Agency Information Collection Activities: Submission for OMB Review; Comment Request, 77769-77771 [E6-22119]
Download as PDF
Federal Register / Vol. 71, No. 248 / Wednesday, December 27, 2006 / Notices
Dated: December 18, 2006.
Elaine Parry,
Acting Director, Office of Program Services.
[FR Doc. E6–22117 Filed 12–26–06; 8:45 am]
BILLING CODE 4162–20–P
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.
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
program partners within States/Tribal
sites and campus sites. In addition,
enhanced evaluation efforts are planned
for the Tennessee Lives Count Suicide
Prevention Program. The purpose of the
enhanced evaluation is to expand upon
self-evaluation and cross-site evaluation
efforts to evaluate medium- and longterm outcomes associate with suicide
prevention program activities.
There are 36 State/Tribal programs
and 55 Campus programs participating
in the cross-site evaluation. Data will be
collected from suicide prevention
program staff (project directors,
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20:43 Dec 26, 2006
Jkt 211001
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 for the cross-site
evaluation will be conducted over a
three-year period that spans FY2007
through FY2009. 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 sixteen 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 36 State/Tribal grantees and (2) the
55 Campus grantees. The Existing
Database Inventory will be completed
once in year one and once in year three
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 InventoryState/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 InventoryBaseline version once in year one of the
cross-site evaluation and the State/
Tribal Product and Services InventoryFollow-up version quarterly thereafter
in years two and three. 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
PO 00000
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Fmt 4703
Sfmt 4703
77769
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 InventoryCampus (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 year one of the cross-site
evaluation and will complete the
Campus Product and Services
Inventory-Follow-up version quarterly
thereafter in years two and three. 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
36 State/Tribal suicide prevention
programs. The 14 State/Tribal grantees
funded in October 2005 will receive two
administrations of the Referral Network
Survey and the 22 State/Tribal grantees
funded in June and October 2006 will
receive 3 administrations. It is estimated
that for each of the 36 State/Tribal
referral networks, there are
approximately 20 agencies/
organizations involved. Therefore,
assuming 2 appropriate respondents per
agency/organizations and an 80%
response rate, we estimated that 3,008
respondents would complete the
Referral Network Survey, or 1,003
annually. 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
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jlentini on PROD1PC65 with NOTICES
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Federal Register / Vol. 71, No. 248 / Wednesday, December 27, 2006 / Notices
Survey include multiple-choice, Likertscale, and open-ended. The Referral
Network Survey includes 37 items and
will take approximately 40 minutes to
complete.
• Training Exit Survey (1 version).
The Training Exit Survey will be
administered to participants in suicide
prevention training activities held in the
36 State/Tribal sites following their
participation in training activities. It is
estimated that approximately 1,000 per
State/Tribal site will be trained in
suicide prevention. As such, data will
be collected from approximately 36,000
training participants, or 12,000 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 29 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 per
year in each of the 36 State/Tribal sites
and ten key informants who completed
the selected training will be randomly
selected for participation, for a total of
360 respondents per year. The TUP will
be administered within two 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
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20:43 Dec 26, 2006
Jkt 211001
assistance to those at risk for suicide.
The 21 Campus grantees funded in FY
2006 will receive two administrations of
the SPEAKS-Student Version (one in
each remaining year of their grant
funding) and the 34 Campus grantees
funded in FY 2007 will receive three
administrations (one in each year of
grant funding). The SPEAKS-Student
Version will be administered to 28,800
respondents, or 9,600, 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 54 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 21 Campus grantees funded
in FY 2006 will be administered the
survey twice (in each of the remaining
years of grant funding) and the 34
Campus grantees funded in FY 2007
will receive three administrations (one
in each remaining year of grant
funding). A sampling plan to obtain 50
faculty/staff respondents in each of the
55 Campus grantee sites for a total of
7,200 total respondents, or 2,400 per
year, will be developed by the cross-site
evaluation team. 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 55
Campus sites will be selected as key
informants to participate in the Campus
Infrastructure Interview either in year
PO 00000
Frm 00054
Fmt 4703
Sfmt 4703
two or in year three of the cross-site
evaluation, for a total of 260
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.
• Tennessee Lives Count Six-Month
Follow-up Survey (1 version). The sixmonth follow-up survey is administered
as part of the enhanced evaluation. A
random sample of training participants
involved in the Tennessee Lives Count
Suicide Prevention program will be
contacted six months post training to
complete the survey. Based on the
sampling scheme, the six-month followup survey will be administered to 466
individuals per year for a total of 1,398
total respondents. The survey requests
information on proximal outcomes,
such as knowledge, skills, and attitudes
of professionals working with at-risk
youth as a result of their training
experiences. The survey includes
multiple-choice, likert scale, and openended. There are 59 items and it will
take approximately 15 minutes for
completion.
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
E:\FR\FM\27DEN1.SGM
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Federal Register / Vol. 71, No. 248 / Wednesday, December 27, 2006 / Notices
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
Measure name
No. of
respondents
No. of
responses/
respondent
Hours/
response
Response
burden*
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 ..............................................................................
