Agency Information Collection Activities: Proposed Collection; Comment Request, 34147-34149 [E6-9172]
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Federal Register / Vol. 71, No. 113 / Tuesday, June 13, 2006 / Notices
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
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 on (240) 276–
1243.
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.
jlentini on PROD1PC65 with NOTICES
Proposed Project: Cross-site Evaluation
of the Garrett Lee Smith Memorial
Suicide Prevention and Early
Intervention Programs—NEW
The Substance Abuse and Mental
Health Services Administration’s
(SAMHSA), Center for Mental Health
Services (CMHS) will conduct the crosssite evaluation of the Garrett Lee Smith
Memorial Suicide Prevention and Early
Intervention State/Tribal Programs and
the Garrett Lee Smith Memorial Suicide
Prevention Campus Programs. The data
collected through the cross-site
evaluation will address four stages of
program activity: (1) The context stage
will assess the existing databases and
availability of data sources, (2) the
product stage will describe the products
and services that are developed and
utilized by these programs, (3) the
process stage will assess the progress on
key activities and milestones related to
implementation of program plans, and
(4) the impact stage will assess the
impact of program activities on youth/
students, gatekeepers, faculty/staff, and
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program partners within States/Tribal
sites and campus sites.
Data will be collected from suicide
prevention program staff (project
directors, evaluators), key program
stakeholders (state/local officials, childserving agency directors, gatekeepers,
mental health providers, campus
administrators), training participants,
college students, and campus faculty/
staff. Data collection will take place in
14 State/Tribal sites and 22 campus
sites. Data collection for the cross-site
evaluation will be conducted over a
three-year period that spans FY 2006
through FY 2008. Because the State/
Tribal grantees differ from the campus
grantees in programmatic approaches,
specific data collection activities also
vary by type of program. The following
describes the specific data collection
activities and the 15 data collection
instruments to be used, followed by a
summary table of number of
respondents and respondent burden:
• Existing Database Inventory (2
versions). The Existing Database
Inventory includes two versions to be
administered to one respondent from (1)
the 14 State/Tribal grantees and (2) the
22 Campus grantees. The Existing
Database Inventory will be completed
once in year FY 2007 and once in FY
2008 of the cross-site evaluation by
program staff. The questions included
assess the availability of existing data,
the integration of data systems, and the
data elements that may or may not be
collected in each system. The Existing
Database Inventory will take
approximately 30 minutes to complete
and the number of existing databases
within each grantee site will determine
the number of items to complete.
Questions on the Existing Database
Inventory are open-ended and multiple
choice.
• Product and Services Inventory—
State/Tribal (2 versions). The Product
and Services Inventory for State/Tribal
grantees includes 2 versions. The State/
Tribal grantees will complete the State/
Tribal Product and Services Inventory—
Baseline version once in FY 2006 and
the State/Tribal Product and Services
Inventory—Follow-up version quarterly
thereafter in FY 2007 and FY 2008. The
baseline version assesses the
development and utilization of products
and services during the first year of
grant funding, and the follow-up version
updates the development of products
and services on a quarterly basis. These
products and services may include
awareness campaign products and
materials; risk identification training
materials and workshops; and enhanced
services, including early intervention,
family support, and postsuicide
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34147
intervention services, as well as
evidence-based programs. Both versions
of the State/Tribal Product and Services
Inventory will take approximately 45
minutes and the number of products
and services developed and utilized
within each grantee site will determine
the number of items to complete.
Questions on both versions of the State/
Tribal Product and Services Inventory
are open-ended and multiple choice.
• Product and Services Inventory—
Campus (2 versions). The Product and
Services Inventory for Campus grantees
includes 2 versions. The Campus
grantees will complete the Campus
Product and Services Inventory—
Baseline version once in FY 2006 and
will complete the Campus Product and
Services Inventory—Follow-up version
quarterly thereafter in FY 2007 and
2008. The baseline version assesses the
development and utilization of products
and services during the first year of
grant funding, and the follow-up version
updates the development of products
and services on a quarterly basis. These
products and services may include
awareness campaign products and
materials; risk identification training
materials and workshops; and enhanced
services, including early intervention,
family support, and postsuicide
intervention services, as well as
evidence-based programs. Both versions
of the Campus Product and Services
Inventory will take approximately 45
minutes and the number of products
and services developed and utilized
within each grantee site will determine
the number of items to complete.
