[Federal Register Volume 88, Number 230 (Friday, December 1, 2023)]
[Notices]
[Pages 83955-83956]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-26436]


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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) 276-0361.

Proposed Project: 988 Cooperative Agreements Monitoring Program (OMB 
No. 0930-0290)--New ICR

    The Substance Abuse and Mental Health Services Administration 
(SAMHSA) is seeking Office of Management and Budget (OMB) Emergency 
approval for new information collection activities for monitoring all 
of SAMHSA's 988 Cooperative Agreements. The collection of this 
information is critical to successfully oversee operational response 
and quality of service through the 988 Suicide and Crisis Lifeline to 
ensure connections to care for individuals in suicidal crisis or 
emotional distress contacting in for 988 phone, chat, and text support 
for connecting local, state/territory and national outcomes and 
monitoring contractual obligations for current and future 988 grant 
programs. Much of this information is already embedded in the current 
988 Suicide and Crisis Lifeline network administrator grants, the 988 
state and territory grant program, or the 988 Tribal Response grant 
program.
    Congress designated 988 in 2020 and the Lifeline transitioned to 
the 3-digit number in July 2022. As a part of the federal government's 
commitment to addressing the mental health crisis in America, 
unprecedented federal resources have been invested to scale up crisis 
centers in support of 988. In section 1103(a)(2)(B) of the Consolidated 
Appropriations Act, 2023, Congress called for enhanced program 
evaluation, including performance measures to assess program response 
and improve readiness and performance of the service, including review 
of each contact to ensure timely connection of service and quality 
provision in line with evidence-based care. To help meet the standards 
and requirements set forth in statute, ongoing communication of key 
outcomes within this OMB request must be received and reviewed to 
ensure connection and quality of care through 988.
    The information being collected will be used by SAMHSA to ensure 
individuals in suicidal crisis can contact 988 Suicide and Crisis 
Lifeline and are connected to crisis centers provided evidence-based 
care and able to receive critical resource referral and linkage, 
including opportunities for mobile crisis support, crisis receiving and 
stabilizing facilities, peer respite centers and withdrawal management 
services. The four programs to be monitored and evaluated include the 
Tribal Cooperative Agreements, State and Territory Cooperative 
Agreements, 988 Crises Center Follow-up Cooperative Agreements, and the 
988 Lifeline Administrator.
    The purpose of the Tribal Cooperative Agreements is to provide 
resources to improve response to 988 contacts (including calls, chats, 
and texts) originating in Tribal communities and/or activated by 
American Indians/Alaska Natives. The information collection instruments 
include Tribal Government: Semi Annual Progress Report, Tribal 
Government: Monthly Meeting Agenda, Tribal Government: Quality 
Improvement Plan.
    The purpose of the State and Territory Cooperative Agreements is to 
improve state and territory response to 988 contacts (including calls, 
chats, and texts) originating in the state/territory. The information 
collection instruments include State/Territory: Monthly Key Metrics, 
State/Territory: Quarterly Report Template, State/Territory: 
Programmatic QI Plan (Annual Collection), State/Territory: Monthly 
Meeting Call Agenda, State/Territory: Chat and Text Report (Annual 
Collection), State/Territory: Communications Plan (Annual Collection), 
State/Territory: Sustainability Plan (Annual Collection), State/
Territory: Mobile Crisis and 988-911 reports (Annual Collection).
    The purpose of the 988 Crisis Center Follow Up Cooperative 
Agreements is to provide a crisis center response that ensures the 
systematic follow-up of suicidal persons who contact a 988 Suicide and 
Crisis Lifeline (988 Lifeline) Crisis Center; provides enhanced 
coordination of crisis stabilization, crisis respite, mobile crisis 
outreach (MCO) response services and other services on the crisis 
continuum of care; reduces unnecessary police engagement and; improves 
connections for high-risk populations. The information collection 
instruments include Crisis Center Data Reporting Elements and Crisis 
Center Monthly Agenda Template.

[[Page 83956]]

    Finally, the purpose of the 988 Lifeline Administrator is to 
manage, enhance, and strengthen the 988 Lifeline network that routes 
individuals in the United States to a network of certified crisis 
centers that link to local emergency, mental health, and social 
services resources. The information collection instruments include 
Instrument 1: Lifeline Key Metrics (Monthly) and Instrument 2: Monthly 
Progress Reports.
    The total annualized burden to an estimated 529 respondents for the 
988 Cooperative Agreements programs combined monitoring is estimated to 
be 2,944 hours. Burden estimates are based on the data collection 
requirements and the amount of respondents. These estimated burden 
hours over three years are as follows:

                                        Estimated Total Burden for 988 Cooperative Agreements Monitoring Program
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                                                        Number of     Responses per      Total        Hours per     Total hour  Hourly wage   Total hour
                    SAMHSA tool                        respondents      respondent     responses      response        burden        cost         cost
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Tribal Govt: Semi Annual Progress Report...........              25                2           50               2          100       $26.00    $2,600.00
Tribal Govt: Monthly Meeting Agenda................              25               12          300               1          300        26.00     7,800.00
Tribal Govt: Quality Improvement Plan..............              25                1           25               2           50        26.00     1,300.00
State/Territory: Monthly Key Metrics...............              54               12          648               1          648        26.00    16,848.00
State/Territory: Quarterly Report Template.........              54                3          162               2          324        26.00     8,424.00
State/Territory: Programmatic QI Plan (Annual                    54                1           54               2          108        26.00     2,808.00
 Collection).......................................
State/Territory: Monthly Meeting Call Agenda.......              54               12          648               1          648        26.00    16,848.00
State/Territory: Chat and Text Report (Annual                    54                1           54               1           54        26.00     1,404.00
 Collection).......................................
State/Territory: Communications Plan (Annual                     54                1           54               1           54        26.00     1,404.00
 Collection).......................................
State/Territory: Sustainability Plan (Annual                     54                1           54               2          108        26.00     2,808.00
 Collection).......................................
State/Territory: Mobile Crisis and 988-911 reports               54                1           54               6          324        26.00     8,424.00
 (Annual Collection)...............................
Crisis Center Data Reporting Elements..............              10                1           10               2           20        26.00       520.00
Crisis Center Monthly Agenda Template..............              10                1           10               2           20        26.00       520.00
Instrument 1: Lifeline Key Metrics (Monthly).......               1               12           12           11.50          138        26.00     3,588.00
Instrument 2: Monthly Progress Reports.............               1               12           12               4           48    \1\ 26.00     1,248.00
                                                    ----------------------------------------------------------------------------------------------------
    Total..........................................             529               73         2147  ..............        2,944  ...........    76,544.00
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\1\ The hourly wage of $26.00 was calculated based on rounding a $25.94 hourly wage based on the Occupational Employment and Wages, Mean Hourly Wage
  rate for Community and Social Service Occupations (https://www.bls.gov).

    Written comments and recommendations for the proposed information 
collection should be sent within 30 days of publication of this notice 
to www.reginfo.gov/public/do/PRAMain. Find this particular information 
collection by selecting ``Currently under 30-day Review--Open for 
Public Comments'' or by using the search function.

Alicia Broadus,
Public Health Advisor.
[FR Doc. 2023-26436 Filed 11-30-23; 8:45 am]
BILLING CODE 4162-20-P