Agency Information Collection Activities: Proposed Collection; Comment Request, 31958-31961 [E9-15915]
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Federal Register / Vol. 74, No. 127 / Monday, July 6, 2009 / Notices
National Vaccine Program Office,
Department of Health and Human
Services, Room 715–H, Hubert H.
Humphrey Building, 200 Independence
Avenue, SW., Washington, DC 20201.
Phone: (202) 690–5566; Fax: (202) 260–
1165; e-mail: nvpo@hhs.gov.
Pursuant
to Section 2101 of the Public Health
Service Act (42 U.S.C. section 300aa–1),
the Secretary of Health and Human
Services was mandated to establish the
National Vaccine Program to achieve
optimal prevention of human infectious
diseases through immunization and to
achieve optimal prevention against
adverse reactions to vaccines. The
National Vaccine Advisory Committee
was established to provide advice and
make recommendations to the Director
of the National Vaccine Program on
matters related to the Program’s
responsibilities. The Assistant Secretary
for Health serves as Director of the
National Vaccine Program.
These are special meetings of the
NVAC. Discussions will surround issues
related to the Novel Influenza A (H1N1)
outbreak. The Committee will discuss
the activities and actions of the various
HHS agencies and Federal advisory
committees that address vaccine issues
as it relates to the mission of NVAC.
Representatives of State and local health
associations will also provide their
perspective.
For these special meetings, members
of the public are invited to attend by
teleconference via a toll-free call-in
phone number. The call-in number will
be operator assisted to provide members
of the public the opportunity to provide
comments to the Committee. Public
participation and ability to comment
will be limited to space and time
available. Public comment will be
limited to no more than three minutes
per speaker. Pre-registration is required
for both public attendance and
comment. Individuals who plan to
attend and need special assistance, such
as accommodation for hearing
impairment or other reasonable
accommodations, should notify the
designated contact person at least one
week prior to the meeting.
Any members of the public who wish
to have printed material distributed to
NVAC should submit materials to the
Executive Secretary, NVAC, through the
contact person listed above prior to
close of business one week before each
meeting (conference call). A draft
agenda and any additional materials
will be posted on the NVAC Web site
(https://www.hhs.gov/nvpo/nvac/) prior
to the meeting.
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SUPPLEMENTARY INFORMATION:
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Dated: June 29, 2009.
Bruce Gellin,
Deputy Assistant Secretary for Health,
Director, National Vaccine Program Office.
[FR Doc. E9–15782 Filed 7–2–09; 8:45 am]
BILLING CODE 4150–44–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
information to be collected; and (d)
ways to minimize the burden of the
collection of information on
respondents, including through the use
of automated collection techniques or
other forms of information technology.
Proposed Project: Cross-community
Evaluation of the Native Aspirations
Project—NEW
The Substance Abuse and Mental
Health Services Administration’s
(SAMHSA), Center for Mental Health
Services (CMHS) will conduct the
Cross-Community Evaluation of the
Native Aspirations Project. The crosscommunity evaluation has two tiers.
Community-specific activities (Tier 1)
are tied to key components of a
community plan developed in each
participating community that guides
program planning and local evaluation
through data-driven frameworks and
inquiry. Tier I activities will include
process and impact evaluation activities
to determine the stage of readiness of
communities to implement programs,
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how accurately community plans reflect
the needs and characteristics of each
community, how well local resources
for American Indian/Alaska Native (AI/
AN) youth are mobilized, the experience
and impact of the Gathering of Native
Americans (GONA), and the impact of
the Native Aspirations program on the
community. Core cross-community data
collection activities (Tier II) are crosscommunity and include process and
impact indicators such as communitylevel knowledge and awareness of
suicide, violence, bullying, and
substance abuse; pro-social and helpseeking behaviors among Native youth;
and the provision of services specific to
Native youth through existing service
systems. Tier II activities are directly
tied to the primary objectives of the
Native Aspirations Project and are
designed to augment data collection
through the collection of communityand systems-level change measurement.
Activities include the Service Provider
Focus Groups and the Community
Knowledge, Awareness and Behavior
Survey (C–KABS).
Data will be collected from Native
adults and youth involved in the
Community Mobilization Plan (CMP)
meeting and the Gathering of Native
Americans (GONA), key program
stakeholders, Native youth service
providers (e.g., teachers, mental health
providers, case workers, juvenile justice
providers), and other community
members (Native youth and adults).