Questions on both versions of the State/
Tribal Product and Services Inventory
are open-ended and multiple choice.
• Referral Network Survey (1 version).
The Referral Network Survey will be
administered to representatives of
organizations and/or agencies involved
in the referral networks that support the
14 State/Tribal suicide prevention
programs. Based on estimates of the
number referral networks and referral
network agencies across the 14 grantees,
it is estimated that there will be a total
of 1,248 respondents, or 416 per year.
The questions included on the Referral
Network Survey will describe the
referral networks, the agencies and
organizations involved and at what level
and the types of agency agreements and
protocols are in place to support youth
who are identified at risk for suicide.
Questions on the Referral Network
Survey include multiple-choice, Likertscale, and open-ended. The Referral
Network Survey includes 37 items and
will take approximately 40 minutes to
complete.
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34148
Federal Register / Vol. 71, No. 113 / Tuesday, June 13, 2006 / Notices
• Training Exit Survey (1 version).
The Training Exit Survey will be
administered to participants in suicide
prevention training activities held in the
14 State/Tribal sites following their
participation in training activities. Data
will be collected from approximately
14,000 training participants, or 4,667
per year, one time immediately
following their training experience in
each year of the cross-site evaluation.
The questions on the Training Exit
Survey obtain information to assess the
content of the training, the participants’
intended use of the skills and
knowledge learned, and satisfaction
with the training experience. Questions
on the Training Exit Survey include
multiple-choice, Likert-scale, and openended. The Training Exit Survey
includes 34 items and will take
approximately 10 minutes to complete.
• Training Utilization and
Penetration (TUP) Key Informant
Interview (1 version). The TUP Key
Informant Interview is a qualitative
follow-up interview administered to
individuals who participated in training
activities as part of the State/Tribal
suicide prevention programs. One
training activity will be identified in
each of the 14 State/Tribal sites and five
key informants who completed the
selected training will be randomly
selected for participation, for a total of
70 respondents, or 23 respondents per
year. The TUP will be administered
within 2 months of the training
experience to assess whether the suicide
prevention knowledge, skills and/or
techniques learned through training
were utilized and had an impact on
youth. The interviews will include
close-ended background questions, with
the remaining questions being openended and semi-structured. The TUP
includes 23 items and will take
approximately 40 minutes to complete.
• Suicide Prevention Exposure,
Awareness and Knowledge Survey
(SPEAKS)—Student Version (1 version).
The SPEAKS—Student version assesses
the exposure, awareness and knowledge
of suicide prevention activities among
the student population on campus as
result of the suicide prevention
program. Questions include whether
students have been exposed to suicide
prevention materials, their agreement
with myths and facts about suicide, and
the availability of resources to provide
assistance to those at risk for suicide.
The SPEAKS—Student Version will be
administered to 8,800 respondents, or
2,933, per year. A random sample of
students will be drawn without
replacement in each year of
administration. The SPEAKS—Student
Version is web-based and includes
multiple-choice, Likert-scale and true/
false questions. The SPEAKS—Student
Version includes 53 items and will take
approximately 15 minutes to complete.
• Suicide Prevention Exposure,
Awareness and Knowledge Survey
(SPEAKS)—Faculty/Staff Version (1
version). The SPEAKS—Faculty/Staff
version assesses the exposure,
awareness and knowledge of suicide
prevention activities among faculty/staff
on campus as result of the suicide
prevention program. Questions include
whether faculty/staff have been exposed
to suicide prevention materials, their
agreement with myths and facts about
suicide, and the availability of resources
to provide assistance to those at risk for
suicide. The SPEAKS—Faculty/Staff
version will be administered to 2,200
respondents, or 733 per year. A random
sample of faculty/staff will be drawn
without replacement in each year of
administration. The SPEAKS—Faculty/
Staff Version is web-based and includes
multiple-choice, Likert-scale and true/
false questions. The SPEAKS—Faculty/
Staff Version includes 52 items and will
take approximately 15 minutes to
complete.
