[Federal Register Volume 89, Number 129 (Friday, July 5, 2024)]
[Notices]
[Pages 55631-55634]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-14730]


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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 the 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: Minority AIDS Initiative: Substance Use Disorder 
Prevention and Treatment Pilot Program (MAI PT Pilot) Data Collection 
Instruments.
    The Substance Abuse and Mental Health Services Administration's 
(SAMHSA) Center for Substance Abuse Prevention (CSAP) and Center for 
Substance Abuse Treatment (CSAT) are requesting approval from the 
Office of Management and Budget (OMB) to monitor the Minority AIDS 
Initiative: Substance Use Disorder Prevention and Treatment Pilot 
Program (MAI PT Pilot) through administration of a suite of data 
collection instruments for grant compliance and programmatic 
performance monitoring. This package describes the data collection 
activities and proposed instruments. Two instruments will facilitate 
grant compliance monitoring, and the third instrument is designed for 
program performance monitoring.
     The MAI PT Pilot--Organizational Readiness Assessment 
(MAI-ORA) is a one-time self-assessment tool intended to guide MAI PT 
Pilot grant recipients to objectively assess their capacity to provide 
substance use prevention, substance use disorder or co-occurring mental 
health disorder treatment, and HIV, viral hepatitis, and sexually 
transmitted infection prevention, screening, testing, and referral 
services for racial and ethnic individuals vulnerable to these 
conditions. Results from the MAI-ORA will allow SAMHSA to determine 
grantee readiness and capacity to implement their grant program, so 
that SAMHSA can provide additional support, as needed, to ensure grant 
compliance.
     The MAI PT Pilot--Programmatic Progress Report (MAI-PPR) 
is a template that grantees will use to report annual progress and will 
be used to monitor grant compliance.
     The MAI PT Pilot--Online Reporting Tool (MAI-PORT) will be 
used to conduct programmatic performance monitoring. The MAI-PORT is 
comprised of two main sections: (1) Annual Targets Report section for 
MAI PT Pilot grant recipients to report annual federal fiscal year 
programmatic goals, and (2) Quarterly Performance Report for grantees 
to report grant activities implemented during each federal fiscal 
quarter. In developing the MAI-PORT Annual Targets Report and the 
Quarterly Performance Report, CSAP/CSAT sought the ability to elicit 
programmatic information that demonstrates impact at the program 
aggregate level.
    Data collected through the MAI-PORT are necessary to ensure SAMHSA 
and grantees comply with requirements under the Government Performance 
and Results Act Modernization Act of 2010

[[Page 55632]]

(GPRA) that requires regular reporting of performance measures. 
Additionally, data collected through these tools will provide critical 
information to SAMHSA's Government Project Officers (GPOs) related to 
grant oversight, including barriers and facilitators that the grantees 
have experienced, and an understanding of the technical assistance 
needed to help grantees implement their programs. The information also 
provides a mechanism to ensure grantees are meeting the requirements of 
the grant funding announcement as outlined in their notice of grant 
award. In addition, the tools reflect CSAP's and CSAT's desire to 
elicit pertinent program level data that can be used not only to guide 
future programs and practices, but also to respond to stakeholder, 
congressional and agency inquiries.

