Agency Information Collection Activities: Proposed Collection; Comment Request, 15730-15735 [E9-7779]
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Federal Register / Vol. 74, No. 65 / Tuesday, April 7, 2009 / Notices
collection requirements relating to the
continuation of an existing collection
for Performance Progress Reports for
Older Americans Act Title IV grantees.
DATES: Submit written or electronic
comments on the collection of
information by May 31, 2009.
ADDRESSES: Submit electronic
comments on the collection of
information to:
lori.stalbaum@aoa.hhs.gov.
Submit written comments on the
collection of information to Lori
Stalbaum, Administration on Aging,
Washington, DC 20201 or by fax to Lori
Stalbaum at 202–357–3469.
FOR FURTHER INFORMATION CONTACT: Lori
Stalbaum at 202–357–3452 or
lori.stalbaum@aoa.hhs.gov.
SUPPLEMENTARY INFORMATION: Under the
PRA (44 U.S.C. 3501–3520), Federal
agencies must obtain approval from the
Office of Management and Budget
(OMB) for each collection of
information they conduct or sponsor.
‘‘Collection of information’’ is defined
in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency request
or requirements that members of the
public submit reports, keep records, or
provide information to a third party.
Section 3506(c)(2)(A) of the PRA (44
U.S.C. 3506(c)(2)(A)) requires Federal
agencies to provide a 60-day notice in
the Federal Register concerning each
proposed collection of information,
including each proposed extension of an
existing collection of information,
before submitting the collection to OMB
for approval. To comply with this
requirement, AoA is publishing notice
of the proposed collection of
information set forth in this document.
With respect to the following collection
of information, AoA invites comments
on: (1) Whether the proposed collection
of information is necessary for the
proper performance of AoA’s functions,
including whether the information will
have practical utility; (2) the accuracy of
AoA’s estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions used; (3)
ways to enhance the quality, utility, and
clarity of the information to be
collected; and (4) ways to minimize the
burden of the collection of information
on respondents, including through the
use of automated collection techniques
when appropriate, and other forms of
information technology.
The Administration on Aging (AoA)
plans to continue an existing approved
collection of information for semiannual and final reports pursuant to
requirements in Title IV of the Older
Americans Act. Through its Title IV
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program, AoA supports projects for the
purpose of developing and testing new
knowledge and program innovations
with the potential for contributing to the
well-being of older Americans.
Deliverables required by AoA of all Title
IV grantees are semi-annual and final
reports, as provided for in the
Department of Health and Human
Services regulations, 45CFR Part 74,
Section 74.51. These Title IV grantee
performance reporting requirements can
be found on AoA’s Web site at https://
www.aoa.gov/AoARoot/Grants/
Reporting_Requirements/docs/
FinalReportHandbook.doc. AoA
estimates the burden of this collection
of information as follows: Frequency:
Semi-annually with the Final report
taking the place of the semi-annual
report at the end of the final year of the
grant. Respondents: States, public
agencies, private nonprofit agencies,
institutions of higher education, and
organizations including tribal
organizations. Estimated Number of
Responses: 600. Total Estimated Burden
Hours: 12,000.
Dated: April 1, 2009.
Edwin L. Walker,
Acting Assistant Secretary for Aging.
[FR Doc. E9–7847 Filed 4–6–09; 8:45 am]
BILLING CODE 4154–01–P
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
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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: National Evaluation
of the Comprehensive Community
Mental Health Services for Children
and Their Families Program: Phase V
(OMB No. 0930–0280)—Revision
The Substance Abuse and Mental
Health Services Administration
(SAMHSA), Center for Mental Health
Services (CMHS), is responsible for the
National Evaluation of the
comprehensive Community Mental
Health Services for Children and Their
Families Program, which collects data
on child mental health outcomes, family
life, and service system development
and performance. Data will be collected
on 30 service systems and roughly 8,810
children and families.
The data collection for this evaluation
will be conducted for a three-year
period. The core of service system data
will be collected twice (every 18 to 24
months) during the three-year
evaluation period. A sustainability
survey will be 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; services
received by youth and their families,
and the costs of those services; and
consumer 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 interviews at sixmonth intervals. Client service
experience information is collected at
these follow-up interviews. Measures
included in an outcome interview are
determined by the type of assessment
(intake or follow-up), child’s age, and
whether the respondent is the caregiver
or a youth.
The outcome measures include the
following: Child symptomatology and
functioning, family functioning,
material resources, and caregiver strain.
The caregiver interview package
includes the Caregiver Information
Questionnaire, Child Behavior
Checklist, Behavioral and Emotional
Rating Scale (BERS), Education
Questionnaire, Columbia Impairment
Questionnaire, Living Situations
Questionnaire, Family Life
Questionnaire, and Caregiver Strain
Questionnaire at intake, and also
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includes the Multi-service Sector
Contacts Form, Culturally Competence
and Service Provision Questionnaire
and the Youth Services Survey (a
national outcome measurement tool) at
follow-up assessments. Caregivers of
children under age 6 complete the
Vineland Screener to assess
development, and do not complete the
BERS. The Youth Interview package
includes the Youth Information
Questionnaire, Revised Children’s
Manifest Anxiety Scale, Reynolds
Depression Scale, BERS (youth version),
Delinquency Survey, Substance Use
Survey, GAIN–Quick: Substance
Dependence Scale, and Youth Services
Survey (youth version).
The evaluation also includes three
special studies: (1) An evidence-based
practices study that examines the effects
of various factors on the implementation
and use of evidence-based treatments
and approaches in system of care
communities; (2) A cultural and
linguistic competence study that
examines the extent to which the
cultural and linguistic characteristics of
communities influence program
implementation and provider
adaptation of evidence-based
treatments, and provider service
delivery decisions based on provider
culture and language; and (3) An
evaluation of the communities’ use of
reports produced by the national
evaluation for continuous quality
improvement. The national evaluation
measures address the national outcome
measures for mental health programs as
currently established by SAMHSA.
