Agency Information Collection Activities: Submission for OMB Review; Comment Request, 17170-17172 [E7-6481]
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17170
Federal Register / Vol. 72, No. 66 / Friday, April 6, 2007 / Notices
Discharges—Detailed Notice of
Discharge; Use: The authority for the
right to an expedited determination is
set forth at Section 1869(c)(3)(C)(iii)(III)
of the Social Security Act. This
collection has been revised and now
pertains to sections 42 CFR 405.1206
and 42 CFR 422.622. When a Quality
Improvement Organization (QIO)
notifies a hospital or Medicare
Advantage (MA) organization that a
beneficiary/enrollee has requested an
expedited determination, the hospital or
MA organization must deliver a detailed
notice to the beneficiary/enrollee by
noon of the day after the QIO’s
notification. In addition, the title has
been revised, and the wording of the
notice has been revised to more clearly
convey the purpose of the notice. This
revised notice fulfills the regulatory
requirement; Form Number: CMS–
10066 (OMB#: 0938–New); Frequency:
Yearly; Affected Public: Business or
other for-profit and not-for-profit
institutions; Number of Respondents:
6057; Total Annual Responses: 130,000;
Total Annual Hours: 130,000.
To obtain copies of the supporting
statement and any related forms for the
proposed paperwork collections
referenced above, access CMS Web Site
address at https://www.cms.hhs.gov/
PaperworkReductionActof1995, or Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov, or call the
Reports Clearance Office on (410) 786–
1326.
Written comments and
recommendations for the proposed
information collections must be mailed
or faxed within 30 days of this notice
directly to the OMB desk officer: OMB
Human Resources and Housing Branch,
Attention: Carolyn Lovett, New
Executive Office Building, Room 10235,
Washington, DC 20503, Fax Number:
(202) 395–6974.
Dated: March 29, 2007.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E7–6310 Filed 4–5–07; 8:45 am]
BILLING CODE 4120–01–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.
Proposed Project: National Evaluation
of the Comprehensive Community
Mental Health Services for Children
and Their Families Program: Phase
IV—(OMB No. 0930–0257)—Revision
The Substance Abuse and Mental
Health Services Administration
(SAMHSA), Center of Mental Health is
responsible for the national evaluation
of the Comprehensive Community
Mental Health Services for Children and
Their Families Program that will collect
data on child mental health outcomes,
family life, and service system
development and performance.
The national evaluation of the
Comprehensive Community Mental
Health Services for Children and Their
Families Program will collect data on
child mental health outcomes, family
life, and service system development
and performance. Data will be collected
on 27 service systems, and roughly 5922
children and families. Data collection
for this evaluation is conducted over a
five-year period. The core of service
system data will be collected every 18
months throughout the 5-year
evaluation period, with a sustainability
survey conducted in selected years.
Service delivery and system variables of
interest include the following: Maturity
of system of care development,
adherence to the system of care program
model, and client service experience.
The length of time that individual
families will participate in the study
ranges from 18 to 36 months depending
pwalker on PROD1PC71 with NOTICES
Instrument
Respondent
Number of
respondents
on when they enter the evaluation.
Child and family outcomes of interest
will be collected at intake and during
subsequent follow-up sessions at sixmonth intervals. The outcome measures
include the following: child
symptomatology and functioning,
family functioning, material resources,
and caregiver strain. Time-limited
studies addressing the cultural
competence of services and the role of
primary care providers in systems of
care will be conducted at selected
points during the evaluation period.
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
for the final three years of data
collection. The estimate reflects the
average number of respondents in each
respondent category, the average
number of responses per respondent per
year, the average length of time it will
take for each response, and the total
average annual burden for each category
of respondent, and for all categories of
respondents combined.