Data collection will take place in 25 AI/
AN communities across three cohorts.
Data collection for the Native
Aspirations Cross-community
Evaluation will occur over a 3-year
period of grant funding for each cohort.
Clearance is requested for a 3-year
period of data collection that spans FY
2009 through FY 2012 during which
Cohorts 3 and 4 will receive 3 years of
data collection and Cohort 5 will receive
2 years of data collection with the final
year to be submitted in an OMB renewal
package. The following describes the
specific data collection activities and
the 9 data collection instruments to be
used, followed by a summary table of
respondents and respondent burden.
Community Specific Data Collection
Activities—Tier I
• GONA—Baseline Interviews (1
Version). Each participating community
will have the opportunity to hold a
GONA focused on youth violence,
bullying, substance abuse, and suicide
concerns. Community GONAs follow
four themes that correspond to
indigenous values and are core
resiliency factors for Native people.
These values—belonging, mastery,
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interdependence, and generosity—are
the framework for this collaborative
community event that focuses on
individual and community healing,
envisioning community wellness,
mapping the assets of the community,
and committing action in the
community toward prevention efforts
centered on youth violence, bullying,
substance abuse, and suicide. Baseline
GONA interviews will be conducted
prior to the GONA in each community
and will center on the four values and
how respondents view and describe
their relationships in and with the
community; how people in the
community deal with youth violence,
bullying, substance abuse, and suicide;
community members’ willingness to
work together to address these issues;
community protective factors; and
suggestions for how community
members can work together to address
these issues. The GONA baseline
interviews will be conducted by
telephone in year 1 of grant funding
with a maximum of 6 adults per funded
community who will attend the GONA
in each Cohort. The total number of
participants across Cohorts 3, 4 and 5
for 3 years is 150. Items are formatted
as open-ended and semi-structured
questions. The GONA baseline
telephone interviews include 6 items
and will take approximately 20 minutes
to complete. By using either the GONA
Evaluation—Baseline Consent Form,
Phone Script or Verbal Consent Form,
verbal consent will be received from
each respondent prior to administration
of the GONA Baseline Interviews.
• GONA—Followup Interviews (1
Version). The GONA followup
interviews will be conducted several
weeks after the GONA in each
community. Followup interviews will
center around the four values
(belonging, master, interdependence,
and generosity) and respondents’
experience during the GONA;
participation in activities; views on
community relationships; knowledge of
the Native Aspirations Project;
knowledge of risk factors for youth
violence, bullying, substance abuse, and
suicide; community protective factors;
willingness of community members to
work together and suggestions for
working together; and next steps. The
GONA follow-up interviews will be
conducted in person with a total of 9
adult respondents who attended the
GONA in each funded community.
Items are formatted as open-ended and
semi-structured questions. The GONA
followup interviews include 11
questions and will take approximately
60 minutes to complete. These followup
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interviews will occur during a site visit
in year 1 of each grant for Cohorts 3, 4
and 5. The total number of participants
across the three cohorts is 225. Each
participant will provide written consent
prior to the interview through the
GONA Evaluation—Followup Interview
Consent Form.
• GONA—Youth Followup Focus
Group Moderator’s Guide (1 Version).
The GONA followup focus groups will
be conducted several weeks after the
GONA with youth who attended the
GONA. The focus group moderator’s
guide follows the same content as the
GONA Followup Interviews (see above).
Cross-community evaluation staff will
conduct up to 2 focus groups with youth
in each funded community. Focus
groups will consist of a maximum of 9
participants per group and will occur
during a site visit in year 1 of each grant
for Cohorts 3, 4 and 5. Focus group
guides contain 11 items and will last 2
hours. A total of 450 respondents will
participate in GONA focus groups.
Caregivers will give consent for youth to
participate using the GONA FollowUp
Youth Focus Group Caregiver Consent
form and youth will assent to
participate using the GONA FollowUp
Youth Focus Group Youth Assent form.
• Community Plan Focus Group
Moderator’s Guide (1 Version).
Respondents participating in the
Community Plan Focus Groups include
youth and adults who attended the
Community Mobilization Plan (CMP)
meeting in year 1. The guide consists of
questions designed to facilitate group
communication around the community
mobilization planning process, early
implementation of the plan, and
organizational and community
awareness and involvement. Focus
group guides contain 7 items and will
last 2 hours. The cross-community
evaluation team will conduct up to 3
focus groups with a maximum of 9
participants each in year 1 of the grant
for each funded community in Cohorts
3, 4 and 5. The total number of
participants across cohorts is 675.