• Campus Infrastructure Interviews (4
versions). The Campus Infrastructure
Interviews include 4 versions of the
qualitative interviews to be
administered to five different
respondent types; (1) Administrator, (2)
Student Group Leader, (3) Counseling
Center Staff, (4) Faculty/Staff-human
services department, and (5) Faculty/
Staff-non-human service department.
Five individuals from each of the 22
Campus sites will be selected as key
informants to participate in the Campus
Infrastructure Interview either in FY
2007 or in FY 2008, for a total of 110
respondents. Questions on the Campus
Infrastructure Interview include
whether respondents are aware of
suicide prevention activities, what the
campus culture is related to suicide
prevention, and what specific efforts are
in place to prevent suicide among the
campus population. Questions will
include close-ended background
questions, with the remaining questions
being open-ended and semi-structured.
The Campus Infrastructure Interviews
include 29 items and will take
approximately 60 minutes to complete.
In addition to the above described
data collection activities, data from
existing sources (i.e., management
information systems (MIS),
administrative records, case files, etc.)
will be analyzed across grantee sites to
support the impact stage of the crosssite evaluation. Specifically, for the
cross-site evaluation of the State/Tribal
Programs, existing program information
related to the number of youth
identified at risk as a result of screening
or early identification activities, the
youth who are referred for services, and
the youth who present for services will
be analyzed by the cross-site evaluation
team to determine the impact of suicide
prevention program activities. For the
cross-site evaluation of the Campus
programs, existing program data related
to the number of students who are at
risk for suicide, the number who seek
services, and the type of services
received will be analyzed to determine
the impact of Campus program activities
on the student and campus populations.
Because this information is obtained
through existing sources, data collection
instruments were not developed as part
of the cross-site evaluation and no
identifiable respondents exist; therefore
no respondent burden has been
estimated.
Internet-based technology will be
used for collecting data via Web-based
surveys, and for data entry and
management. The average annual
respondent burden is estimated below.
The estimate reflects the total
respondents across project years, the
average annual number of respondents,
the average annual number of responses,
the time it will take for each response,
and the average annual burden.
TOTAL AND ANNUAL AVERAGES: RESPONDENTS, RESPONSES AND HOURS
Total number
of respondents
(across 3
project years)
jlentini on PROD1PC65 with NOTICES
Measure name
Existing Database Inventory-State version ........................
Existing Database Inventory-Campus version ...................
Product and Services Inventory-State version-baseline ....
Product and Services Inventory-State version-follow-up ...
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Annualized
number of
respondents
14
22
14
14
Fmt 4703
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Annualized
number
responses/
respondent
14
22
14
14
E:\FR\FM\13JNN1.SGM
Hours/
response
1
1
1
2
13JNN1
0.50
0.50
0.75
0.75
Annualized
response
burden*
7
11
11
21
34149
Federal Register / Vol. 71, No. 113 / Tuesday, June 13, 2006 / Notices
TOTAL AND ANNUAL AVERAGES: RESPONDENTS, RESPONSES AND HOURS—Continued
Total number
of respondents
(across 3
project years)
Measure name
Product and Services Inventory-Campus version-baseline
Product and Services Inventory-Campus version-followup ....................................................................................
Training Exit Survey ...........................................................
Training Utilization and Penetration (TUP) Key Informant
Interview .........................................................................
Referral Network Survey ....................................................
Suicide Prevention Exposure, Awareness and Knowledge
Survey-Student Version (SPEAKS-S) ............................
Suicide Prevention Exposure, Awareness and Knowledge
Survey-Faculty/Staff (SPEAKS-FS) ...............................
Campus Infrastructure Interview-Student Leader Version
Campus Infrastructure Interview-Faculty/Staff Version .....
Campus Infrastructure Interview-Administrator Version ....
Campus Infrastructure Interview-Counseling Center Staff
Version ...........................................................................
Total ............................................................................