This revision to the currently
approved information collection
activities includes: (1) The addition of a
Primary Care Study and (2) the addition
of a Treatment Effectiveness Study. The
Primary Care Study seeks to investigate
the role of primary health care
practitioners (PCPs) in systems of care
and to further understand the impact of
services provided within primary care
on child and family outcomes. One goal
of this study is to identify strategies that
help primary care and mental health
care providers to work together
effectively. Another is to identify ways
to integrate PCPs into systems of care.
The treatment effectiveness study will
examine the relative impact of
community-based treatments focused
within system of care sites. This study
will focus on a community-based
practice that has not accumulated
research evidence, but rather through
community-based implementation has
accumulated practice-based evidence.
Total average number
of responses per
respondent
Hours per
response
Total burden
hours
System of Care Assessment
Interview Guides and Data Collection Forms ..........................
Interagency Collaboration Scale (IACS) ..................................
Caregiver Information Questionnaire (CIQ–IC) ........................
Caregiver Information Questionnaire Followup (CIQ–FC) .......
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Key site informants
Key site informants
Caregiver ..............
Caregiver ..............
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1 648
648
3 5,922
5,922
E:\FR\FM\06APN1.SGM
2
2
1
3
06APN1
1.000
0.133
0.283
0.200
1296
173
1676
3553
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Federal Register / Vol. 72, No. 66 / Friday, April 6, 2007 / Notices
Instrument
Respondent
Caregiver Strain Questionnaire (CGSQ) ..................................
Child Behavior Checklist (CBCL)/ Child Behavior Checklist
11⁄2–5 (CBCL 11⁄2–5).
Education Questionnaire—Revised (EQ–R) ............................
Living Situations Questionnaire (LSQ) .....................................
The Family Life Questionnaire (FLQ) ......................................
Behavioral and Emotional Rating Scale—Second Edition,
Parent Rating Scale (BERS–2C).
Columbia Impairment Scale (CIS) ...........................................
The Vineland Screener (VS) ....................................................
Delinquency Survey—Revised (DS) ........................................
Behavioral and Emotional Rating Scale—Second Edition,
Youth Rating Scale (BERS–2).
GAIN Quick—R: Substance Problem Scale (GAIN) ................
Substance Use Survey—Revised (SUS) .................................
Revised Children’s Manifest Anxiety Scales (RCMAS) ...........
Reynolds Adolescent Depression Scale—Second Edition
(RADS–2).
Youth information Questionnaire—Baseline (YIQ–I) ...............
Youth information Questionnaire—Follow-up (YIQ–F) ............
Number of
respondents
Caregiver ..............
Caregiver ..............
Total average number
of responses per
respondent
Hours per
response
Total burden
hours
5,922
5,922
54
4
0.167
0.333
3956
7888
5,922
5,922
5,922
6 5,626
4
4
4
4
0.100
0.083
0.050
0.167
2369
1966
1184
3758
5,922
3,553
4
4
4
4
0.083
0.250
0.167
0.167
1966
2369
2374
2374
.....................
.....................
.....................
.....................
3,553
3,553
3,553
3,553
4
4
4
4
0.083
0.100
0.050
0.050
1180
1421
711
711
Youth .....................
Youth .....................
3,553
3,553
1
3
0.167
0.167
593
1780
Caregiver ..............
Caregiver ..............
5,992
5,992
10 3
3
0.250
0.167
4442
2967
Caregiver ..............
Caregiver ..............
Youth .....................
Youth .....................
Provider .................
5,922
36
3,553
36
60
3
1
4
1
1
0.117
1.500
0.083
1.500
1.500
2079
54
1180
54
90
Caregiver ..............
262
1
1.000
262
Caregiver ..............
Caregiver ..............
Caregiver ..............
Caregiver ..............
Caregiver ..............
Youth .....................
Youth .....................
Provider .................
240
240
240
240
240
192
192
50
4
4
3
4
1
4
4
1
.167
.250
.167
.250
.167
.167
.250
.083
160
240
120
240
40
128
192
4
..............
..............
..............
..............
..............