Consent to participate will be obtained
from adult participants through the
Community Plan Focus Group Consent
form and youths’ caregivers will use the
Community Plan Focus Group Caregiver
Consent form to give consent and youth
will assent to participate using the
Community Plan Focus Group Youth
Assent (Attachment B.6).
• Community Plan In-depth
Interviews (2 Versions). The Community
Plan In-depth Interviews will be
conducted in person during year 3 of
the grant. The interviews will be
conducted with the same individuals
who participated in the CMP focus
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groups; however, the participants will
be divided into two groups with two
respective guides. Version 1 will be
conducted with participants who
remained active in the community
mobilization process and Version 2 will
be used with respondents who
discontinued their involvement with
Native Aspirations. The interviews will
be used to gather information on the
CMP implementation process,
organizational and community
awareness and involvement with Native
Aspirations, and the impact of the
Native Aspirations program on the
community. The Community Plan Indepth Interview—Version 1 consists of
24 open ended and semi-structured
questions and will take 60 minutes to
complete. Version 1 will be conducted
with up to 9 participants, including
Native youth and adults, in year 3 of the
grant for a maximum total of 225
respondents across Cohorts 3, 4 and 5.
The Community Plan In-depth
Interview—Version 2 consists of 11
open ended and semi-structured
questions and will take 20 minutes to
complete. Up to 9 respondents,
including Native youth and adults, will
be interviewed using Version 2 in year
3 of the grant. The maximum total of
respondents from each funded
community across Cohorts 3, 4 and 5 is
225 for Version 2 over the life of the
grant. Adult participants for both
versions will be required to provide
written consent prior to participation
using the Community Plan In-Depth
Interview V.1 Consent form or the
Community Plan In-Depth Interview V.2
Consent and youth participants will
need written caregiver consent collected
on the Community Plan Interview V.1 &
V.2 Caregiver Consent forms and youth
assent using the Community Plan
Interview V.1 & V.2 Youth Assent forms.
Cross Community Data Collection
Activities—Tier II
• Service Provider Focus Group
Moderator’s Guide (2 Versions). The
Service Provider Focus Groups are
designed to facilitate conversation and
information sharing with youth service
providers across communities to acquire
a broader understanding of provider and
service availability for Native youth.
Version 1 participants will include
agency staff such as teachers, mental
health professionals, justice providers
and welfare providers and Version 2
participants will include non-agency
staff such as paraprofessional providers
and/or ‘‘natural helpers.’’ However,
specific provider types will be
identified for each participating
community as a function of their
existence and number. Version 1 of the
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focus group guides consists of 9 items
and Version 2 consists of 7 items, each
with additional sub-questions/probes
covering the availability of wellness and
mental health services, how agencies
work together, awareness of violence/
suicide prevention activities, and areas
for improvement. Focus groups will
include a maximum of 9 participants
per group, with up to 3 focus groups in
each community in each of years 1
(baseline) and 3 (follow up) of the grant.
Two focus groups will be conducted
with agency staff using Version 1, for a
maximum total of 900 respondents
across the life of the grant. One focus
group will be conducted with nonagency staff using Version 2 for a
maximum number of 450 participants
across the life of the grant for each
Cohort. Focus groups will last
approximately 2 hours. Written consent
will be obtained prior to focus group
participation using the Service Provider
Focus Group V.1 Consent form and
Service Provider Focus Group V.2
Consent form.
• Community Knowledge, Awareness
and Behavior Survey (C–KABS)—Adult
Version. The C–KABS—Adult Version
is designed to gather knowledge and
awareness information from adult
community members related to suicide,
substance abuse, violence, and bullying.
In addition, respondents will report on
their exposure to Native Aspirations
Project activities regarding the
prevention of suicide, substance abuse,
violence, and bullying. Other constructs
include the availability of services,
knowledge of youth risk factors, and
stigma around and attitude toward
seeking services for wellness. The C–
KABS—Adult Version will be
administered annually, for all 3 years of
the grant, to 100 Native adults from each
funded community. The survey consists
of 36 open and closed-ended questions
that include Likert-type agreement
scales, prevalence scales and questions,
behavior scales and questions, true/false
items, and demographic questions. The
survey takes approximately 45 minutes
to complete. A total of 7,500
respondents will participate from
Cohorts 3, 4 and 5. Written consent will
be obtained using the C–KABS Adult
Consent form.
