Agency Information Collection Activities: Submission for OMB Review; Comment Request, 38968-38969 [05-13238]
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38968
Federal Register / Vol. 70, No. 128 / Wednesday, July 6, 2005 / Notices
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Dated: June 23, 2005.
Sheila Dearybury Walcoff,
Associate Commissioner for External
Relations.
[FR Doc. 05–13206 Filed 7–5–05; 8:45 am]
BILLING CODE 4160–01–S
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.
Proposed Project: Toolkit Protocol for
the Crisis Counseling Assistance and
Training Program (CCP)—NEW
The Substance Abuse and Mental
Health Services Administration’s
(SAMHSA) Center for Mental Health
Services (CMHS) will create a toolkit to
be used for the purposes of collecting
data on the Crisis Counseling Assistance
and Training Program (CCP). The CCP
provides supplemental funding to states
and territories for individual and
community crisis intervention services
during a federal disaster.
VerDate jul<14>2003
16:35 Jul 05, 2005
Jkt 205001
The CCP has provided disaster mental
health services to millions of disaster
survivors since its inception and, as a
result of 30 years of accumulated
expertise, it has become an important
model for Federal response to a variety
of catastrophic events. State CCPs, such
as Project HOPE (after Hurricane Floyd
in North Carolina), Project Heartland (in
Oklahoma City after the Murrah Federal
Building bombing), Project Liberty (in
New York after 9/11), and Project
Outreach for Recovery (after the Rhode
Island nightclub fire) have primarily
addressed the short-term mental health
needs of communities through (a)
outreach and public education, (b)
individual and group counseling, and
(c) referral. Outreach and public
education serve primarily to normalize
reactions and to engage people who
might need further care. Crisis
counseling assists survivors to cope
with current stress and symptoms in
order to return to predisaster
functioning. Crisis counseling relies
largely on ‘‘active listening,’’ and crisis
counselors also provide psychoeducation (especially about the nature
of responses to trauma) and help clients
build coping skills. Crisis counseling
typically continues no more than a few
times. Because crisis counseling is timelimited, referral is the third important
functions of CCPs. Counselors are
expected to refer clients to formal
treatment if the person has developed
more serious psychiatric problems.
Data about services delivered and
users of services will be collected
throughout the program period. The
data will be collected via the use of a
toolkit that relies on standardized forms.
At the program level, the data will be
entered quickly and easily into a
cumulative database to yield summary
tables for quarterly and final reports for
the program. SAMHSA has confirmed
the feasibility of using scanable forms
for most purposes. Because the data will
be collected in a consistent way from all
programs, they can be uploaded into an
ongoing national database that likewise
provides CMHS with a way of
producing summary reports of services
provided across all programs funded.
The components of the tool kit are
listed and described below:
• Encounter logs. These forms will
document all services provided.
Completion of these logs will be
required by the crisis counselors. There
will be three types of encounter logs: (1)
Individual Crisis Counseling Services
Encounter Log; (2) Group Encounter
Log; and (3) Weekly Tally Sheet.
» Individual Crisis Counseling
Services Encounter Log. Crisis
counseling is defined as an interaction
PO 00000
Frm 00107
Fmt 4703
Sfmt 4703
that lasts at least 15 minutes and
involves participant disclosure. This
form will be completed by the Crisis
Counselor for each service recipient,
defined as the person or persons who
actively participated in the session (e.g.,
by verbally participating), not someone
who is merely present. For families,
crisis counselors will complete separate
forms for all family members who are
actively engaged in the visit.
Information to be collected includes
demographics, service characteristics,
risk factors, and referral data.
» Group Encounter Log. This form
will be used to identify either a group
crisis counseling encounter or a group
public education encounter. A check at
the top will identify the class of
activities (i.e., counseling or education).
This form will be completed by the
Crisis Counselor for each group
encounter. Information to be collected
includes services characteristics, group
identity and characteristics, and group
activities.
» Weekly Tally Sheet. This form will
document brief educational and
supportive encounters not captured on
any other form. Information to be
collected will include service
characteristics, daily tallies and weekly
totals for brief educational or supportive
contacts and material distribution with
no or minimal interaction.
• Assessment and Referral Tool. This
tool will provide descriptive
information about intense users of
services, defined as all individuals
receiving a third or fifth individual
crisis counseling visit. This tool will be
used beginning three months
postdisaster and will be completed by
the crisis counselor for each individual
who accesses individual crisis
counseling a third or fifth time.