300
300
300
300
300
3
3
3
3
3
.117
.167
.117
.067
.050
105
150
105
60
45
Caregiver ..............
Provider .................
Provider/Administrator.
54
54
12
1
1
1
1.500
1.500
1.000
81
81
12
540
1
.500
270
27
81
2
2
0.500
0.500
27
81
Caregiver
Caregiver
Caregiver
Caregiver
..............
..............
..............
..............
Caregiver ..............
Caregiver ..............
Youth .....................
Youth .....................
Youth
Youth
Youth
Youth
7 2,369
8 3,553
Service Experience Study
Multi-Sector Service Contacts—Revised (MSSC–RC) ............
Cultural Competence and Service Provision Questionnaire
(CCSP).
Youth Services Survey (YSS—F) ............................................
Cultural Competence Practices Study (Focus Groups—F) .....
Youth Services Survey (YSS—Y) ............................................
Cultural Competence Practices Study (Focus Groups—Y) .....
Cultural Competence Practices Study (Focus Groups—P) .....
Treatment Effectiveness Study
Diagnostic Interview Schedule for Children (DISC—Predictive
Scales).
Conflict Behavior Questionnaire (CBQ) ...................................
Family Assessment Measure (FAM) ........................................
Therapeutic Alliance Scale—caregiver (TAS) ..........................
Ohio Scales (caregiver) ............................................................
Therapy Adherence Form—Revised ........................................
Therapeutic Alliance Scales—youth (TAS–Y) .........................
Ohio Scales—youth ..................................................................
Evidence-Based Practices Provider Attitudes Scale ...............
Family Education and Support Study
Beck Depression Inventory (BDI) .............................................
Parenting Sense of Competence Scale (PSOC) .....................
Alabama Parenting Questionnaire (APQ) ................................
Duke Social Support Scale ......................................................
Vanderbilt Mental Health Services Self-Efficacy Questionnaire.
FES—Focus groups .................................................................
FES—Focus groups .................................................................
FES—Interview .........................................................................
Caregiver
Caregiver
Caregiver
Caregiver
Caregiver
Primary Care Provider Study
pwalker on PROD1PC71 with NOTICES
Primary Care Provider Survey .................................................
Provider .................
Sustainability Study
Sustainability Survey—Caregiver .............................................
Sustainability Survey—Provider ...............................................
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Caregiver 12 ...........
Provider/Administrator 12.
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Federal Register / Vol. 72, No. 66 / Friday, April 6, 2007 / Notices
Number of
responses
per respondent
Number of
distinct respondents
Average 3year burden
per response
(hours)
Total burden
(hours)
Summary of Annualized Burden Estimates for 3 Years
Caregivers ....................................................................................................................
Youth ............................................................................................................................
Provider/Administrators ................................................................................................
5,922
3,553
648
1.13
1.19
.542
2.08
1.00
1.90
13,954
4,220
669
Total Summary .....................................................................................................
10,123
....................
....................
18,844
Total Annual Average Summary ...................................................................
3,374
....................
....................
6,281
1 An
average of 24 stakeholders in up to 27 grantee sites will complete the System of Care Assessment interview. These stakeholders will include site administrative staff, providers, agency representatives, family representatives, youth and youth coordinators.
2 Assuming the average annual income across all types of staff/service providers/administrators is $40,000, the wage rate was estimated using
the following formula: $40,000 (annual income)/2080 (hours worked per year) = $19.25 (dollars per hour).
3 Number of respondents across 27 grantees. Average based on a 5 percent attrition rate at each data collection point. These data are collected as part of the grantees’ routine intake processes. Hence, burden is calculated only for the subset of the Cross-Sectional Descriptive Study
sample that also participates in the Child and Family Outcome Study.
4 Given that 65 percent of the families in the Phase III evaluation sample fall at or below the 2005 DHHS National Poverty Level of $19,350
(based on family of four), the wage rate was estimated using the following formula: $19,350 (annual family income)/2080 (hours worked per year)
= 9.30 (dollars per hour).