• Community Knowledge,
Awareness, and Behavior Survey (C–
KABS)—Youth Version. The C–KABS
Youth Version will be administered to
youth participants (age 11 and older) to
gather information about existing social
norms around help-seeking behavior,
pro-social behavior (e.g., traditional
Indian activities) among youth, and the
extent to which respondent youth have
been exposed to risky behaviors
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(suicide, violence, substance abuse,
and/or bullying), as well as their
exposure to prevention efforts for risky
behaviors related to the Native
Aspirations Project. The survey will also
contain items about youths’ access to
pathways to risky behaviors (e.g., how
hard/easy is it to get drugs/alcohol),
access to and awareness of/willingness
to seek help for these behaviors for
themselves or others, and youths’
engagement in risky and protective
behaviors. The C–KABS Youth Version
will be administered annually, for all 3
years of the grant, to 100 Native youth
from each funded community. The
survey consists of 38 open and closedended questions that include Likert-type
agreement scales, prevalence scales and
questions, behavior scales and
questions, true/false items, and
demographic questions. A total of 7,500
youth will participate from Cohorts 3, 4
and 5. Youths’ caregivers will provide
consent for youth to participate using
the C–KABS Youth Caregiver Consent
form and youth will assent to
participate using the C–KABS Youth
Assent form.
• Community Readiness Assessment
(1 Version). The CRA addresses 6
dimensions focused an identified social
concern (i.e., youth violence, bullying,
and suicide). These dimensions include
(a) community prevention efforts, (b)
community knowledge of prevention
efforts, (c) leadership, (d) community
climate, (e) knowledge about the
problem, and (f) resources for
prevention efforts. In addition, there are
9 developmental levels of readiness
within a community that must progress
through. CRAs include 26 interview
questions which address each of the 6
community readiness dimensions; most
items are formatted as open-ended
questions with 3 items scored on a scale
of 1 to 10. During years 1 and 3, CRAs
will be conducted with each funded
community in Cohorts 3, 4 and 5 to
address youth violence, bullying, and
suicide from a multi-faceted
perspective. Telephone interviews will
be conducted with up to six key
informants in the community.
Interviews will last 60 minutes and a
maximum of 300 respondents will be
interviewed. Overall readiness scores
will be determined based on key
informants’ responses and will indicate
the community’s status with respect to
each of these dimensions. Consent will
be obtaining using either the
Community Readiness Assessment
Verbal Consent form or the Community
Readiness Assessment Written Consent
form.
Data Abstraction and Submission. In
addition to the above described data
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collection activities, data from existing
sources abstracted using the Data
Abstraction and Submission Form (i.e.,
management information systems (MIS),
administrative records, case files, etc.)
will be analyzed across communities to
support the impact stage of Tier I of the
cross-community evaluation. To
minimize data collection burden on
community members, this activity will
be tailored to key components identified
in the community plan and will be
developed around existing data systems
and related infrastructures. Crosscommunity technical assistance
providers will assist in the
identification of existing data sources
and their relevance to locally planned
Native Aspirations activities. Data
elements may be requested from
educational systems, juvenile justice/
law enforcement sources, mental health
agencies, child welfare, Medicaid, and
community organizations (e.g., YMCA,
boys and girls clubs, etc.). A maximum
of 10 data elements each will be
requested from education and juvenile
justice/law enforcement sources and a
maximum of 5 data elements each will
be requested from mental health, child
welfare, Medicaid, and community
activities. These data will be aggregated
from existing data sources, some of
which are attendance sheets,
management information systems, etc.
Grantees are responsible for aggregating
these data and submitting them to the
Native Aspirations Cross-community
Evaluation team by mail, electronic
mail, or by uploading the data. The
burden associated with accessing,
aggregating, and submitting existing
data is approximately 6 hours per
activity per year. Data abstraction and
submission will occur two times per
year in each funded community in
Cohorts 3, 4 and 5. Seven respondents
(one each representing education,
juvenile justice, law enforcement,
mental health, child welfare, Medicaid,
and community activities) in each
community will perform data
abstraction and submission for a total of
175 respondents and 2,100 hours across
3 years of data collection for Cohorts 3,
4 and 5.