Table 1 summarizes which national
evaluation components are unchanged
from the original 2006 submission and
which are new or changed.
TABLE 1—STUDY COMPONENT AND INSTRUMENT REVISIONS FOR PHASE V RE-SUBMISSION
New or
changed for
2009
resubmission
No change
Nature of change
System of Care Assessment
Site Visit Tables .........................................................................................
Interview Protocols ....................................................................................
Inter-Agency Collaboration Scale (IACS) ..................................................
........................
........................
........................
X
X
X
Longitudinal Child and Family Outcome Study
Caregiver Information Questionnaire (CIQ–I) ............................................
X
........................
Caregiver Information Questionnaire (CIQ–F) ..........................................
X
........................
Caregiver Strain Questionnaire (CGSQ) ...................................................
Child Behavior Checklist (CBCL)/Child Behavior Checklist 11⁄2–5 (CBCL
11⁄2–5).
Education Questionnaire—Revised (EQ–R) .............................................
........................
........................
X
X
X
........................
Living Situations Questionnaire (LSQ) ......................................................
Family Life Questionnaire (FLQ) ...............................................................
Behavioral and Emotional Rating Scale—Second Edition—Parent Rating Scale (BERS–2C).
Columbia Impairment Scale (CIS) .............................................................
Vineland Screener (VS) .............................................................................
Delinquency Survey—Revised (DS–R) .....................................................
Behavioral and Emotional Rating Scale—Second Edition, Youth Rating
Scale (BERS–2Y).
Gain-Quick Substance Related Issues (Gain Quick-R) ............................
Substance Use Survey—Revised (SUS–R) ..............................................
Revised Children’s Manifest Anxiety Scales (RCMAS) ............................
Reynolds Adolescent Depression Scale—Second Edition (RADS–2) ......
Youth Information Questionnaire (YIQ–I) ..................................................
Youth Information Questionnaire (YIQ–F) .................................................
........................
........................
........................
X
X
X
........................
........................
........................
........................
X
X
X
X
........................
........................
........................
........................
........................
........................
Question
Question
dated.
Question
Question
dated.
39a skip pattern revised
39d list of medications up-
X
X
X
X
X
X
39a skip pattern revised
39d list of medications up-
Slight wording change to interviewer note and the term ‘‘day
care’’ changed to ‘‘childcare’’.
Service Experience Study
Multi-Sector Service Contacts Questionnaire—Revised (MSSC–R) ........
X
........................
Evidence-Based Practices Experience Measure (EBPEM) ......................
Cultural Competence and Service Provision Questionnaire (CCSP) .......
Youth Services Survey for Families (YSS–F) ...........................................
Youth Services Survey (YSS) ...................................................................
........................
........................
........................
........................
Slight modification to Card 4 and
Cards 6 and 7 are new.
X
X
X
X
Services and Costs Study
Flex Funds Data Dictionary .......................................................................
Services and Costs Data Dictionary ..........................................................
X
X
........................
........................
New.
New.
Sustainability Study
Sustainability Survey .................................................................................
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X
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TABLE 1—STUDY COMPONENT AND INSTRUMENT REVISIONS FOR PHASE V RE-SUBMISSION—Continued
New or
changed for
2009
resubmission
No change
Nature of change
Continuous Quality Improvement (CQI) Initiative Evaluation
CQI Initiative Survey ..................................................................................
CQI Initiative Interview Guide ....................................................................
X
X
........................
........................
New.
New.
........................
........................
........................
New.
New.
New.
Evidence-Based Practices Study
System-level Implementation Factors Discussion Guide ..........................
Service-level Implementation Factors Discussion Guide ..........................
Consumer-level Implementation Factors Discussion Guide .....................
X
X
X
Cultural and Linguistic Competence Study
CCIOSAS—Beneficiaries of Self-Assessment Findings Focus Group
Guide—Staff and Partners.
CCIOSAS—Beneficiaries of Self-Assessment Findings Focus Group
Guide—Caregivers.
CCIOSAS—Beneficiaries of Self-Assessment Findings Focus Group
Guide—Youth.
CCIOSAS—Participants in Self-Assessments Focus Group Guide—Staff
and Partners.
CCIOSAS—Participants in Self-Assessments Focus Group Guide—
Caregivers.
CCIOSAS—Participants in Self-Assessments Focus Group Guide—
Youth.
CCIOSAS—Users of Self-Assessment Findings Focus Group Guide—
Staff and Partners.
CCIOSAS—Users of Self-Assessment Findings Focus Group Guide—
Caregivers.
CCIOSAS—Users of Self-Assessment Findings Focus Group Guide—
Youth.
CCIOSAS—Telephone Interview—Staff and Partners ..............................
CCEBPS—Managers of EBP Process Focus Group Guide .....................
CCEBPS—Providers of EBP Focus Group Guide ....................................
CCEBPS—Family Focus Group Guide .....................................................
CCEBPS—Youth Focus Group Guide ......................................................
CCEBPS—Telephone Interview ................................................................
Internet-based technology will be
used for data entry and management,
and for collecting data using Web-based
surveys. The average annual respondent
burden, with detail provided about
burden contributed by specific
measures, is estimated below. The
X
........................
New.
X
........................
New.
X
........................
New.
X
........................
New.
X
........................
New.
X
........................
New.
X
........................
New.
X
........................
New.
X
........................
New.
X
X
X
X
X
X
........................
........................
........................
........................
........................
........................
New.
New.
New.
New.
New.
New.
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.