5 Average number of responses per respondent based on 6 data collection points for children recruited in year 3, 4 for children recruited in
year 4, 2 for children recruited in year 5 (of grantee funding).
6 Estimated number of caregivers with children over age 5, based on Phase IV preliminary needs-assessment that 95 percent of children
served will be over age 5.
7 Estimated number of caregivers with children under age 12, based on Phase IV preliminary needs-assessment that 40 percent of children
served will be under age 12.
8 Based on Phase III finding that approximately 60 percent of the children in the evaluation were 11 years old or older.
9 Based on the Federal minimum wage rate of $5.15 per hour.
10 Respondents only complete Service Experience Study measures at follow-up points. Average number of follow-up responses per respondent
based on 6 follow-up data collection points for children recruited in year 3, 4 for children recruited in year 4, and 2 for children recruited in year 5
(of grantee funding).
11 Assuming the average annual income across all types of staff/service providers is $31,200, the wage rate was estimated using the following
formula: $31,200 (annual income)/2080 (hours worked per year) = $15.00 (dollars per hour).
12 25 respondents will be caregiver and 75 respondents will be administrators/providers.
Written comments and
recommendations concerning the
proposed information collection should
be sent May 7, 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: April 3, 2007
Elaine Parry,
Acting Director, Office of Program Services.
[FR Doc. E7–6481 Filed 4–5–07; 8:45 am]
BILLING CODE 4162–20–P
DEPARTMENT OF HOMELAND
SECURITY
pwalker on PROD1PC71 with NOTICES
Office of the Secretary
[Docket Number DHS 2006–0082]
Privacy Act; Biometric Storage System
of Records
Privacy Office, Department of
Homeland Security.
AGENCY:
VerDate Aug<31>2005
18:39 Apr 05, 2007
Jkt 211001
ACTION:
Notice of Privacy Act system of
records.
SUMMARY: Pursuant to the Privacy Act of
1974, the Department of Homeland
Security, U.S. Citizenship and
Immigration Services, proposes to add a
new system of records to the
Department’s inventory, entitled
Biometric Storage System. This new
system will replace the following
existing legacy systems, the Image
Storage and Retrieval System (ISRS), 64
FR 18052, and portions of the Biometric
Benefit Support System (BBSS).
DATES: The established system of
records will be effective May 7, 2007
unless comments are received that
result in a contrary determination.
ADDRESSES: You may submit comments,
identified by Docket Number DHS
2006–0082 by one of the following
methods:
• Federal e-Rulemaking Portal:
https://www.regulations.gov. Follow the
instructions for submitting comments.
• Fax: 1–866–466–5370.
• Mail: Hugo Teufel III, Chief Privacy
Officer, Department of Homeland
Security, Washington, DC 20528.
FOR FURTHER INFORMATION CONTACT: For
system related questions please contact:
PO 00000
Frm 00082
Fmt 4703
Sfmt 4703
Phyllis Howard, Branch Chief of
Application Support for Office of Field
Operations, U.S. Citizenship and
Immigration Services, Department of
Homeland Security, 20 Massachusetts
Avenue, NW., Washington, DC 20529.
For privacy issues please contact: Hugo
Teufel III, Chief Privacy Officer, Privacy
Office, U.S. Department of Homeland
Security, Washington, DC 20528.