Given the expected variation in
available technology (e.g., Internet) and
geographic spread of the target
populations, flexible implementation
options for surveys include local
distribution and/or administration of
surveys, in-person group, and Internet
options and will be determined with
each participating community and used
when relevant and viable.
The average annual respondent
burden is estimated below. The estimate
reflects the average annual number of
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Federal Register / Vol. 74, No. 127 / Monday, July 6, 2009 / Notices
respondents, the average annual number
of responses, the time it will take for
each response, and the average annual
burden across 3 years of OMB clearance,
which includes 3 years of data
collection for Cohorts 3 and 4 and two
years of data collection for Cohort 5.
ANNUALIZED AVERAGES: RESPONDENTS, RESPONSES AND HOURS
Number of responses per
respondent
Number of
respondents
Measure name
Hours/
response
Response
burden*
Community Specific Data Collection Activities–Tier I:
GONA Baseline Interviews .......................................................................
GONA Follup Interviews ...........................................................................
GONA Youth Followup Focus Groups .....................................................
Community Plan Focus Groups ...............................................................
Community Plan In-depth Interviews—V.1 ...............................................
Community Plan In-depth Interviews—V.2 ...............................................
Service Provider Focus Groups—V.1 ......................................................
Cross Community Data Collection Activities—Tier II:
Service Provider Focus Groups—V. 2 .....................................................
C-KABS Adult Version ..............................................................................
C-KABS Youth Version ............................................................................
Community Readiness Assessment1 .......................................................
Data Abstraction and Submission Form ...................................................
50
75
150
225
51
51
252
1
1
1
1
1
1
1
0.33
1.0
2.0
2.0
1.0
0.33
2.0
17
75
300
450
51
17
504
126
2,234
2,234
84
156
1
1
1
1
2.0
2.0
0.75
0.75
1.0
6.0
252
1,676
1,676
84
1,872
Total ...................................................................................................
5,688
........................
........................
6,974
* Rounded to the nearest whole number.
Send comments to Summer King,
SAMHSA Reports Clearance Officer,
Room 7–1044, One Choke Cherry Road,
Rockville, MD 20857 and e-mail her a
copy at summer.king@samhsa.hhs.gov.
Written comments should be received
within 60 days of this notice.
Dated: June 26, 2009.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. E9–15915 Filed 7–2–09; 8:45 am]
BILLING CODE 4162–20–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30-Day-09–0556]
Agency Forms Undergoing Paperwork
Reduction Act Review
mstockstill on PROD1PC66 with NOTICES
The Centers for Disease Control and
Prevention (CDC) publishes a list of
information collection requests under
review by the Office of Management and
Budget (OMB) in compliance with the
Paperwork Reduction Act (44 U.S.C.
Chapter 35). To request a copy of these
requests, call the CDC Reports Clearance
Officer at (404) 639–5960 or send an email to omb@cdc.gov. Send written
comments to CDC Desk Officer, Office of
Management and Budget, Washington,
DC or by fax to (202) 395–6974. Written
comments should be received within 30
days of this notice.
Proposed Project
Assisted Reproductive Technology
(ART) Program Reporting System (0920–
0559, exp. 9/30/2009)—Revision—
National Center for Chronic Disease
Prevention and Health Promotion
(NCCDPHP), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
The ART program reporting system is
used to comply with section 2(a) of
Public Law 102–493 (known as the
Fertility Clinic Success Rate and
Certification Act of 1992 (FCSRCA)), 42
U.S.C. 263a–1(a)). FCSRCA requires
each ART program to annually report to
the Secretary through the CDC: the
pregnancy success rates achieved by
each ART program, the identity of each
embryo laboratory used by the ART
program, and whether the laboratory is
certified or has applied for certification
under the Act. The reporting system
also makes it possible for the CDC to
publish an annual success rate report to
Congress as specified by the FCSRCA.
This Revision request includes minor
wording changes to improve the clarity
of the question concerning preimplantation genetic diagnosis (PGD),
and an increase in the total estimated
burden hours due to an increase in the
estimated number of responses.
Information is collected electronically
through the National ART Surveillance
System (NASS), a Web-based interface,
or by electronic submission of NASScompatible files. The NASS includes
information about all ART cycles
initiated by any of the ART programs
practicing in the United States and its
territories. The system also collects
information about the pregnancy
outcome of each cycle as well as a
number of data items deemed important
to explain variability in success rates
across ART programs and individuals.