Note: Total burden is annualized over a 3year period.
TABLE 2—DETAILED ESTIMATE OF RESPONDENT BURDEN
Instrument
Respondent
Number of
respondents
Total average number
of responses per
respondent
Hours per
response
Total
burden
hours
3-year
average
annual burden hours
System of Care Assessment
Interview Guides and Data Collection Forms
Interagency Collaboration Scale (IACS) .........
Key site informants ....
Key site informants ....
1 630
630
1
1
1.00
0.13
630
82
210
27
1
2
0.283
0.200
2,493
3,524
831
1,175
Longitudinal Child and Family Outcome Study
Caregiver Information Questionnaire (CIQ–IC)
Caregiver Information Questionnaire Followup
(CIQ–FC).
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) ...........
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Caregiver ....................
Caregiver ....................
2 8,810
Caregiver ....................
Caregiver ....................
8,810
8,810
33
3
0.167
0.333
4,414
8,801
1,471
2,934
Caregiver ....................
Caregiver ....................
8,810
8,810
3
3
0.333
0.083
8,801
2,194
2,934
731
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8,810
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TABLE 2—DETAILED ESTIMATE OF RESPONDENT BURDEN—Continued
Instrument
Respondent
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–R) ..........
Behavioral and Emotional Rating Scale—
Second Edition, Youth Rating Scale
(BERS–2Y).
Gain-Quick Substance Related Issues (Gain
Quick-R).
Substance Use Survey—Revised (SUS–R) ...
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).
Caregiver ....................
Caregiver ....................
Number of
respondents
Total average number
of responses per
respondent
8,810
3
3
0.050
0.167
1,322
4,193
441
1,398
0.083
0.250
0.167
0.167
2,084
330
2,648
2,648
695
110
883
883
4 7,488
Hours per
response
3-year
average
annual burden hours
Total
burden
hours
Caregiver ....................
Caregiver ....................
Youth ..........................
Youth ..........................
5 8,369
5,286
3
3
3
3
Youth ..........................
5,286
3
0.083
1,316
439
Youth ..........................
Youth ..........................
5,286
5,286
3
3
0.100
0.050
1,586
793
529
264
Youth ..........................
5,286
3
0.050
793
264
Youth ..........................
5,286
1
0.167
883
294
Youth ..........................
5,286
2
0.167
1,766
589
6 1,321
7 5,286
Service Experience Study
Multi-Sector
Service
Contacts—Revised
(MSSC–R).
Evidence-Based Practice Measure (EBPEM)
Cultural Competence and Service Provision
Questionnaire (CCSP).
Youth Services Survey—Family (YSS–F) ......
Youth Services Survey (YSS) .........................
Caregiver ....................
8,810
82
0.250
4,405
1,468
Caregiver ....................
Caregiver ....................
8,810
8,810
2
2
0.167
0.167
2,943
2,943
981
981
Caregiver ....................
Youth ..........................
8,810
5,286
2
2
0.117
0.083
2,062
877
687
292
9 2,670
10 3
.033
218
73
11 10,680
12 100
.033
29,073
9,691
2
2
0.75
0.75
78
234
26
78
1
1
0.5
1.0
75
50
25
17
Services and Costs Study
Flex Funds Data Dictionary ............................
Services and Costs Data Dictionary ...............
Local staff
entering
Local staff
entering
compiling/
data.
compiling/
data.
Sustainability Study
Sustainability Survey .......................................
Sustainability Survey .......................................
Caregiver ....................
Provider/Administrator
13 52
156
Continuous Quality Improvement (CQI) Initiative Evaluation
CQI Initiative Survey .......................................
CQI Initiative Interview Guide .........................
Key community staff ...
Key community staff ...
150
50
Evidence-Based Practices Study
System-level Implementation Factors Discussion Guide.
Service-level Implementation Factors Discussion Guide.
Consumer-level Implementation Factors Discussion Guide.
SOC leadership team
member.
Provider ......................
90
1
0.75
68
23
60
1
0.75
45
15
Caregivers ..................
30
1
0.5
15
5
Cultural and Linguistic Competence Study
CCIOSAS—Beneficiaries of Self-Assessment
Findings Focus Group Guide.
CCIOSAS—Beneficiaries of Self-Assessment
Findings Focus Group Guide.
CCIOSAS—Beneficiaries of Self-Assessment
Findings Focus Group Guide.
CCIOSAS—Beneficiaries of Self-Assessment
Findings Focus Group Guide.
CCIOSAS—Participants in Self-Assessments
Focus Group Guide.
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Provider ......................
40
1
1.0
40
13
Administrators/Managers.
Caregivers ..................
20
1
1.5
30
10
40
1
.75
30
10
Youth ..........................
40
1
.75
30
10
Provider ......................
40
1
1.0
40
13
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TABLE 2—DETAILED ESTIMATE OF RESPONDENT BURDEN—Continued
Number of
respondents
Total average number
of responses per
respondent
Hours per
response
3-year
average
annual burden hours
Total
burden
hours
Instrument
Respondent
CCIOSAS—Participants in Self-Assessments
Focus Group Guide.
CCIOSAS—Participants in Self-Assessments
Focus Group Guide.
CCIOSAS—Participants in Self-Assessments
Focus Group Guide.
CCIOSAS—Users of Self-Assessment Findings Focus Group Guide.
CCIOSAS—Users of Self-Assessment Findings Focus Group Guide.
CCIOSAS—Users of Self-Assessment Findings Focus Group Guide.
CCIOSAS—Users of Self-Assessment Findings Focus Group Guide.
CCIOSAS—Telephone Interview ....................
CCIOSAS—Telephone Interview ....................
Administrators/Managers.
Caregivers ..................
20
1
1.5
30
10
16
1
.75
12
4
Youth ..........................