The
Department of Homeland Security
(DHS), U.S. Citizenship and
Immigration Services (USCIS) has been
tasked by Congress with processing all
immigration benefit applications and
petitions. Many applications, petitions,
and other benefits (hereinafter referred
to as ‘‘applications’’) require that
fingerprints and other biometrics be
captured in order to conduct
background checks, to verify the
applicant’s, petitioner’s, or beneficiary’s
(hereinafter referred to as ‘‘applicants’’)
identity, and to produce benefit cards
with biometrics and documents. In
order to fulfill its statutory mandate,
USCIS is establishing a new system of
records that will consolidate all
biometrics collected by USCIS into one
centralized system. This new system of
SUPPLEMENTARY INFORMATION:
E:\FR\FM\06APN1.SGM
06APN1
]]>Agencies
[Federal Register Volume 72, Number 66 (Friday, April 6, 2007)]
[Notices]
[Pages 17170-17172]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E7-6481]
-----------------------------------------------------------------------
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: National Evaluation of the Comprehensive Community
Mental Health Services for Children and Their Families Program: Phase
IV--(OMB No. 0930-0257)--Revision
The Substance Abuse and Mental Health Services Administration
(SAMHSA), Center of Mental Health is responsible for the national
evaluation of the Comprehensive Community Mental Health Services for
Children and Their Families Program that will collect data on child
mental health outcomes, family life, and service system development and
performance.
The national evaluation of the Comprehensive Community Mental
Health Services for Children and Their Families Program will collect
data on child mental health outcomes, family life, and service system
development and performance. Data will be collected on 27 service
systems, and roughly 5922 children and families. Data collection for
this evaluation is conducted over a five-year period. The core of
service system data will be collected every 18 months throughout the 5-
year evaluation period, with a sustainability survey conducted in
selected years. Service delivery and system variables of interest
include the following: Maturity of system of care development,
adherence to the system of care program model, and client service
experience. The length of time that individual families will
participate in the study ranges from 18 to 36 months depending on when
they enter the evaluation. Child and family outcomes of interest will
be collected at intake and during subsequent follow-up sessions at six-
month intervals. The outcome measures include the following: child
symptomatology and functioning, family functioning, material resources,
and caregiver strain. Time-limited studies addressing the cultural
competence of services and the role of primary care providers in
systems of care will be conducted at selected points during the
evaluation period. 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 for
the final three years of data collection. The estimate reflects the
average number of respondents in each respondent category, the average
number of responses per respondent per year, the average length of time
it will take for each response, and the total average annual burden for
each category of respondent, and for all categories of respondents
combined.
This revision to the currently approved information collection
activities includes: (1) The addition of a Primary Care Study and (2)
the addition of a Treatment Effectiveness Study. The Primary Care Study
seeks to investigate the role of primary health care practitioners
(PCPs) in systems of care and to further understand the impact of
services provided within primary care on child and family outcomes. One
goal of this study is to identify strategies that help primary care and
mental health care providers to work together effectively. Another is
to identify ways to integrate PCPs into systems of care. The treatment
effectiveness study will examine the relative impact of community-based
treatments focused within system of care sites. This study will focus
on a community-based practice that has not accumulated research
evidence, but rather through community-based implementation has
accumulated practice-based evidence.
----------------------------------------------------------------------------------------------------------------
Total
average
Number of number of Hours per Total burden
Instrument Respondent respondents responses response hours
per
respondent
----------------------------------------------------------------------------------------------------------------
System of Care Assessment
----------------------------------------------------------------------------------------------------------------
Interview Guides and Data Collection Key site informants \1\ 648 2 1.000 1296
Forms.
Interagency Collaboration Scale Key site informants 648 2 0.133 173
(IACS).
Caregiver Information Questionnaire Caregiver.......... \3\ 5,922 1 0.283 1676
(CIQ-IC).
Caregiver Information Questionnaire Caregiver.......... 5,922 3 0.200 3553
Followup (CIQ-FC).
[[Page 17171]]
Caregiver Strain Questionnaire Caregiver.......... 5,922 \5\ 4 0.167 3956
(CGSQ).
Child Behavior Checklist (CBCL)/ Caregiver.......... 5,922 4 0.333 7888
Child Behavior Checklist 1\1/2\-5
(CBCL 1\1/2\-5).
Education Questionnaire--Revised (EQ- Caregiver.......... 5,922 4 0.100 2369
R).
Living Situations Questionnaire Caregiver.......... 5,922 4 0.083 1966
(LSQ).