Annualized
number
responses/
respondent
Annualized
number of
respondents
Hours/
response
Annualized
response
burden*
22
22
1
0.75
17
22
14,000
22
4,667
2
1
0.75
0.17
33
793
70
1,248
23
416
1
1
0.67
0.67
15
279
8,800
2,933
1
0.25
733
2,200
22
44
22
733
7
15
7
1
1
1
1
0.25
1.0
1.0
1.0
183
7
15
7
22
7
1
1.0
26,536
8,916
........................
..........................
7
2,139
*Rounded to the nearest whole number.
Send comments to Summer King,
SAMHSA Reports Clearance Officer,
Room 7–1044, One Choke Cherry Road,
Rockville, MD 20857. Written comments
should be received within 60 days of
this notice.
Dated: June 7, 2006.
Anna Marsh,
Director, Office of Program Services.
[FR Doc. E6–9172 Filed 6–12–06; 8:45 am]
BILLING CODE 4162–20–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Substance Abuse and Mental Health
Services Administration
jlentini on PROD1PC65 with NOTICES
Center for Substance Abuse
Treatment; Notice of Meeting
Pursuant to Public Law 92–463,
notice is hereby given of a
Teleconference meeting of the Center for
Substance Abuse Treatment (CSAT)
National Advisory Council on June 23,
2006, from 11 a.m. to 12:30 p.m.
The meeting will include the review,
discussion and evaluation of grant
applications reviewed by Initial Review
Groups (IRGs). Therefore, a portion of
the meeting will be closed to the public
as determined by the SAMHSA
Administrator, in accordance with Title
5 U.S.C. 552b(c)(6) and 5 U.S.C. App. 2,
section 10(d).
A portion of the meeting will also be
open and include discussion of the
Center’s current administrative,
legislative, and program developments.
The public is invited to attend the open
session in person or listen to the
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16:40 Jun 12, 2006
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discussions via telephone. Due to
limited space, seating will be on a
registration-only basis. To register,
contact the Council Executive Secretary,
Ms. Cynthia Graham (see contact
information below), to obtain the
teleconference call-in number and
access code. Please communicate with
Ms. Graham to make arrangements to
comment or to request special
accommodations for persons with
disabilities.
Substantive program information, a
summary of the open session of the
meeting, and a roster of Council
members may be obtained by accessing
the SAMHSA Council Web site, https://
www.samhsa.gov/council, as soon as
possible after the meeting, or by
contacting Ms. Graham. The transcript
for the meeting will also be available on
the SAMHSA Council Web site within
three weeks after the meeting.
Committee Name: Substance Abuse and
Mental Health Services Administration,
Center for Substance Abuse Treatment
National Advisory Council.
Meeting Date: June 23—11 a.m.–12:30 p.m.
Place: 1 Choke Cherry Road, Room L–1057,
Video Conference Room, Rockville, Maryland
20857.
Type: Closed: June 23—11 a.m.—11:30
a.m. Open: June 23–11:30 a.m.–12:30 p.m.
For Further Information Contact: Cynthia
Graham, M.S., Executive Secretary,
SAMHSA/CSAT National Advisory Council,
1 Choke Cherry Road, Room 5–1036,
Rockville, MD 20857. Telephone: (240) 276–
1692. FAX: (240) 276–1690. E-mail:
cynthia.graham@samhsa.hhs.gov.
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Dated: June 6, 2006.
Toian Vaughn,
Committee Management Officer, Substance
Abuse and Mental Health, Services
Administration.
[FR Doc. E6–9171 Filed 6–12–06; 8:45 am]
BILLING CODE 4162–20–P
DEPARTMENT OF HOMELAND
SECURITY
Bureau of Customs and Border
Protection
Agency Information Collection
Activities: Importer’s Input Record
AGENCY: Bureau of Customs and Border
Protection, Department of Homeland
Security.
ACTION: Proposed collection; comments
requested.
SUMMARY: The Bureau of Customs and
Border Protection (CBP) of the
Department of Homeland Security has
submitted the following information
collection request to the Office of
Management and Budget (OMB) for
review and approval in accordance with
the Paperwork Reduction Act of 1995:
Importer’s Input Record. This is a
proposed extension of an information
collection that was previously
approved. CBP is proposing that this
information collection be extended
without a change to the burden hours.