Background and Purpose

    According to the Centers for Disease Control and Prevention (CDC), 
the spread of HIV in the United States is mainly through anal or 
vaginal sex or by sharing drug-use equipment. Although these risk 
factors are the same for everyone, due to a range of social, economic, 
and demographic factors, such as stigma, discrimination, income, 
education, and geographic region, some racial and ethnic groups are 
more affected than others. In 2021, CDC reported that although Black/
African Americans represented 13 percent of the U.S. population, they 
accounted for 42 percent (15,305) of the 36,801 new HIV diagnoses; 
Latino/Hispanic people represent 18.7 percent of the U.S. population 
but accounted for 29 percent (10,494) of HIV diagnoses (CDC, 2024; 
United States Census Bureau, 2024). Between 2017 and 2021, American 
Indian/Alaska Native (AI/AN), Native Hawaiian and other Pacific 
Islander populations were the only demographic groups identified by the 
CDC with an increase in HIV diagnoses in the United States (CDC, 2024).
    Viral hepatitis also impacts some racial and ethnic groups 
disproportionally. In 2020, non-Hispanic blacks were 1.4 times as 
likely to die from viral hepatitis, as compared to non-Hispanic whites 
(Office of Minority Health, 2022). Non-Hispanic blacks were almost 
twice as likely to die from hepatitis C as compared to the white 
population, and while having comparable case rates for hepatitis B in 
2020, non-Hispanic blacks were 2.5 times more likely to die from 
hepatitis B than non-Hispanic whites (Office of Minority Health, 2022). 
Additionally, the percentage of people aged 12 or older with past year 
substance use disorder (SUD) differed by race and ethnicity with the 
highest rates among American Indian/Alaska Native populations (24.0 
percent), followed by Black, non-Hispanic populations (18.4 percent) 
(SAMHSA, 2023).
    The data clearly show the disproportionate burden faced by minority 
racial and ethnic groups and that these three issues should not be 
regarded as separate diseases acting independently, rather as a 
syndemic. To address this, SAMHSA is taking a syndemic approach to HIV, 
viral hepatitis, and substance use disorder through the MAI PT Pilot 
program. The purpose of this program is to provide substance use 
prevention, SUD treatment, HIV, and viral hepatitis prevention and 
treatment services for racial and ethnic medically underserved 
individuals vulnerable to a SUD and/or mental health condition, HIV, 
viral hepatitis, and other infectious disease (e.g., sexually 
transmitted infection (STI)). The populations of focus for this program 
are individuals who are particularly vulnerable to or living with HIV/
AIDS, including an emphasis on gay, bisexual, and other men who have 
sex with men, men who have sex with men and women (MSMW), Black, 
Latino, and AI/AN men who have sex with men (MSM), Asian and Pacific 
Islander, Black women, transgender men and women, youth aged 13-24 
years, and People who Inject Drugs (PWID).
    SAMHSA's MAI PT Pilot is informed by the key strategies and 
priority jurisdictions outlined in the Ending the HIV Epidemic in the 
U.S. (EHE) initiative, Viral Hepatitis National Strategic Plan and STI 
National Strategic Plan. The program also supports the National HIV/
AIDS Strategy (NHAS) and 2023-2026 SAMHSA Strategic Plan. Recipients 
will be expected to take a syndemic approach to SUD, HIV, viral 
hepatitis, and STI by providing SUD prevention and treatment to racial 
and ethnic individuals at risk for or living with HIV. MAI PT Pilot is 
authorized under Sections 509 and 516 of the Public Health Service Act, 
as amended.

Annualized Data Collection Burden

    Table 1 and Table 2 provides an overview of the data collection 
method, frequency of data collection, and number of data collections 
for each data collection instruments.

                                 Table 1--Grant Compliance: MAI-ORA and MAI-PPR
----------------------------------------------------------------------------------------------------------------
                                                        Frequency of data    Maximum number of data   Attachment
        Instrument           Data collection method        collection              collections           No.
----------------------------------------------------------------------------------------------------------------
MAI-ORA...................  Grantees submit into     Once..................  Once in Year 1........            1
                             SPARS.
MAI-PPR...................  Grantees submit into     Annually..............  Annually: 5 times (1              2
                             eRA.                                             time per year in
                                                                              Years 1-5).
----------------------------------------------------------------------------------------------------------------


                                Table 2--Program Performance Monitoring: MAI-PORT
----------------------------------------------------------------------------------------------------------------
                                                        Frequency of data    Maximum number of data   Attachment
        Instrument           Data collection method        collection              collections           No.
----------------------------------------------------------------------------------------------------------------
MAI-PORT..................  Grantees submit into     Yearly: Annual Targets  Yearly: 5 times (1                3
                             SPARS.                   Report (ATR).           time per year in
                                                                              Years 1-5).
                                                     Quarterly: Quarterly    Quarterly: 20 times (4
                                                      Performance Report      times per year in
                                                      (QPR).                  Years 1-5).
----------------------------------------------------------------------------------------------------------------


[[Page 55633]]

    The estimated time to complete each instrument by year is shown in 
Tables 3 through 8.

                                         Table 3--Estimates of Annual Burden for MAI PT Data Collection: Year 1
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                            Total                     Total       Average       Total
                       Instrument                           Number of    Responses per    number of    Hours per      burden    hourly wage   respondent
                                                           respondents     respondent     responses     response      hours         \1\          cost
--------------------------------------------------------------------------------------------------------------------------------------------------------
MAI-ORA.................................................             8                1            8           24          192       $48.35    $9,283.20
MAI-PPR.................................................             8                1            8            3           24        48.35     1,160.40
MAI-PORT/ATR............................................             8                1            8            1            8        48.35       386.80
MAI-PORT/QPR............................................             8                4           32            2           64        48.35     3,094.40
                                                         -----------------------------------------------------------------------------------------------
    Total...............................................             8                7           56           30          288        48.35    13,924.80
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ Average hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the
  Bureau of Labor Statistics (BLS) found at https://www.bls.gov/oes/current/naics4_999200.htm#11-0000 Accessed on January 15, 2024.


                                         Table 4--Estimates of Annual Burden for MAI PT Data Collection: Year 2
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                            Total                     Total       Average       Total
                       Instrument                           Number of    Responses per    number of    Hours per      burden    hourly wage   respondent
                                                           respondents     respondent     responses     response      hours         \1\          cost
--------------------------------------------------------------------------------------------------------------------------------------------------------
MAI-ORA.................................................             8                0            0           24            0       $48.35        $0.00
MAI-PPR.................................................             8                1            8            3           24        48.35     1,160.40
MAI-PORT/ATR............................................             8                1            8            1            8        48.35       386.80
MAI-PORT/QPR............................................             8                4           32            2           64        48.35     3,094.40
                                                         -----------------------------------------------------------------------------------------------
    Total...............................................             8                6           48           30           96        48.35     4,641.60
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ Average hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the
  Bureau of Labor Statistics (BLS) found at https://www.bls.gov/oes/current/naics4_999200.htm#11-0000 Accessed on January 15, 2024.