• Participant Feedback. These
surveys will be completed by and
collected from a sample of service
recipients, not every recipient. A time
sampling approach (e.g., soliciting
participation from all counseling
encounters one week per quarter) will
be used. Information to be collected
includes satisfaction with services,
perceived improvements in selffunctioning, types of exposure, and
event reactions.
• CCP Service Provider Feedback.
These surveys will be completed by and
collected from the CCP service
providers anonymously at six months
and one year postevent. The survey will
be coded on several program-level as
well as worker-level variables. However,
the program itself will be identified and
shared with program management only
if the number of individual workers is
greater than 20.
E:\FR\FM\06JYN1.SGM
06JYN1
38969
Federal Register / Vol. 70, No. 128 / Wednesday, July 6, 2005 / Notices
ESTIMATES OF ANNUALIZED HOUR BURDEN
Responses
per
respondents
Number of
respondents
Form
Hours per
responses
Total hour
burden
Individual Crisis Counseling Services Encounter Log .....................................
Group Encounter Log Form .............................................................................
Weekly Tally Sheet ..........................................................................................
Assessment & Referral Tool ............................................................................
Participant Feedback .......................................................................................
CCP Service Provider Feedback .....................................................................
7,500
4,000
4,000
100
1,000
100
1
1
1
1
1
1
.03
.03
.08
.08
.06
.08
225
120
320
8
60
8
Total ..........................................................................................................
16,700
........................
........................
741
Written comments and
recommendations concerning the
proposed information collection should
be sent by August 5, 2005, to: SAMHSA
Desk Officer, Human Resources and
Housing Branch, Office of Management
and Budget, New Executive Office
Building, Room 10235, Washington, DC
20503; due to potential delays in OMB’s
receipt and processing of mail sent
through the U.S. Postal Service,
respondents are encouraged to submit
comments by fax to: 202–395–6974.
will be omitted from subsequent lists
until such time as it is restored to full
certification under the Mandatory
Guidelines.
If any laboratory has withdrawn from
the HHS National Laboratory
Certification Program (NLCP) during the
past month, it will be listed at the end,
and will be omitted from the monthly
listing thereafter.
This notice is also available on the
Internet at https://workplace.samhsa.gov
and https://www.drugfreeworkplace.gov.
Dated: June 29, 2005.
Patricia S. Bransford,
Acting Executive Officer, SAMHSA.
[FR Doc. 05–13238 Filed 7–5–05; 8:45 am]
Mrs.
Giselle Hersh or Dr. Walter Vogl,
Division of Workplace Programs,
SAMHSA/CSAP, Room 2–1035, 1 Choke
Cherry Road, Rockville, Maryland
20857; 240–276–2600 (voice), 240–276–
2610 (fax).
BILLING CODE 4162–20–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Current List of Laboratories Which
Meet Minimum Standards To Engage in
Urine Drug Testing for Federal
Agencies
Substance Abuse and Mental
Health Services Administration, HHS.
ACTION: Notice.
AGENCY:
SUMMARY: The Department of Health and
Human Services (HHS) notifies Federal
agencies of the laboratories currently
certified to meet the standards of
Subpart C of the Mandatory Guidelines
for Federal Workplace Drug Testing
Programs (Mandatory Guidelines). The
Mandatory Guidelines were first
published in the Federal Register on
April 11, 1988 (53 FR 11970), and
subsequently revised in the Federal
Register on June 9, 1994 (59 FR 29908),
on September 30, 1997 (62 FR 51118),
and on April 13, 2004 (69 FR 19644).
A notice listing all currently certified
laboratories is published in the Federal
Register during the first week of each
month. If any laboratory’s certification
is suspended or revoked, the laboratory
16:35 Jul 05, 2005
Jkt 205001
The
Mandatory Guidelines were developed
in accordance with Executive Order
12564 and section 503 of Pub. L. 100–
71. Subpart C of the Mandatory
Guidelines, ‘‘Certification of
Laboratories Engaged in Urine Drug
Testing for Federal Agencies,’’ sets strict
standards that laboratories must meet in
order to conduct drug and specimen
validity tests on urine specimens for
Federal agencies. To become certified,
an applicant laboratory must undergo
three rounds of performance testing plus
an on-site inspection. To maintain that
certification, a laboratory must
participate in a quarterly performance
testing program plus undergo periodic,
on-site inspections.