This document is published to obtain
comments from the public and affected
agencies. This proposed information
collection was previously published in
the Federal Register (71 FR 12384–
E:\FR\FM\13JNN1.SGM
13JNN1
]]>Agencies
[Federal Register Volume 71, Number 113 (Tuesday, June 13, 2006)]
[Notices]
[Pages 34147-34149]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E6-9172]
[[Page 34147]]
-----------------------------------------------------------------------
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 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 on (240) 276-1243.
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: Cross-site Evaluation of the Garrett Lee Smith
Memorial Suicide Prevention and Early Intervention Programs--NEW
The Substance Abuse and Mental Health Services Administration's
(SAMHSA), Center for Mental Health Services (CMHS) will conduct the
cross-site evaluation of the Garrett Lee Smith Memorial Suicide
Prevention and Early Intervention State/Tribal Programs and the Garrett
Lee Smith Memorial Suicide Prevention Campus Programs. The data
collected through the cross-site evaluation will address four stages of
program activity: (1) The context stage will assess the existing
databases and availability of data sources, (2) the product stage will
describe the products and services that are developed and utilized by
these programs, (3) the process stage will assess the progress on key
activities and milestones related to implementation of program plans,
and (4) the impact stage will assess the impact of program activities
on youth/students, gatekeepers, faculty/staff, and program partners
within States/Tribal sites and campus sites.
Data will be collected from suicide prevention program staff
(project directors, evaluators), key program stakeholders (state/local
officials, child-serving agency directors, gatekeepers, mental health
providers, campus administrators), training participants, college
students, and campus faculty/staff. Data collection will take place in
14 State/Tribal sites and 22 campus sites. Data collection for the
cross-site evaluation will be conducted over a three-year period that
spans FY 2006 through FY 2008. Because the State/Tribal grantees differ
from the campus grantees in programmatic approaches, specific data
collection activities also vary by type of program. The following
describes the specific data collection activities and the 15 data
collection instruments to be used, followed by a summary table of
number of respondents and respondent burden:
Existing Database Inventory (2 versions). The Existing
Database Inventory includes two versions to be administered to one
respondent from (1) the 14 State/Tribal grantees and (2) the 22 Campus
grantees. The Existing Database Inventory will be completed once in
year FY 2007 and once in FY 2008 of the cross-site evaluation by
program staff. The questions included assess the availability of
existing data, the integration of data systems, and the data elements
that may or may not be collected in each system. The Existing Database
Inventory will take approximately 30 minutes to complete and the number
of existing databases within each grantee site will determine the
number of items to complete. Questions on the Existing Database
Inventory are open-ended and multiple choice.
Product and Services Inventory--State/Tribal (2 versions).
The Product and Services Inventory for State/Tribal grantees includes 2
versions. The State/Tribal grantees will complete the State/Tribal
Product and Services Inventory--Baseline version once in FY 2006 and
the State/Tribal Product and Services Inventory--Follow-up version
quarterly thereafter in FY 2007 and FY 2008. The baseline version
assesses the development and utilization of products and services
during the first year of grant funding, and the follow-up version
updates the development of products and services on a quarterly basis.
These products and services may include awareness campaign products and
materials; risk identification training materials and workshops; and
enhanced services, including early intervention, family support, and
postsuicide intervention services, as well as evidence-based programs.
Both versions of the State/Tribal Product and Services Inventory will
take approximately 45 minutes and the number of products and services
developed and utilized within each grantee site will determine the
number of items to complete. Questions on both versions of the State/
Tribal Product and Services Inventory are open-ended and multiple
choice.
Product and Services Inventory--Campus (2 versions). The
Product and Services Inventory for Campus grantees includes 2 versions.
The Campus grantees will complete the Campus Product and Services
Inventory--Baseline version once in FY 2006 and will complete the
Campus Product and Services Inventory--Follow-up version quarterly
thereafter in FY 2007 and 2008. The baseline version assesses the
development and utilization of products and services during the first
year of grant funding, and the follow-up version updates the
development of products and services on a quarterly basis. These
products and services may include awareness campaign products and
materials; risk identification training materials and workshops; and
enhanced services, including early intervention, family support, and
postsuicide intervention services, as well as evidence-based programs.