16
1
.75
12
4
Provider ......................
40
1
1.0
40
13
Administrators/Managers.
Caregivers ..................
20
1
1.5
30
10
16
1
.75
12
4
Youth ..........................
16
1
.75
12
4
Providers ....................
Administrators/Managers.
Providers ....................
2
3
1
1
1.0
1.0
2
3
0.67
1
16
1
1.0
16
5
Administrators/Managers.
Providers ....................
20
1
1.5
30
10
40
1
1.0
40
13
Caregivers ..................
Youth ..........................
Providers ....................
Administrators/Managers.
40
40
2
3
1
1
1
1
.75
.75
1.0
1.0
30
30
2
3
10
10
0.67
1
Average
burden per
response
(hours)
Total annual
burden
(hours)
2.36
0.99
0.86
....................
....................
51,147
13,397
54,035
118,579
39,526
CCEBPS—Managers of EBP/PBE Interventions Focus Group Guide.
CCEBPS—Managers of EBP/PBE Interventions Focus Group Guide.
CCEBPS—Providers of EBP/PBE Interventions Focus Group Guide.
CCEBPS—Family Focus Group Guide ..........
CCEBPS—Youth Focus Group Guide ...........
CCEBPS—Telephone Interview Guide ..........
CCEBPS—Telephone Interview Guide ..........
TABLE 3—SUMMARY ESTIMATE OF RESPONDENT BURDEN
[Summary of annualized burden estimates for 3 years]
Number of
distinct respondents
Caregivers ........................................................................................................................
Youth ................................................................................................................................
Community staff ...............................................................................................................
Total Summary .........................................................................................................
Total Annual Average Summary .......................................................................
8,810
5,286
870
14,996
4,989
Number of
responses
per respondent
2.46
2.56
72.22
6.54
2.18
1 An average of 21 stakeholders in up to 30 grant communities will complete the System of Care Assessment interview. These stakeholders
will include site administrative staff, providers, agency representatives, family representatives, and youth.
2 Number of respondents across 30 grantees. Average based on a 5 percent attrition rate at each data collection point.
3 Average number of responses per respondent is a weighted average of the possible numbers of responses per respondent for communities
beginning data collection in FY2007 and FY2008. The maximum numbers of responses per respondent are for 24 communities beginning data
collection in FY2007, 1 follow-up data collection point remaining for children recruited in year 2 (of grant community funding), 3 for children recruited in year 3, 4 for children recruited in year 4, and 4 for children recruited in year 5. The maximum numbers of responses per respondent
are, for 6 communities beginning data collection in FY2008, 3 follow-up data collection points remaining for children recruited in year 2 (of grant
community funding), 5 for children recruited in year 3, 6 for children recruited in year 4, and 4 for children recruited in year 5.
4 Approximate number of caregivers with children over age 5, based on Phase V data submitted as of 12/08.
5 Approximate number of caregivers with children 3 and older, based on Phase V data submitted as of 12/08.
6 Approximate number of caregivers with children 5 or under, based on Phase V data submitted as of 12/08.
7 Based on Phase III and IV finding that approximately 60 percent of the children in the evaluation were 11 years old or older.
8 Respondents only complete Service Experience Study measures at follow-up points. See Footnote #3 for the explanation about the average
number of responses per respondent.
9 Staff will enter data on flexible funds expenditures into a Web-based application or will recode existing data on flexible funds expenditures to
match the Flex Funds Data Dictionary format. Each community will use flexible funds expenditures on average for approximately one-quarter of
the estimated 356 children/youth enrolled, suggesting a total of 89 children/youth will receive services from flexible funds per community. Thus,
there will be data entered for 89*30 = 2,670 children/youth using the Flex Funds Data Dictionary.
10 Assumes that three expenditures, on average, will be spent on each child/youth receiving flexible fund benefits.
11 Staff will collect paper-based forms from agencies and enter them into a Web-based application or will extract data from agencies’ existing
data systems. Staff will recode data to match the Services and Costs Data Dictionary format. Service and costs records will be compiled for all
356*30=10,680 children/youth enrolled.
12 Assumes that each child/youth will have 100 service episodes, on average, during his/her time in a system of care.
13 This survey will be administered at 5 sites funded in 2006, 25 sites funded in 2005, 2 sites funded in 2000, and 20 sites funded in 1999.
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Send comments to Summer King,
SAMHSA Reports Clearance Officer,
Room 7–1044, One Choke Cherry Road,
Rockville, MD 20857 and e-mail her a
copy at summer.king@samhsa.hhs.gov.
Written comments should be received
within 60 days of this notice.
Dated: April 1, 2009.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. E9–7779 Filed 4–6–09; 8:45 am]
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Submission for OMB Review;
Comment Request
Title: Building Strong Families (BSF)
Demonstration and Evaluation Impact
Study Second Follow-up.
OMB No.: 0970–0304.
Description: The Administration for
Children and Families (ACF), U.S.
Department of Health and Human
Services (HHS), anticipates continuing
data collection for the 15-month followup surveys of the Building Strong
Families (BSF) Demonstration and
Evaluation. Data collection will
continue for an additional 6 months
beyond the current date of expiration
(July 31, 2009).
BILLING CODE 4162–20–P
This data collection is a part of the
BSF evaluation, which is an important
opportunity to learn if well-designed
interventions can help low-income
couples develop the knowledge and
relationship skills that research has
shown are associated with healthy
marriages. The BSF evaluation uses an
experimental design that randomly
assigns couples who volunteer to
participate in BSF programs to a
program or control group.
Materials for the original 15-month
data collection effort, previously
submitted to OMB, covered impact and
implementation data collections. Data
collection for the impact study is
complete. ACF anticipates collecting
data for an additional 6 months in order
to complete data collection for the entire
sample of participants.