The Family Life Questionnaire (FLQ). Caregiver.......... 5,922 4 0.050 1184
Behavioral and Emotional Rating Caregiver.......... \6\ 5,626 4 0.167 3758
Scale--Second Edition, Parent
Rating Scale (BERS-2C).
Columbia Impairment Scale (CIS)..... Caregiver.......... 5,922 4 0.083 1966
The Vineland Screener (VS).......... Caregiver.......... \7\ 2,369 4 0.250 2369
Delinquency Survey--Revised (DS).... Youth.............. \8\ 3,553 4 0.167 2374
Behavioral and Emotional Rating Youth.............. 3,553 4 0.167 2374
Scale--Second Edition, Youth Rating
Scale (BERS-2).
GAIN Quick--R: Substance Problem Youth.............. 3,553 4 0.083 1180
Scale (GAIN).
Substance Use Survey--Revised (SUS). Youth.............. 3,553 4 0.100 1421
Revised Children's Manifest Anxiety Youth.............. 3,553 4 0.050 711
Scales (RCMAS).
Reynolds Adolescent Depression Youth.............. 3,553 4 0.050 711
Scale--Second Edition (RADS-2).
Youth information Questionnaire-- Youth.............. 3,553 1 0.167 593
Baseline (YIQ-I).
Youth information Questionnaire-- Youth.............. 3,553 3 0.167 1780
Follow-up (YIQ-F).
----------------------------------------------------------------------------------------------------------------
Service Experience Study
----------------------------------------------------------------------------------------------------------------
Multi-Sector Service Contacts-- Caregiver.......... 5,992 \10\ 3 0.250 4442
Revised (MSSC-RC).
Cultural Competence and Service Caregiver.......... 5,992 3 0.167 2967
Provision Questionnaire (CCSP).
Youth Services Survey (YSS--F)...... Caregiver.......... 5,922 3 0.117 2079
Cultural Competence Practices Study Caregiver.......... 36 1 1.500 54
(Focus Groups--F).
Youth Services Survey (YSS--Y)...... Youth.............. 3,553 4 0.083 1180
Cultural Competence Practices Study Youth.............. 36 1 1.500 54
(Focus Groups--Y).
Cultural Competence Practices Study Provider........... 60 1 1.500 90
(Focus Groups--P).
----------------------------------------------------------------------------------------------------------------
Treatment Effectiveness Study
----------------------------------------------------------------------------------------------------------------
Diagnostic Interview Schedule for Caregiver.......... 262 1 1.000 262
Children (DISC--Predictive Scales).
Conflict Behavior Questionnaire Caregiver.......... 240 4 .167 160
(CBQ).
Family Assessment Measure (FAM)..... Caregiver.......... 240 4 .250 240
Therapeutic Alliance Scale-- Caregiver.......... 240 3 .167 120
caregiver (TAS).
Ohio Scales (caregiver)............. Caregiver.......... 240 4 .250 240
Therapy Adherence Form--Revised..... Caregiver.......... 240 1 .167 40
Therapeutic Alliance Scales--youth Youth.............. 192 4 .167 128
(TAS-Y).
Ohio Scales--youth.................. Youth.............. 192 4 .250 192
Evidence-Based Practices Provider Provider........... 50 1 .083 4
Attitudes Scale.
----------------------------------------------------------------------------------------------------------------
Family Education and Support Study
----------------------------------------------------------------------------------------------------------------
Beck Depression Inventory (BDI)..... Caregiver.......... 300 3 .117 105
Parenting Sense of Competence Scale Caregiver.......... 300 3 .167 150
(PSOC).
Alabama Parenting Questionnaire Caregiver.......... 300 3 .117 105
(APQ).
Duke Social Support Scale........... Caregiver.......... 300 3 .067 60
Vanderbilt Mental Health Services Caregiver.......... 300 3 .050 45
Self-Efficacy Questionnaire.