Laboratories which claim to be in the
applicant stage of certification are not to
be considered as meeting the minimum
requirements described in the HHS
Mandatory Guidelines. A laboratory
must have its letter of certification from
HHS/SAMHSA (formerly: HHS/NIDA)
which attests that it has met minimum
standards.
In accordance with Subpart C of the
Mandatory Guidelines dated April 13,
2004 (69 FR 19644), the following
laboratories meet the minimum
SUPPLEMENTARY INFORMATION:
Substance Abuse and Mental Health
Services Administration
VerDate jul<14>2003
FOR FURTHER INFORMATION CONTACT:
PO 00000
Frm 00108
Fmt 4703
Sfmt 4703
standards to conduct drug and specimen
validity tests on urine specimens:
ACL Laboratories, 8901 W. Lincoln
Ave., West Allis, WI 53227, 414–328–
7840/800–877–7016, (Formerly:
Bayshore Clinical Laboratory).
ACM Medical Laboratory, Inc., 160
Elmgrove Park, Rochester, NY 14624,
585–429–2264.
Advanced Toxicology Network, 3560
Air Center Cove, Suite 101, Memphis,
TN 38118, 901–794–5770/888–290–
1150.
Aegis Analytical Laboratories, Inc., 345
Hill Ave., Nashville, TN 37210, 615–
255–2400.
Baptist Medical Center—Toxicology
Laboratory, 9601 I–630, Exit 7, Little
Rock, AR 72205–7299, 501–202–2783,
(Formerly: Forensic Toxicology
Laboratory Baptist Medical Center).
Clinical Reference Lab, 8433 Quivira
Road, Lenexa, KS 66215–2802, 800–
445–6917.
Diagnostic Services, Inc., dba DSI,
12700 Westlinks Drive, Fort Myers,
FL 33913, 239–561–8200/800–735–
5416.
Doctors Laboratory, Inc., 2906 Julia
Drive, Valdosta, GA 31602, 229–671–
2281.
DrugProof, Division of Dynacare/
Laboratory of Pathology, LLC, 1229
Madison St., Suite 500, Nordstrom
Medical Tower, Seattle, WA 98104,
206–386–2661/800–898–0180,
(Formerly: Laboratory of Pathology of
Seattle, Inc., DrugProof, Division of
Laboratory of Pathology of Seattle,
Inc.).
DrugScan, Inc., P.O. Box 2969, 1119
Mearns Road, Warminster, PA 18974,
215–674–9310.
Dynacare Kasper Medical Laboratories*,
10150–102 St., Suite 200, Edmonton,
Alberta, Canada T5J 5E2, 780–451–
3702/800–661–9876.
ElSohly Laboratories, Inc., 5 Industrial
Park Drive, Oxford, MS 38655, 662–
236–2609.
Express Analytical Labs, 3405 7th Ave.,
Suite 106, Marion, IA 52302, 319–
377–0500.
E:\FR\FM\06JYN1.SGM
06JYN1
Agencies
[Federal Register Volume 70, Number 128 (Wednesday, July 6, 2005)]
[Notices]
[Pages 38968-38969]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-13238]
-----------------------------------------------------------------------
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.
Proposed Project: Toolkit Protocol for the Crisis Counseling Assistance
and Training Program (CCP)--NEW
The Substance Abuse and Mental Health Services Administration's
(SAMHSA) Center for Mental Health Services (CMHS) will create a toolkit
to be used for the purposes of collecting data on the Crisis Counseling
Assistance and Training Program (CCP). The CCP provides supplemental
funding to states and territories for individual and community crisis
intervention services during a federal disaster.
The CCP has provided disaster mental health services to millions of
disaster survivors since its inception and, as a result of 30 years of
accumulated expertise, it has become an important model for Federal
response to a variety of catastrophic events. State CCPs, such as
Project HOPE (after Hurricane Floyd in North Carolina), Project
Heartland (in Oklahoma City after the Murrah Federal Building bombing),
Project Liberty (in New York after 9/11), and Project Outreach for
Recovery (after the Rhode Island nightclub fire) have primarily
addressed the short-term mental health needs of communities through (a)
outreach and public education, (b) individual and group counseling, and
(c) referral. Outreach and public education serve primarily to
normalize reactions and to engage people who might need further care.