Respondents: Couples enrolled in the
BSF evaluation, including program and
control groups.
ANNUAL BURDEN ESTIMATES
Annual
number of
respondents
Instrument
15-month telephone survey (female partner) ..................................................
15-month telephone survey (male partner) .....................................................
Total Burden Hours: 2,495.
Additional Information: Copies of the
proposed collection may be obtained by
writing to the Administration for
Children and Families, Office of
Planning, Research and Evaluation, 370
L’Enfant Promenade, SW., Washington,
DC 20447, Attn: OPRE Reports
Clearance Officer. All requests should
be identified by the title of the
information collection. E-mail address:
OPREinfocollection@acf.hhs.gov.
OMB Comment: OMB is required to
make a decision concerning the
collection of information between 30
and 60 days after publication of this
document in the Federal Register.
Therefore, a comment is best assured of
having its full effect if OMB receives it
within 30 days of publication. Written
comments and recommendations for the
proposed information collection should
Number of
responses per
respondent
1,434
1,434
be sent directly to the following: Office
of Management and Budget, Paperwork
Reduction Project, Fax: 202–395–6974,
Attn: Desk Officer for the
Administration for Children and
Families.
Dated: March 30, 2009.
Brendan C. Kelly,
OPRE Reports Clearance Officer.
[FR Doc. E9–7501 Filed 4–6–09; 8:45 am]
BILLING CODE 4184–01–M
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; Comment Request
Proposed Projects:
1
1
Average
burden hours
per response
.91
.83
Estimated
annual burden
hours
1,305
1,190
Title: Head Start Grant Application
and Budget Instruments.
OMB No.: 0970–0207.
Description: The Office of Head Start
is proposing to renew, without changes,
the Head Start Grant Application and
Budget Instrument, which standardizes
the grant application information that is
requested from all Head Start and Early
Head Start grantees applying for
continuation grants. The application
and budget forms are available in a
password-protected, Web-based system.
Completed applications can be
transmitted electronically to Regional
and Central Offices. The Administration
for Children and Families believes that
this application form makes the process
of applying for Head Start program
grants more efficient for applicants.
Respondents: Head Start and Early
Head Start grantees.
ANNUAL BURDEN ESTIMATES
Instrument
Number of
respondents
Number of
responses per
respondent
Average
burden hours
per response
Total burden
hours
HS grant and budget instrument .....................................................................
Estimated Total Annual Burden Hours: ....................................................
1,600
........................
1
........................
33
........................
52,800
52,800
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17:13 Apr 06, 2009
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]]>Agencies
[Federal Register Volume 74, Number 65 (Tuesday, April 7, 2009)]
[Notices]
[Pages 15730-15735]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-7779]
-----------------------------------------------------------------------
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: National Evaluation of the Comprehensive Community
Mental Health Services for Children and Their Families Program: Phase V
(OMB No. 0930-0280)--Revision
The Substance Abuse and Mental Health Services Administration
(SAMHSA), Center for Mental Health Services (CMHS), is responsible for
the National Evaluation of the comprehensive Community Mental Health
Services for Children and Their Families Program, which collects data
on child mental health outcomes, family life, and service system
development and performance. Data will be collected on 30 service
systems and roughly 8,810 children and families.
The data collection for this evaluation will be conducted for a
three-year period. The core of service system data will be collected
twice (every 18 to 24 months) during the three-year evaluation period.
A sustainability survey will be 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; services received by youth and their families, and the
costs of those services; and consumer 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 interviews at six-month
intervals. Client service experience information is collected at these
follow-up interviews. Measures included in an outcome interview are
determined by the type of assessment (intake or follow-up), child's
age, and whether the respondent is the caregiver or a youth.
The outcome measures include the following: Child symptomatology
and functioning, family functioning, material resources, and caregiver
strain. The caregiver interview package includes the Caregiver
Information Questionnaire, Child Behavior Checklist, Behavioral and
Emotional Rating Scale (BERS), Education Questionnaire, Columbia
Impairment Questionnaire, Living Situations Questionnaire, Family Life
Questionnaire, and Caregiver Strain Questionnaire at intake, and also
[[Page 15731]]
includes the Multi-service Sector Contacts Form, Culturally Competence
and Service Provision Questionnaire and the Youth Services Survey (a
national outcome measurement tool) at follow-up assessments. Caregivers
of children under age 6 complete the Vineland Screener to assess
development, and do not complete the BERS. The Youth Interview package
includes the Youth Information Questionnaire, Revised Children's
Manifest Anxiety Scale, Reynolds Depression Scale, BERS (youth
version), Delinquency Survey, Substance Use Survey, GAIN-Quick:
Substance Dependence Scale, and Youth Services Survey (youth version).
The evaluation also includes three special studies: (1) An
evidence-based practices study that examines the effects of various
factors on the implementation and use of evidence-based treatments and
approaches in system of care communities; (2) A cultural and linguistic
competence study that examines the extent to which the cultural and
linguistic characteristics of communities influence program
implementation and provider adaptation of evidence-based treatments,
and provider service delivery decisions based on provider culture and
language; and (3) An evaluation of the communities' use of reports
produced by the national evaluation for continuous quality improvement.
The national evaluation measures address the national outcome measures
for mental health programs as currently established by SAMHSA.
Table 1 summarizes which national evaluation components are
unchanged from the original 2006 submission and which are new or
changed.
Table 1--Study Component and Instrument Revisions for Phase V Re-Submission
----------------------------------------------------------------------------------------------------------------
New or changed
for 2009 No change Nature of change
resubmission
----------------------------------------------------------------------------------------------------------------
System of Care Assessment
----------------------------------------------------------------------------------------------------------------
Site Visit Tables............................ ............... X ...............................
