[Federal Register Volume 88, Number 178 (Friday, September 15, 2023)]
[Notices]
[Pages 63591-63593]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-20005]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Substance Abuse and Mental Health Services Administration


Agency Information Collection Activities 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 at (240) 276-0361.
    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: National Substance Use and Mental Health Services 
Survey (N-SUMHSS) (OMB No. 0930-0386)--Revision

    Under section 505 of the Public Health Service Act (42 U.S.C. 
290aa-4), SAMHSA is required to conduct annual collection of data on 
substance use and mental health. Selected information collected from 
the N-SUMHSS is also published on SAMHSA's FindTreatment.gov for 
persons seeking treatment for mental and substance use disorders in the 
United States. FindTreatment.gov is authorized by the 21st Century 
Cures Act (Pub. L. 114-255, section 9006; 42 U.S.C. 290bb-36d).
    In 2021, SAMHSA combined the National Survey of Substance Abuse 
Treatment Services (N-SSATS) and the National Mental Health Services 
Survey (N-MHSS) into the N-SUMHSS to reduce the burden on facilities 
offering both substance use and mental health services, optimize 
government resources to collect data, and enhance the quality of data 
collected on the treatment facilities.
    The N-SUMHSS is the most comprehensive national source of data on 
substance use and mental health treatment facilities. On an annual 
basis, the N-SUMHSS collects information on the facility location, 
characteristics, and utilization of substance use and mental health 
treatment services. The survey also collects client counts on 
individuals receiving services at these facilities. There is an 
increasing need to collect and maintain data on current and accurate 
numbers of clients in treatment at the local level for communities to 
assess capacity and estimate resource requirements. This information on 
substance use and mental health services has assisted with communities 
to better respond to life changing events, (i.e., hurricane) and plan 
for service demands in the event of a natural disaster (i.e., 
earthquakes).
    SAMHSA also maintains the Inventory of Substance Use and Mental 
Health Treatment Facilities (I-TF) (previously known as the Inventory 
of Behavioral Health Services [I-BHS]). The I-TF is a master list of 
all known substance use and mental health treatment facilities in the 
United States. It also serves as the universe population for the N-
SUMHSS.
    SAMHSA is requesting OMB approval of revisions to the N-SUMHSS and 
I-TF related data collections, to include changes to the following 
instruments:

N-SUMHSS Questionnaire

     Q1a: added to clarify if facilities reported providing 
mental health treatment services in Q1 also provide substance use 
treatment services, to help respondents understand how to respond 
accurately and ensure appropriate survey module(s) are completed.

[[Page 63592]]

     A1a: add the word ``health'' to clarify and improve survey 
item accuracy.
     A8a. and QA9: add ``for opioid use disorder'' and ``for 
alcohol use disorder'' in the existing question to clarify clients 
using MAT for specific substance use disorder and to improve survey 
item accuracy.
     B7a: add the following new survey response options to the 
existing question to improve survey response option comprehensiveness:
    [cir] Add ``Prochlorperazine'' to the existing list of first-
generation antipsychotics.
    [cir] Add ``Inhalation'' and ``Don't Know'' to the existing route 
of administration options for first-generation antipsychotics.
    [cir] Add new response options of ``Sublingual,'' ``Transdermal,'' 
and ``Don't Know'' to the existing route of administration options for 
second-generation antipsychotics.
    [cir] Add ``Other first-generation antipsychotic #1 Specify, #2 
Specify, and #3 Specify'' and ``Other second-generation antipsychotic 
#1 Specify, #2 Specify, and #3 Specify'' to the existing list of first-
generation and second-generation antipsychotics.
     B11: add the word ``currently'' to the question to improve 
survey item accuracy. Change the word ``persons'' to ``clients'' to 
increase survey item consistency between survey modules.
     B19: update the full title and add the acronyms ``CSBG'' 
and ``MHBG'' of the two existing Federal grants to improve survey item 
accuracy. Add ``other'' to clarify and help respondents better 
comprehend what is being asked.
     C6a., C7a., C8., C8a: Update the locator reference from 
the ``Behavioral Health Treatment Services Locator'' to 
FindTreatment.gov and the reference years associated with reporting 
client count data.

N-SUMHSS Between Cycle Questionnaire

    Since the Mini N-SUMHSS is a subset of the N-SUMHSS, all proposed 
changes to the N-SUMHSS (listed above) apply to the Mini N-SUMHSS.