Both versions of the Campus Product and Services Inventory will take
approximately 45 minutes and the number of products and services
developed and utilized within each grantee site will determine the
number of items to complete. Questions on both versions of the State/
Tribal Product and Services Inventory are open-ended and multiple
choice.
Referral Network Survey (1 version). The Referral Network
Survey will be administered to representatives of organizations and/or
agencies involved in the referral networks that support the 14 State/
Tribal suicide prevention programs. Based on estimates of the number
referral networks and referral network agencies across the 14 grantees,
it is estimated that there will be a total of 1,248 respondents, or 416
per year. The questions included on the Referral Network Survey will
describe the referral networks, the agencies and organizations involved
and at what level and the types of agency agreements and protocols are
in place to support youth who are identified at risk for suicide.
Questions on the Referral Network Survey include multiple-choice,
Likert-scale, and open-ended. The Referral Network Survey includes 37
items and will take approximately 40 minutes to complete.
[[Page 34148]]
Training Exit Survey (1 version). The Training Exit Survey
will be administered to participants in suicide prevention training
activities held in the 14 State/Tribal sites following their
participation in training activities. Data will be collected from
approximately 14,000 training participants, or 4,667 per year, one time
immediately following their training experience in each year of the
cross-site evaluation. The questions on the Training Exit Survey obtain
information to assess the content of the training, the participants'
intended use of the skills and knowledge learned, and satisfaction with
the training experience. Questions on the Training Exit Survey include
multiple-choice, Likert-scale, and open-ended. The Training Exit Survey
includes 34 items and will take approximately 10 minutes to complete.
Training Utilization and Penetration (TUP) Key Informant
Interview (1 version). The TUP Key Informant Interview is a qualitative
follow-up interview administered to individuals who participated in
training activities as part of the State/Tribal suicide prevention
programs. One training activity will be identified in each of the 14
State/Tribal sites and five key informants who completed the selected
training will be randomly selected for participation, for a total of 70
respondents, or 23 respondents per year. The TUP will be administered
within 2 months of the training experience to assess whether the
suicide prevention knowledge, skills and/or techniques learned through
training were utilized and had an impact on youth. The interviews will
include close-ended background questions, with the remaining questions
being open-ended and semi-structured. The TUP includes 23 items and
will take approximately 40 minutes to complete.
Suicide Prevention Exposure, Awareness and Knowledge
Survey (SPEAKS)--Student Version (1 version). The SPEAKS--Student
version assesses the exposure, awareness and knowledge of suicide
prevention activities among the student population on campus as result
of the suicide prevention program. Questions include whether students
have been exposed to suicide prevention materials, their agreement with
myths and facts about suicide, and the availability of resources to
provide assistance to those at risk for suicide. The SPEAKS--Student
Version will be administered to 8,800 respondents, or 2,933, per year.
A random sample of students will be drawn without replacement in each
year of administration. The SPEAKS--Student Version is web-based and
includes multiple-choice, Likert-scale and true/false questions. The
SPEAKS--Student Version includes 53 items and will take approximately
15 minutes to complete.
Suicide Prevention Exposure, Awareness and Knowledge
Survey (SPEAKS)--Faculty/Staff Version (1 version). The SPEAKS--
Faculty/Staff version assesses the exposure, awareness and knowledge of
suicide prevention activities among faculty/staff on campus as result
of the suicide prevention program. Questions include whether faculty/
staff have been exposed to suicide prevention materials, their
agreement with myths and facts about suicide, and the availability of
resources to provide assistance to those at risk for suicide. The
SPEAKS--Faculty/Staff version will be administered to 2,200
respondents, or 733 per year. A random sample of faculty/staff will be
drawn without replacement in each year of administration. The SPEAKS--
Faculty/Staff Version is web-based and includes multiple-choice,
Likert-scale and true/false questions. The SPEAKS--Faculty/Staff
Version includes 52 items and will take approximately 15 minutes to
complete.