FES--Focus groups................... Caregiver.......... 54 1 1.500 81
FES--Focus groups................... Provider........... 54 1 1.500 81
FES--Interview...................... Provider/ 12 1 1.000 12
Administrator.
----------------------------------------------------------------------------------------------------------------
Primary Care Provider Study
----------------------------------------------------------------------------------------------------------------
Primary Care Provider Survey........ Provider........... 540 1 .500 270
----------------------------------------------------------------------------------------------------------------
Sustainability Study
----------------------------------------------------------------------------------------------------------------
Sustainability Survey--Caregiver.... Caregiver \12\..... 27 2 0.500 27
Sustainability Survey--Provider..... Provider/ 81 2 0.500 81
Administrator \12\.
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
[[Page 17172]]
----------------------------------------------------------------------------------------------------------------
Average 3-
Number of Number of year burden
distinct responses per Total burden
respondents per response (hours)
respondent (hours)
----------------------------------------------------------------------------------------------------------------
Summary of Annualized Burden Estimates for 3 Years
----------------------------------------------------------------------------------------------------------------
Caregivers............................................... 5,922 1.13 2.08 13,954
Youth.................................................... 3,553 1.19 1.00 4,220
Provider/Administrators.................................. 648 .542 1.90 669
------------------------------------------------------
Total Summary........................................ 10,123 ........... ........... 18,844
------------------------------------------------------
Total Annual Average Summary..................... 3,374 ........... ........... 6,281
----------------------------------------------------------------------------------------------------------------
\1\ An average of 24 stakeholders in up to 27 grantee sites will complete the System of Care Assessment
interview. These stakeholders will include site administrative staff, providers, agency representatives,
family representatives, youth and youth coordinators.
\2\ Assuming the average annual income across all types of staff/service providers/administrators is $40,000,
the wage rate was estimated using the following formula: $40,000 (annual income)/2080 (hours worked per year)
= $19.25 (dollars per hour).
\3\ Number of respondents across 27 grantees. Average based on a 5 percent attrition rate at each data
collection point. These data are collected as part of the grantees' routine intake processes. Hence, burden is
calculated only for the subset of the Cross-Sectional Descriptive Study sample that also participates in the
Child and Family Outcome Study.
\4\ Given that 65 percent of the families in the Phase III evaluation sample fall at or below the 2005 DHHS
National Poverty Level of $19,350 (based on family of four), the wage rate was estimated using the following
formula: $19,350 (annual family income)/2080 (hours worked per year) = 9.30 (dollars per hour).
\5\ Average number of responses per respondent based on 6 data collection points for children recruited in year
3, 4 for children recruited in year 4, 2 for children recruited in year 5 (of grantee funding).
\6\ Estimated number of caregivers with children over age 5, based on Phase IV preliminary needs-assessment that
95 percent of children served will be over age 5.
\7\ Estimated number of caregivers with children under age 12, based on Phase IV preliminary needs-assessment
that 40 percent of children served will be under age 12.
\8\ Based on Phase III finding that approximately 60 percent of the children in the evaluation were 11 years old
or older.
\9\ Based on the Federal minimum wage rate of $5.15 per hour.
\10\ Respondents only complete Service Experience Study measures at follow-up points. Average number of follow-
up responses per respondent based on 6 follow-up data collection points for children recruited in year 3, 4
for children recruited in year 4, and 2 for children recruited in year 5 (of grantee funding).
\11\ Assuming the average annual income across all types of staff/service providers is $31,200, the wage rate
was estimated using the following formula: $31,200 (annual income)/2080 (hours worked per year) = $15.00
(dollars per hour).
\12\ 25 respondents will be caregiver and 75 respondents will be administrators/providers.
Written comments and recommendations concerning the proposed
information collection should be sent May 7, 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: April 3, 2007
Elaine Parry,
Acting Director, Office of Program Services.
[FR Doc. E7-6481 Filed 4-5-07; 8:45 am]
BILLING CODE 4162-20-P