N-SUMHSS VA Supplement

    SAMHSA proposes a new N-SUMHSS VA Supplement to collect information 
annually on suicide-related services, standardized suicide screening 
and evaluation tools, clients at high risk of suicide, referrals and 
follow-ups from VA substance use and mental health facilities. VA 
facilities providing only substance use treatment service will answer 7 
questions (Attachment C). VA facilities providing only mental health 
treatment service will answer 12 questions (Attachment D). VA 
facilities providing both substance use and mental health treatment 
services will answer 19 questions.

N-SUMHSS EHR Supplement

    SAMHSA proposes a new N-SUMHSS EHR Supplement to collect 
information once from facilities providing substance use and/or mental 
health treatment services on health IT adoption, use, and 
interoperability. There are 15 questions in the proposed new N-SUMHSS 
EHR Supplement.

I-TF Facility Registration Application Form

     Update the locator reference to ``FindTreatment.gov,'' and 
the reference years associated with reporting client count data.
     Replace existing ``substance abuse'' term with a 
clinically accurate, non-stigmatizing language for ``substance use,'' 
throughout the form, to help reduce stigma and support treatment for 
substance use disorders. This revision aligns with the current edition 
of The Diagnostic and Statistical Manual of Mental Disorders (5th ed., 
American Psychiatric Association, 2013), where ``abuse'' has been 
replaced by ``use.'' This revision also aligns with the White House 
Office of National Drug Control Policy 2017 Memo on ``Changing Federal 
Terminology regarding Substance Use and Substance Use Disorders.

Augmentation Screener Questionnaire

     Replace existing ``substance abuse'' term with `substance 
use.''
     Update the locator reference to 
``FindTreatment.gov.''
     Update the reference of ``Mental Health Survey'' and 
``Substance Abuse Survey'' to ``N-SUMHSS'' to improve accuracy.
     Revise the statue citation to be more specific on the 
level of protection of the information collected from the Augmentation 
Screener Questionnaire.
     Update the OMB number.

I-TF Online State Add/Update Form

     Update the reference of I-BHS to I-TF throughout the form.
     Update the new SAMHSA logo design throughout the form.
     Replace existing ``substance abuse'' term with ``substance 
use.''
     Add ``Intake 1a and Intake 2a'' fields to the ``Facility 
Information'' section and add ``Director's Email'' field to the 
``Director Information'' section, to capture more comprehensive 
information about the new facilities and facility directors.
     Move existing data fields ``State Approved,'' ``State 
Reviewed,'' ``National Directory Eligible,'' and ``Facility Surveys'' 
to create a new section ``Directory/Locator Eligibility'' and add a new 
``Date Reviewed'' field to improve response efficiency and accuracy.
     Move existing ``Old-ITF ID'' and add ``Parent I-TF ID'' to 
the ``Other Facilities Details'' section to improve response 
efficiency.
    The estimated annual burden for the N-SUMHSS and I-TF activities is 
as follows:

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                             Hours per
      Information collection title           Number of     Responses per       Total       response (in    Total burden   Average hourly   Total annual
                                            respondents     respondent       responses        hours)           hours           wage            cost
--------------------------------------------------------------------------------------------------------------------------------------------------------
N-SUMHSS Questionnaire (either SU or MH)          32,000               1          32,000            0.83          26,560          $48.72      $1,294,003
N-SUMHSS Questionnaire (both SU and MH).           5,000               1           5,000            1.28           6,400           48.72         311,808
N-SUMHSS Between Cycle Questionnaire....           1,500               1           1,500            0.75           1,125           48.72          54,810
N-SUMHSS VA Supplement..................             800               1             800            0.05              40           48.72           1,949
N-SUMHSS EHR Supplement *...............          37,000               1          37,000            0.12           4,440           48.72         216,317
I-TF Facility Registration Application             1,500               1           1,500            0.08             120           26.71           3,205
 Form...................................

[[Page 63593]]

 
Augmentation Screener Questionnaire.....           1,300               1           1,300            0.08             104           26.71           2,778
I-TF Online State Add Update Form.......              61              50           3,050            0.08             244           26.71           6,517
                                         ---------------------------------------------------------------------------------------------------------------
    Totals..............................  ..............  ..............          82,150  ..............          39,033  ..............       1,891,387
--------------------------------------------------------------------------------------------------------------------------------------------------------
* The N-SUMHSS EHR Supplement will be administered one time during the three-year period.

    Send comments to Carlos Graham, SAMHSA Reports Clearance Officer, 
5600 Fisher Lane, Room 15E57A Rockville, MD 20852 or email him a copy 
at [email protected]. Written comments should be received by 
November 14, 2023.

Alicia Broadus,
Public Health Advisor.
[FR Doc. 2023-20005 Filed 9-14-23; 8:45 am]
BILLING CODE P