Campus Infrastructure Interviews (4 versions). The Campus
Infrastructure Interviews include 4 versions of the qualitative
interviews to be administered to five different respondent types; (1)
Administrator, (2) Student Group Leader, (3) Counseling Center Staff,
(4) Faculty/Staff-human services department, and (5) Faculty/Staff-non-
human service department. Five individuals from each of the 22 Campus
sites will be selected as key informants to participate in the Campus
Infrastructure Interview either in FY 2007 or in FY 2008, for a total
of 110 respondents. Questions on the Campus Infrastructure Interview
include whether respondents are aware of suicide prevention activities,
what the campus culture is related to suicide prevention, and what
specific efforts are in place to prevent suicide among the campus
population. Questions will include close-ended background questions,
with the remaining questions being open-ended and semi-structured. The
Campus Infrastructure Interviews include 29 items and will take
approximately 60 minutes to complete.
In addition to the above described data collection activities, data
from existing sources (i.e., management information systems (MIS),
administrative records, case files, etc.) will be analyzed across
grantee sites to support the impact stage of the cross-site evaluation.
Specifically, for the cross-site evaluation of the State/Tribal
Programs, existing program information related to the number of youth
identified at risk as a result of screening or early identification
activities, the youth who are referred for services, and the youth who
present for services will be analyzed by the cross-site evaluation team
to determine the impact of suicide prevention program activities. For
the cross-site evaluation of the Campus programs, existing program data
related to the number of students who are at risk for suicide, the
number who seek services, and the type of services received will be
analyzed to determine the impact of Campus program activities on the
student and campus populations. Because this information is obtained
through existing sources, data collection instruments were not
developed as part of the cross-site evaluation and no identifiable
respondents exist; therefore no respondent burden has been estimated.
Internet-based technology will be used for collecting data via Web-
based surveys, and for data entry and management. The average annual
respondent burden is estimated below. The estimate reflects the total
respondents across project years, the average annual number of
respondents, the average annual number of responses, the time it will
take for each response, and the average annual burden.
Total and Annual Averages: Respondents, Responses and Hours
----------------------------------------------------------------------------------------------------------------
Total number Annualized
of respondents Annualized number Hours/ Annualized
Measure name (across 3 number of responses/ response response
project years) respondents respondent burden*
----------------------------------------------------------------------------------------------------------------
Existing Database Inventory- 14 14 1 0.50 7
State version..................
Existing Database Inventory- 22 22 1 0.50 11
Campus version.................
Product and Services Inventory- 14 14 1 0.75 11
State version-baseline.........
Product and Services Inventory- 14 14 2 0.75 21
State version-follow-up........
[[Page 34149]]
Product and Services Inventory- 22 22 1 0.75 17
Campus version-baseline........
Product and Services Inventory- 22 22 2 0.75 33
Campus version-follow-up.......
Training Exit Survey............ 14,000 4,667 1 0.17 793
Training Utilization and 70 23 1 0.67 15
Penetration (TUP) Key Informant
Interview......................
Referral Network Survey......... 1,248 416 1 0.67 279
Suicide Prevention Exposure, 8,800 2,933 1 0.25 733
Awareness and Knowledge Survey-
Student Version (SPEAKS-S).....
Suicide Prevention Exposure, 2,200 733 1 0.25 183
Awareness and Knowledge Survey-
Faculty/Staff (SPEAKS-FS)......
Campus Infrastructure Interview- 22 7 1 1.0 7
Student Leader Version.........
Campus Infrastructure Interview- 44 15 1 1.0 15
Faculty/Staff Version..........
Campus Infrastructure Interview- 22 7 1 1.0 7
Administrator Version..........
Campus Infrastructure Interview- 22 7 1 1.0 7
Counseling Center Staff Version
-------------------------------------------------------------------------------
Total....................... 26,536 8,916 .............. .............. 2,139
----------------------------------------------------------------------------------------------------------------
*Rounded to the nearest whole number.
Send comments to Summer King, SAMHSA Reports Clearance Officer,
Room 7-1044, One Choke Cherry Road, Rockville, MD 20857. Written
comments should be received within 60 days of this notice.
Dated: June 7, 2006.
Anna Marsh,
Director, Office of Program Services.
[FR Doc. E6-9172 Filed 6-12-06; 8:45 am]
BILLING CODE 4162-20-P