Interview Protocols.......................... ............... X ...............................
Inter-Agency Collaboration Scale (IACS)...... ............... X ...............................
----------------------------------------------------------------------------------------------------------------
Longitudinal Child and Family Outcome Study
----------------------------------------------------------------------------------------------------------------
Caregiver Information Questionnaire (CIQ-I).. X ............... Question 39a skip pattern
revised
Question 39d list of
medications updated.
Caregiver Information Questionnaire (CIQ-F).. X ............... Question 39a skip pattern
revised
Question 39d list of
medications updated.
Caregiver Strain Questionnaire (CGSQ)........ ............... X ...............................
Child Behavior Checklist (CBCL)/Child ............... X ...............................
Behavior Checklist 1\1/2\-5 (CBCL 1\1/2\-5).
Education Questionnaire--Revised (EQ-R)...... X ............... Slight wording change to
interviewer note and the term
``day care'' changed to
``childcare''.
Living Situations Questionnaire (LSQ)........ ............... X ...............................
Family Life Questionnaire (FLQ).............. ............... X ...............................
Behavioral and Emotional Rating Scale--Second ............... X ...............................
Edition--Parent Rating Scale (BERS-2C).
Columbia Impairment Scale (CIS).............. ............... X ...............................
Vineland Screener (VS)....................... ............... X ...............................
Delinquency Survey--Revised (DS-R)........... ............... X ...............................
Behavioral and Emotional Rating Scale--Second ............... X ...............................
Edition, Youth Rating Scale (BERS-2Y).
Gain-Quick Substance Related Issues (Gain ............... X ...............................
Quick-R).
Substance Use Survey--Revised (SUS-R)........ ............... X ...............................
Revised Children's Manifest Anxiety Scales ............... X ...............................
(RCMAS).
Reynolds Adolescent Depression Scale--Second ............... X ...............................
Edition (RADS-2).
Youth Information Questionnaire (YIQ-I)...... ............... X ...............................
Youth Information Questionnaire (YIQ-F)...... ............... X ...............................
----------------------------------------------------------------------------------------------------------------
Service Experience Study
----------------------------------------------------------------------------------------------------------------
Multi-Sector Service Contacts Questionnaire-- X ............... Slight modification to Card 4
Revised (MSSC-R). and Cards 6 and 7 are new.
Evidence-Based Practices Experience Measure ............... X ...............................
(EBPEM).
Cultural Competence and Service Provision ............... X ...............................
Questionnaire (CCSP).
Youth Services Survey for Families (YSS-F)... ............... X ...............................
Youth Services Survey (YSS).................. ............... X ...............................
----------------------------------------------------------------------------------------------------------------
Services and Costs Study
----------------------------------------------------------------------------------------------------------------
Flex Funds Data Dictionary................... X ............... New.
Services and Costs Data Dictionary........... X ............... New.
----------------------------------------------------------------------------------------------------------------
Sustainability Study
----------------------------------------------------------------------------------------------------------------
Sustainability Survey........................ ............... X ...............................
----------------------------------------------------------------------------------------------------------------
[[Page 15732]]
Continuous Quality Improvement (CQI) Initiative Evaluation
----------------------------------------------------------------------------------------------------------------
CQI Initiative Survey........................ X ............... New.
CQI Initiative Interview Guide............... X ............... New.
----------------------------------------------------------------------------------------------------------------
Evidence-Based Practices Study
----------------------------------------------------------------------------------------------------------------
System-level Implementation Factors X ............... New.
Discussion Guide.
Service-level Implementation Factors X ............... New.
Discussion Guide.
Consumer-level Implementation Factors X ............... New.
Discussion Guide.
----------------------------------------------------------------------------------------------------------------
Cultural and Linguistic Competence Study
----------------------------------------------------------------------------------------------------------------
CCIOSAS--Beneficiaries of Self-Assessment X ............... New.
Findings Focus Group Guide--Staff and
Partners.
CCIOSAS--Beneficiaries of Self-Assessment X ............... New.
Findings Focus Group Guide--Caregivers.
CCIOSAS--Beneficiaries of Self-Assessment X ............... New.
Findings Focus Group Guide--Youth.
CCIOSAS--Participants in Self-Assessments X ............... New.
Focus Group Guide--Staff and Partners.
CCIOSAS--Participants in Self-Assessments X ............... New.
Focus Group Guide--Caregivers.
CCIOSAS--Participants in Self-Assessments X ............... New.
Focus Group Guide--Youth.
CCIOSAS--Users of Self-Assessment Findings X ............... New.
Focus Group Guide--Staff and Partners.
CCIOSAS--Users of Self-Assessment Findings X ............... New.
Focus Group Guide--Caregivers.
CCIOSAS--Users of Self-Assessment Findings X ............... New.
Focus Group Guide--Youth.
CCIOSAS--Telephone Interview--Staff and X ............... New.
Partners.
CCEBPS--Managers of EBP Process Focus Group X ............... New.
Guide.
CCEBPS--Providers of EBP Focus Group Guide... X ............... New.
CCEBPS--Family Focus Group Guide............. X ............... New.
CCEBPS--Youth Focus Group Guide.............. X ............... New.
CCEBPS--Telephone Interview.................. X ............... New.
----------------------------------------------------------------------------------------------------------------
Internet-based technology will be used for data entry and
management, and for collecting data using Web-based surveys. The
average annual respondent burden, with detail provided about burden
contributed by specific measures, is estimated below. 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.
Note: Total burden is annualized over a 3-year period.
