           60/59               1              40           2,360
                                                 ---------------------------------------------------------------
    Combined Burden.............................  ..............  ..............  ..............          24,494
----------------------------------------------------------------------------------------------------------------

    The total annualized burden for the application and reporting is 
33,374 hours (42,254 + 24,494 = 66,748/2 years = 33,374).
    Link for the application: http://www.samhsa.gov/grants/block-grants
    Send all comments via email to [email protected]. Comments 
should be received by December 24, 2018.

Summer King,
Statistician.
[FR Doc. 2018-23134 Filed 10-22-18; 8:45 am]
 BILLING CODE 4162-20-P