                                         Table 5--Estimates of Annual Burden for MAI PT Data Collection: Year 3
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                            Total                     Total       Average       Total
                       Instrument                           Number of    Responses per    number of    Hours per      burden    hourly wage   respondent
                                                           respondents     respondent     responses     response      hours         \1\          cost
--------------------------------------------------------------------------------------------------------------------------------------------------------
MAI-ORA.................................................             8                0            0           24            0       $48.35        $0.00
MAI-PPR.................................................             8                1            8            3           24        48.35     1,160.40
MAI-PORT/ATR............................................             8                1            8            1            8        48.35       386.80
MAI-PORT/QPR............................................             8                4           32            2           64        48.35     3,094.40
                                                         -----------------------------------------------------------------------------------------------
    Total...............................................             8                6           48           30           96        48.35     4,641.60
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ Average hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the
  Bureau of Labor Statistics (BLS) found at https://www.bls.gov/oes/current/naics4_999200.htm#11-0000 Accessed on January 15, 2024.


                                         Table 6--Estimates of Annual Burden for MAI PT Data Collection: Year 4
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                            Total                     Total       Average       Total
                       Instrument                           Number of    Responses per    number of    Hours per      burden    hourly wage   respondent
                                                           respondents     respondent     responses     response      hours         \1\          cost
--------------------------------------------------------------------------------------------------------------------------------------------------------
MAI-ORA.................................................             8                0            0           24            0       $48.35        $0.00
MAI-PPR.................................................             8                1            8            3           24        48.35     1,160.40
MAI-PORT/ATR............................................             8                1            8            1            8        48.35       386.80
MAI-PORT/QPR............................................             8                4           32            2           64        48.35     3,094.40
                                                         -----------------------------------------------------------------------------------------------
    Total...............................................             8                6           48           30           96        48.35     4,641.60
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ Average hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the
  Bureau of Labor Statistics (BLS) found at https://www.bls.gov/oes/current/naics4_999200.htm#11-0000 Accessed on January 15, 2024.


                                         Table 7--Estimates of Annual Burden for MAI PT Data Collection: Year 5
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                            Total                     Total       Average       Total
                       Instrument                           Number of    Responses per    number of    Hours per      burden    hourly wage   respondent
                                                           respondents     respondent     responses     response      hours         \1\          cost
--------------------------------------------------------------------------------------------------------------------------------------------------------
MAI-ORA.................................................             8                0            0           24            0       $48.35        $0.00
MAI-PPR.................................................             8                1            8            3           24        48.35     1,160.40
MAI-PORT/ATR............................................             8                1            8            1            8        48.35       386.80
MAI-PORT/QPR............................................             8                4           32            2           64        48.35     3,094.40
                                                         -----------------------------------------------------------------------------------------------
    Total...............................................             8                6           48           30           96        48.35     4,641.60
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ Average hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the
  Bureau of Labor Statistics (BLS) found at https://www.bls.gov/oes/current/naics4_999200.htm#11-0000 Accessed on January 15, 2024.


[[Page 55634]]


                                        Table 8--Estimates of Annual Burden for MAI PT Data Collection: All years
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                            Total                     Total       Average       Total
                       Instrument                           Number of    Responses per    number of    Hours per      burden    hourly wage   respondent
                                                           respondents     respondent     responses     response      hours         \1\          cost
--------------------------------------------------------------------------------------------------------------------------------------------------------
MAI-ORA.................................................             8                1            8           24          192       $48.35    $9,283.20
MAI-PPR.................................................             8                5           40            3          120        48.35     5,802.00
MAI-PORT/ATR............................................             8                5           40            1           40        48.35     1,934.00
MAI-PORT/QPR............................................             8               20          160            2          320        48.35    15,472.00
                                                         -----------------------------------------------------------------------------------------------
    Total...............................................             8               31          248           30          672        48.35   $32,491.20
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ Average hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the
  Bureau of Labor Statistics (BLS) found at https://www.bls.gov/oes/current/naics4_999200.htm#11-0000 Accessed on January 15, 2024.

    Send comments to SAMHSA Reports Clearance Officer, 5600 Fisher 
Lane, Room 15E45, Rockville, MD 20852 OR email him a copy at 
[email protected]. Written comments should be received by 
September 3, 2024.

Alicia Broadus,
Public Health Advisor.
[FR Doc. 2024-14730 Filed 7-3-24; 8:45 am]
BILLING CODE 4162-20-P