Table 2--Detailed Estimate of Respondent Burden
----------------------------------------------------------------------------------------------------------------
Total
average 3-year
Number of number of Hours per Total average
Instrument Respondent respondents responses response burden annual
per hours burden
respondent hours
----------------------------------------------------------------------------------------------------------------
System of Care Assessment
----------------------------------------------------------------------------------------------------------------
Interview Guides and Data Key site \1\ 630 1 1.00 630 210
Collection Forms. informants.
Interagency Collaboration Key site 630 1 0.13 82 27
Scale (IACS). informants.
----------------------------------------------------------------------------------------------------------------
Longitudinal Child and Family Outcome Study
----------------------------------------------------------------------------------------------------------------
Caregiver Information Caregiver....... \2\ 8,810 1 0.283 2,493 831
Questionnaire (CIQ-IC).
Caregiver Information Caregiver....... 8,810 2 0.200 3,524 1,175
Questionnaire Followup (CIQ-
FC).
Caregiver Strain Caregiver....... 8,810 \3\ 3 0.167 4,414 1,471
Questionnaire (CGSQ).
Child Behavior Checklist Caregiver....... 8,810 3 0.333 8,801 2,934
(CBCL)/Child Behavior
Checklist 1\1/2\-5 (CBCL 1\1/
2\-5).
Education Questionnaire-- Caregiver....... 8,810 3 0.333 8,801 2,934
Revised (EQ-R).
Living Situations Caregiver....... 8,810 3 0.083 2,194 731
Questionnaire (LSQ).
[[Page 15733]]
The Family Life Questionnaire Caregiver....... 8,810 3 0.050 1,322 441
(FLQ).
Behavioral and Emotional Caregiver....... \4\ 7,488 3 0.167 4,193 1,398
Rating Scale--Second
Edition, Parent Rating Scale
(BERS-2C).
Columbia Impairment Scale Caregiver....... \5\ 8,369 3 0.083 2,084 695
(CIS).
The Vineland Screener (VS)... Caregiver....... \6\ 1,321 3 0.250 330 110
Delinquency Survey--Revised Youth........... \7\ 5,286 3 0.167 2,648 883
(DS-R).
Behavioral and Emotional Youth........... 5,286 3 0.167 2,648 883
Rating Scale--Second
Edition, Youth Rating Scale
(BERS-2Y).
Gain-Quick Substance Related Youth........... 5,286 3 0.083 1,316 439
Issues (Gain Quick-R).
Substance Use Survey--Revised Youth........... 5,286 3 0.100 1,586 529
(SUS-R).
Revised Children's Manifest Youth........... 5,286 3 0.050 793 264
Anxiety Scales (RCMAS).
Reynolds Adolescent Youth........... 5,286 3 0.050 793 264
Depression Scale--Second
Edition (RADS-2).
Youth information Youth........... 5,286 1 0.167 883 294
Questionnaire--Baseline (YIQ-
I).
Youth information Youth........... 5,286 2 0.167 1,766 589
Questionnaire--Follow-up
(YIQ-F).
----------------------------------------------------------------------------------------------------------------
Service Experience Study
----------------------------------------------------------------------------------------------------------------
Multi-Sector Service Caregiver....... 8,810 \8\ 2 0.250 4,405 1,468
Contacts--Revised (MSSC-R).
Evidence-Based Practice Caregiver....... 8,810 2 0.167 2,943 981
Measure (EBPEM).
Cultural Competence and Caregiver....... 8,810 2 0.167 2,943 981
Service Provision
Questionnaire (CCSP).
Youth Services Survey--Family Caregiver....... 8,810 2 0.117 2,062 687
(YSS-F).
Youth Services Survey (YSS).. Youth........... 5,286 2 0.083 877 292
----------------------------------------------------------------------------------------------------------------
Services and Costs Study
----------------------------------------------------------------------------------------------------------------
Flex Funds Data Dictionary... Local staff \9\ 2,670 \10\ 3 .033 218 73
compiling/
entering data.
Services and Costs Data Local staff \11\ 10,680 \12\ 100 .033 29,073 9,691
Dictionary. compiling/
entering data.
----------------------------------------------------------------------------------------------------------------
Sustainability Study
----------------------------------------------------------------------------------------------------------------
Sustainability Survey........ Caregiver....... \13\ 52 2 0.75 78 26
Sustainability Survey........ Provider/ 156 2 0.75 234 78
Administrator.
----------------------------------------------------------------------------------------------------------------
Continuous Quality Improvement (CQI) Initiative Evaluation
----------------------------------------------------------------------------------------------------------------
CQI Initiative Survey........ Key community 150 1 0.5 75 25
staff.
CQI Initiative Interview Key community 50 1 1.0 50 17
Guide. staff.
----------------------------------------------------------------------------------------------------------------
Evidence-Based Practices Study
----------------------------------------------------------------------------------------------------------------
System-level Implementation SOC leadership 90 1 0.75 68 23
Factors Discussion Guide. team member.
Service-level Implementation Provider........ 60 1 0.75 45 15
Factors Discussion Guide.
Consumer-level Implementation Caregivers...... 30 1 0.5 15 5
Factors Discussion Guide.
----------------------------------------------------------------------------------------------------------------
Cultural and Linguistic Competence Study
----------------------------------------------------------------------------------------------------------------
CCIOSAS--Beneficiaries of Provider........ 40 1 1.0 40 13
Self-Assessment Findings
Focus Group Guide.
CCIOSAS--Beneficiaries of Administrators/ 20 1 1.5 30 10
Self-Assessment Findings Managers.
Focus Group Guide.
CCIOSAS--Beneficiaries of Caregivers...... 40 1 .75 30 10
Self-Assessment Findings
Focus Group Guide.
CCIOSAS--Beneficiaries of Youth........... 40 1 .75 30 10
Self-Assessment Findings
Focus Group Guide.