Product and Services Inventory-Campus version-baseline ..........................................................................
Product and Services Inventory-Campus version-follow-up .........................................................................
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 ..............................................................
Tennessee Lives Count 6-month Interview ..................................................................................................
36
55
36
36
55
55
12,000
360
1,003
9,600
2,400
18
37
18
18
466
1
1
1
2
1
2
1
1
1
1
1
1
1
1
1
1
0.5
0.5
0.75
0.75
0.75
0.75
0.17
0.67
0.67
0.25
0.25
1
1
1
1
0.25
18
28
27
54
41
41
2040
241
672
2400
600
18
37
18
18
117
Total .......................................................................................................................................................
26,193
..............
............
6,370
Written comments and
recommendations concerning the
proposed information collection should
be sent by January 26, 2007 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: December 18, 2006.
Elaine Parry,
Acting Director, Office of Program Services.
[FR Doc. E6–22119 Filed 12–26–06; 8:45 am]
BILLING CODE 4162–20–P
DEPARTMENT OF HOMELAND
SECURITY
Coast Guard
[CGD08–06–042]
Houston / Galveston Navigation Safety
Advisory Committee
Coast Guard, DHS.
Notice of meetings.
jlentini on PROD1PC65 with NOTICES
AGENCY:
ACTION:
SUMMARY: The Houston / Galveston
Navigation Safety Advisory Committee
(HOGANSAC) and its working groups
will meet to discuss waterway
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20:43 Dec 26, 2006
Jkt 211001
improvements, aids to navigation, area
projects impacting safety on the
Houston Ship Channel, and various
other navigation safety matters in the
Galveston Bay area. All meetings will be
open to the public.
DATES: The next meeting of HOGANSAC
will be held on Tuesday, January 23,
2007, at 9 a.m. The meeting of the
Committee’s working groups will be
held on Tuesday, January 16, 2007, at 9
a.m. Members of the public may present
written or oral statements at either
meeting. Requests to make oral
presentations or distribute written
materials should reach the Coast Guard
five (5) working days before the meeting
at which the presentation will be made.
Requests to have written materials
distributed to each member of the
committee in advance of the meeting
should reach the Coast Guard at least
ten (10) working days before the
meeting at which the presentation will
be made.
ADDRESSES: The full Committee will be
held at the Doyle Convention Center,
2010 5th Avenue North, Texas City,
Texas 77590, 409–766–3018. The
working groups meeting will be held at
the Galveston/Texas City Pilots,
Administrative Offices, 2425 Highway
146 N. Texas City, Texas. 77590, 409–
945–4461/4462. This notice is available
on the Internet at https://dms.dot.gov.
FOR FURTHER INFORMATION CONTACT:
Commander Jerry Torok, Executive
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Frm 00055
Fmt 4703
Sfmt 4703
Secretary of HOGANSAC, telephone
(713) 671–5164, or Lieutenant Junior
Grade Kevin Cooper, Assistant to the
Executive Secretary of HOGANSAC,
telephone (713) 678–9001, e-mail
kevin.j.cooper@uscg.mil. Written
materials and requests to make
presentations should be sent to
Commanding Officer, Sector Houston/
Galveston, Attn: LTJG Cooper, 9640
Clinton Drive, Houston, TX 77029.
SUPPLEMENTARY INFORMATION: Notice of
this meeting is given pursuant to the
Federal Advisory Committee Act, 5
U.S.C. App. 2.
Agendas of the Meetings:
Houston/Galveston Navigation Safety
Advisory Committee (HOGANSAC). The
agenda includes the following:
(1) Opening remarks by the
Committee Sponsor (RADM Whitehead)
or the Committee Sponsor’s
representative, Executive Director
(CAPT Diehl) and Chairperson (Ms.
Patricia Clark).
(2) Approval of the September 26,
2006 minutes.
(3) Old Business:
(a) Navigation Operations/Maritime
Incident
Review subcommittee report.
(b) Deep draft Entry Facilitation
subcommittee report.
(c) Dredging subcommittee report.
(d) Technology subcommittee report.
(e) Area Maritime Security Committee
Liaison’s report.
E:\FR\FM\27DEN1.SGM
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Agencies
[Federal Register Volume 71, Number 248 (Wednesday, December 27, 2006)]
[Notices]
[Pages 77769-77771]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E6-22119]
-----------------------------------------------------------------------
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: 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. In addition, enhanced
evaluation efforts are planned for the Tennessee Lives Count Suicide
Prevention Program. The purpose of the enhanced evaluation is to expand
upon self-evaluation and cross-site evaluation efforts to evaluate
medium- and long-term outcomes associate with suicide prevention
program activities.
There are 36 State/Tribal programs and 55 Campus programs
participating in the cross-site evaluation. 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 for the cross-site evaluation will be
conducted over a three-year period that spans FY2007 through FY2009.