Crisis counseling assists survivors to cope with current stress and
symptoms in order to return to predisaster functioning. Crisis
counseling relies largely on ``active listening,'' and crisis
counselors also provide psycho-education (especially about the nature
of responses to trauma) and help clients build coping skills. Crisis
counseling typically continues no more than a few times. Because crisis
counseling is time-limited, referral is the third important functions
of CCPs. Counselors are expected to refer clients to formal treatment
if the person has developed more serious psychiatric problems.
Data about services delivered and users of services will be
collected throughout the program period. The data will be collected via
the use of a toolkit that relies on standardized forms. At the program
level, the data will be entered quickly and easily into a cumulative
database to yield summary tables for quarterly and final reports for
the program. SAMHSA has confirmed the feasibility of using scanable
forms for most purposes. Because the data will be collected in a
consistent way from all programs, they can be uploaded into an ongoing
national database that likewise provides CMHS with a way of producing
summary reports of services provided across all programs funded.
The components of the tool kit are listed and described below:
Encounter logs. These forms will document all services
provided. Completion of these logs will be required by the crisis
counselors. There will be three types of encounter logs: (1) Individual
Crisis Counseling Services Encounter Log; (2) Group Encounter Log; and
(3) Weekly Tally Sheet.
[ctrcir] Individual Crisis Counseling Services Encounter Log.
Crisis counseling is defined as an interaction that lasts at least 15
minutes and involves participant disclosure. This form will be
completed by the Crisis Counselor for each service recipient, defined
as the person or persons who actively participated in the session
(e.g., by verbally participating), not someone who is merely present.
For families, crisis counselors will complete separate forms for all
family members who are actively engaged in the visit. Information to be
collected includes demographics, service characteristics, risk factors,
and referral data.
[ctrcir] Group Encounter Log. This form will be used to identify
either a group crisis counseling encounter or a group public education
encounter. A check at the top will identify the class of activities
(i.e., counseling or education). This form will be completed by the
Crisis Counselor for each group encounter. Information to be collected
includes services characteristics, group identity and characteristics,
and group activities.
[ctrcir] Weekly Tally Sheet. This form will document brief
educational and supportive encounters not captured on any other form.
Information to be collected will include service characteristics, daily
tallies and weekly totals for brief educational or supportive contacts
and material distribution with no or minimal interaction.
Assessment and Referral Tool. This tool will provide
descriptive information about intense users of services, defined as all
individuals receiving a third or fifth individual crisis counseling
visit. This tool will be used beginning three months postdisaster and
will be completed by the crisis counselor for each individual who
accesses individual crisis counseling a third or fifth time.
Participant Feedback. These surveys will be completed by
and collected from a sample of service recipients, not every recipient.
A time sampling approach (e.g., soliciting participation from all
counseling encounters one week per quarter) will be used. Information
to be collected includes satisfaction with services, perceived
improvements in self-functioning, types of exposure, and event
reactions.
CCP Service Provider Feedback. These surveys will be
completed by and collected from the CCP service providers anonymously
at six months and one year postevent. The survey will be coded on
several program-level as well as worker-level variables. However, the
program itself will be identified and shared with program management
only if the number of individual workers is greater than 20.
[[Page 38969]]
Estimates of Annualized Hour Burden
----------------------------------------------------------------------------------------------------------------
Number of Responses per Hours per Total hour
Form respondents respondents responses burden
----------------------------------------------------------------------------------------------------------------
Individual Crisis Counseling Services Encounter 7,500 1 .03 225
Log............................................
Group Encounter Log Form........................ 4,000 1 .03 120
Weekly Tally Sheet.............................. 4,000 1 .08 320
Assessment & Referral Tool...................... 100 1 .08 8
Participant Feedback............................ 1,000 1 .06 60
CCP Service Provider Feedback................... 100 1 .08 8
-----------------
Total....................................... 16,700 .............. .............. 741
----------------------------------------------------------------------------------------------------------------
Written comments and recommendations concerning the proposed
information collection should be sent by August 5, 2005, to: SAMHSA
Desk Officer, Human Resources and Housing Branch, Office of Management
and Budget, New Executive Office Building, Room 10235, Washington, DC
20503; due to potential delays in OMB's receipt and processing of mail
sent through the U.S. Postal Service, respondents are encouraged to
submit comments by fax to: 202-395-6974.
Dated: June 29, 2005.
Patricia S. Bransford,
Acting Executive Officer, SAMHSA.
[FR Doc. 05-13238 Filed 7-5-05; 8:45 am]
BILLING CODE 4162-20-P