CCIOSAS--Participants in Self- Provider........ 40 1 1.0 40 13
Assessments Focus Group
Guide.
[[Page 15734]]
CCIOSAS--Participants in Self- Administrators/ 20 1 1.5 30 10
Assessments Focus Group Managers.
Guide.
CCIOSAS--Participants in Self- Caregivers...... 16 1 .75 12 4
Assessments Focus Group
Guide.
CCIOSAS--Participants in Self- Youth........... 16 1 .75 12 4
Assessments Focus Group
Guide.
CCIOSAS--Users of Self- Provider........ 40 1 1.0 40 13
Assessment Findings Focus
Group Guide.
CCIOSAS--Users of Self- Administrators/ 20 1 1.5 30 10
Assessment Findings Focus Managers.
Group Guide.
CCIOSAS--Users of Self- Caregivers...... 16 1 .75 12 4
Assessment Findings Focus
Group Guide.
CCIOSAS--Users of Self- Youth........... 16 1 .75 12 4
Assessment Findings Focus
Group Guide.
CCIOSAS--Telephone Interview. Providers....... 2 1 1.0 2 0.67
CCIOSAS--Telephone Interview. Administrators/ 3 1 1.0 3 1
Managers.
CCEBPS--Managers of EBP/PBE Providers....... 16 1 1.0 16 5
Interventions Focus Group
Guide.
CCEBPS--Managers of EBP/PBE Administrators/ 20 1 1.5 30 10
Interventions Focus Group Managers.
Guide.
CCEBPS--Providers of EBP/PBE Providers....... 40 1 1.0 40 13
Interventions Focus Group
Guide.
CCEBPS--Family Focus Group Caregivers...... 40 1 .75 30 10
Guide.
CCEBPS--Youth Focus Group Youth........... 40 1 .75 30 10
Guide.
CCEBPS--Telephone Interview Providers....... 2 1 1.0 2 0.67
Guide.
CCEBPS--Telephone Interview Administrators/ 3 1 1.0 3 1
Guide. Managers.
----------------------------------------------------------------------------------------------------------------
Table 3--Summary Estimate of Respondent Burden
[Summary of annualized burden estimates for 3 years]
----------------------------------------------------------------------------------------------------------------
Number of Average Total
Number of responses burden per annual
distinct per response burden
respondents respondent (hours) (hours)
----------------------------------------------------------------------------------------------------------------
Caregivers.................................................. 8,810 2.46 2.36 51,147
Youth....................................................... 5,286 2.56 0.99 13,397
Community staff............................................. 870 72.22 0.86 54,035
Total Summary........................................... 14,996 6.54 ........... 118,579
Total Annual Average Summary........................ 4,989 2.18 ........... 39,526
----------------------------------------------------------------------------------------------------------------
\1\ An average of 21 stakeholders in up to 30 grant communities will complete the System of Care Assessment
interview. These stakeholders will include site administrative staff, providers, agency representatives,
family representatives, and youth.
\2\ Number of respondents across 30 grantees. Average based on a 5 percent attrition rate at each data
collection point.
\3\ Average number of responses per respondent is a weighted average of the possible numbers of responses per
respondent for communities beginning data collection in FY2007 and FY2008. The maximum numbers of responses
per respondent are for 24 communities beginning data collection in FY2007, 1 follow-up data collection point
remaining for children recruited in year 2 (of grant community funding), 3 for children recruited in year 3, 4
for children recruited in year 4, and 4 for children recruited in year 5. The maximum numbers of responses per
respondent are, for 6 communities beginning data collection in FY2008, 3 follow-up data collection points
remaining for children recruited in year 2 (of grant community funding), 5 for children recruited in year 3, 6
for children recruited in year 4, and 4 for children recruited in year 5.
\4\ Approximate number of caregivers with children over age 5, based on Phase V data submitted as of 12/08.
\5\ Approximate number of caregivers with children 3 and older, based on Phase V data submitted as of 12/08.
\6\ Approximate number of caregivers with children 5 or under, based on Phase V data submitted as of 12/08.
\7\ Based on Phase III and IV finding that approximately 60 percent of the children in the evaluation were 11
years old or older.
\8\ Respondents only complete Service Experience Study measures at follow-up points. See Footnote 3 for
the explanation about the average number of responses per respondent.
\9\ Staff will enter data on flexible funds expenditures into a Web-based application or will recode existing
data on flexible funds expenditures to match the Flex Funds Data Dictionary format. Each community will use
flexible funds expenditures on average for approximately one-quarter of the estimated 356 children/youth
enrolled, suggesting a total of 89 children/youth will receive services from flexible funds per community.
Thus, there will be data entered for 89*30 = 2,670 children/youth using the Flex Funds Data Dictionary.
\10\ Assumes that three expenditures, on average, will be spent on each child/youth receiving flexible fund
benefits.
\11\ Staff will collect paper-based forms from agencies and enter them into a Web-based application or will
extract data from agencies' existing data systems. Staff will recode data to match the Services and Costs Data
Dictionary format. Service and costs records will be compiled for all 356*30=10,680 children/youth enrolled.
\12\ Assumes that each child/youth will have 100 service episodes, on average, during his/her time in a system
of care.
\13\ This survey will be administered at 5 sites funded in 2006, 25 sites funded in 2005, 2 sites funded in
2000, and 20 sites funded in 1999.
[[Page 15735]]
Send comments to Summer King, SAMHSA Reports Clearance Officer,
Room 7-1044, One Choke Cherry Road, Rockville, MD 20857 and e-mail her
a copy at summer.king@samhsa.hhs.gov. Written comments should be
received within 60 days of this notice.
Dated: April 1, 2009.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. E9-7779 Filed 4-6-09; 8:45 am]
BILLING CODE 4162-20-P