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 sixteen 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 36 State/Tribal grantees and (2) the 55 Campus
grantees. The Existing Database Inventory will be completed once in
year one and once in year three 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 year one of the
cross-site evaluation and the State/Tribal Product and Services
Inventory-Follow-up version quarterly thereafter in years two and
three. 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 year one of the cross-site
evaluation and will complete the Campus Product and Services Inventory-
Follow-up version quarterly thereafter in years two and three. 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 36 State/
Tribal suicide prevention programs. The 14 State/Tribal grantees funded
in October 2005 will receive two administrations of the Referral
Network Survey and the 22 State/Tribal grantees funded in June and
October 2006 will receive 3 administrations. It is estimated that for
each of the 36 State/Tribal referral networks, there are approximately
20 agencies/organizations involved. Therefore, assuming 2 appropriate
respondents per agency/organizations and an 80% response rate, we
estimated that 3,008 respondents would complete the Referral Network
Survey, or 1,003 annually. 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
[[Page 77770]]
Survey include multiple-choice, Likert-scale, and open-ended. The
Referral Network Survey includes 37 items and will take approximately
40 minutes to complete.
Training Exit Survey (1 version). The Training Exit Survey
will be administered to participants in suicide prevention training
activities held in the 36 State/Tribal sites following their
participation in training activities. It is estimated that
approximately 1,000 per State/Tribal site will be trained in suicide
prevention. As such, data will be collected from approximately 36,000
training participants, or 12,000 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 29 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 per year in each of
the 36 State/Tribal sites and ten key informants who completed the
selected training will be randomly selected for participation, for a
total of 360 respondents per year. The TUP will be administered within
two 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 21 Campus grantees
funded in FY 2006 will receive two administrations of the SPEAKS-
Student Version (one in each remaining year of their grant funding) and
the 34 Campus grantees funded in FY 2007 will receive three
administrations (one in each year of grant funding). The SPEAKS-Student
Version will be administered to 28,800 respondents, or 9,600, 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 54 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 21 Campus grantees
funded in FY 2006 will be administered the survey twice (in each of the
remaining years of grant funding) and the 34 Campus grantees funded in
FY 2007 will receive three administrations (one in each remaining year
of grant funding). A sampling plan to obtain 50 faculty/staff
respondents in each of the 55 Campus grantee sites for a total of 7,200
total respondents, or 2,400 per year, will be developed by the cross-
site evaluation team. 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 55 Campus
sites will be selected as key informants to participate in the Campus
Infrastructure Interview either in year two or in year three of the
cross-site evaluation, for a total of 260 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.
Tennessee Lives Count Six-Month Follow-up Survey (1
version). The six-month follow-up survey is administered as part of the
enhanced evaluation. A random sample of training participants involved
in the Tennessee Lives Count Suicide Prevention program will be
contacted six months post training to complete the survey. Based on the
sampling scheme, the six-month follow-up survey will be administered to
466 individuals per year for a total of 1,398 total respondents. The
survey requests information on proximal outcomes, such as knowledge,
skills, and attitudes of professionals working with at-risk youth as a
result of their training experiences. The survey includes multiple-
choice, likert scale, and open-ended. There are 59 items and it will
take approximately 15 minutes for completion.
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
[[Page 77771]]
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
----------------------------------------------------------------------------------------------------------------
No. of
Measure name No. of responses/ Hours/ Response
respondents respondent response burden*
----------------------------------------------------------------------------------------------------------------
Existing Database Inventory-State version.......................... 36 1 0.5 18
Existing Database Inventory-Campus version......................... 55 1 0.5 28
Product and Services Inventory-State version-baseline.............. 36 1 0.75 27
Product and Services Inventory-State version-follow-up............. 36 2 0.75 54
Product and Services Inventory-Campus version-baseline............. 55 1 0.75 41
Product and Services Inventory-Campus version-follow-up............ 55 2 0.75 41
Training Exit Survey............................................... 12,000 1 0.17 2040
Training Utilization and Penetration (TUP) Key Informant Interview. 360 1 0.67 241
Referral Network Survey............................................ 1,003 1 0.67 672
Suicide Prevention Exposure, Awareness and Knowledge Survey-Student 9,600 1 0.25 2400
Version (SPEAKS-S)................................................
Suicide Prevention Exposure, Awareness and Knowledge Survey-Faculty/ 2,400 1 0.25 600
Staff (SPEAKS-FS).................................................
Campus Infrastructure Interview-Student Leader Version............. 18 1 1 18
Campus Infrastructure Interview-Faculty/Staff Version.............. 37 1 1 37
Campus Infrastructure Interview-Administrator Version.............. 18 1 1 18
Campus Infrastructure Interview-Counseling Center Staff Version.... 18 1 1 18
Tennessee Lives Count 6-month Interview............................ 466 1 0.25 117
--------------------------------------------
Total.......................................................... 26,193 .......... ........ 6,370
----------------------------------------------------------------------------------------------------------------
Written comments and recommendations concerning the proposed
information collection should be sent by January 26, 2007 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: December 18, 2006.
Elaine Parry,
Acting Director, Office of Program Services.
[FR Doc. E6-22119 Filed 12-26-06; 8:45 am]
BILLING CODE 4162-20-P