[Federal Register Volume 83, Number 248 (Friday, December 28, 2018)]
[Notices]
[Pages 67323-67325]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-28278]
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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: 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 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
[[Page 67324]]
annual reporting. The reporting burden remains constant for both years.
Table 1--Estimates of Application and Reporting Burden for Year 1
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Number of Number of
Authorizing Authorizing Implementing Number of responses per hours per Total hours
legislation SABG legislation MHBG regulation respondent year response
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Substance Abuse Prevention and Treatment and Community Mental Health Services Block Grants
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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 USC 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 1200
42 U.S.C. 300x-25 ................. 45 CFR 10 1 20 200
96.129(a)(13).
42 U.S.C 300x-65. ................. 42 CFR Part 54... 60 1 20 1200
Combined Burden................ ................. ................. ................. .............. .............. .............. 42,254
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[[Page 67325]]
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
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Number of Number of
Number of responses per hours per Total hours
respondent year response
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Reporting:
SABG........................................ 60 1 186 11.160
MHBG........................................ 59 1 186 10,974
Recordkeeping............................... 60/59 1 40 2360
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Combined Burden......................... .............. .............. .............. 24,494
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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.
Written comments and recommendations concerning the proposed
information collection should be sent by January 28, 2019 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. 2018-28278 Filed 12-27-18; 8:45 am]
BILLING CODE 4162-20-P