Respondents are the 483 ART
programs in the United States.
Approximately 430 programs are
expected to report an average of 321
ART cycles each. The burden estimate
includes the time for collecting,
validating, and reporting the requested
information. Information is collected on
an annual schedule.
There are no costs to the respondents
other than their time. The total
estimated annualized burden hours are
89,720.
Estimated Annualized Burden Hours
Number of
respondents
Respondents
Form name
ART Programs ................................................
NASS ..............................................................
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430
06JYN1
Number of
responses per
respondent
321
Average
burden per
response
(in hours)
39/60
]]>Agencies
[Federal Register Volume 74, Number 127 (Monday, July 6, 2009)]
[Notices]
[Pages 31958-31961]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-15915]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Agency Information Collection Activities: Proposed Collection;
Comment Request
In compliance with Section 3506(c)(2)(A) of the Paperwork Reduction
Act of 1995 concerning opportunity for public comment on proposed
collections of information, the Substance Abuse and Mental Health
Services Administration (SAMHSA) will publish periodic summaries of
proposed projects. To request more information on the proposed projects
or to obtain a copy of the information collection plans, call the
SAMHSA Reports Clearance Officer on (240) 276-1243.
Comments are invited on: (a) Whether the proposed collections of
information are necessary for the proper performance of the functions
of the agency, including whether the information shall have practical
utility; (b) the accuracy of the agency's estimate of the burden of the
proposed collection of information; (c) ways to enhance the quality,
utility, and clarity of the information to be collected; and (d) ways
to minimize the burden of the collection of information on respondents,
including through the use of automated collection techniques or other
forms of information technology.
Proposed Project: Cross-community Evaluation of the Native Aspirations
Project--NEW
The Substance Abuse and Mental Health Services Administration's
(SAMHSA), Center for Mental Health Services (CMHS) will conduct the
Cross-Community Evaluation of the Native Aspirations Project. The
cross-community evaluation has two tiers. Community-specific activities
(Tier 1) are tied to key components of a community plan developed in
each participating community that guides program planning and local
evaluation through data-driven frameworks and inquiry. Tier I
activities will include process and impact evaluation activities to
determine the stage of readiness of communities to implement programs,
how accurately community plans reflect the needs and characteristics of
each community, how well local resources for American Indian/Alaska
Native (AI/AN) youth are mobilized, the experience and impact of the
Gathering of Native Americans (GONA), and the impact of the Native
Aspirations program on the community. Core cross-community data
collection activities (Tier II) are cross-community and include process
and impact indicators such as community-level knowledge and awareness
of suicide, violence, bullying, and substance abuse; pro-social and
help-seeking behaviors among Native youth; and the provision of
services specific to Native youth through existing service systems.
Tier II activities are directly tied to the primary objectives of the
Native Aspirations Project and are designed to augment data collection
through the collection of community- and systems-level change
measurement. Activities include the Service Provider Focus Groups and
the Community Knowledge, Awareness and Behavior Survey (C-KABS).
Data will be collected from Native adults and youth involved in the
Community Mobilization Plan (CMP) meeting and the Gathering of Native
Americans (GONA), key program stakeholders, Native youth service
providers (e.g., teachers, mental health providers, case workers,
juvenile justice providers), and other community members (Native youth
and adults). Data collection will take place in 25 AI/AN communities
across three cohorts. Data collection for the Native Aspirations Cross-
community Evaluation will occur over a 3-year period of grant funding
for each cohort. Clearance is requested for a 3-year period of data
collection that spans FY 2009 through FY 2012 during which Cohorts 3
and 4 will receive 3 years of data collection and Cohort 5 will receive
2 years of data collection with the final year to be submitted in an
OMB renewal package. The following describes the specific data
collection activities and the 9 data collection instruments to be used,
followed by a summary table of respondents and respondent burden.
Community Specific Data Collection Activities--Tier I
GONA--Baseline Interviews (1 Version). Each participating
community will have the opportunity to hold a GONA focused on youth
violence, bullying, substance abuse, and suicide concerns. Community
GONAs follow four themes that correspond to indigenous values and are
core resiliency factors for Native people. These values--belonging,
mastery,
[[Page 31959]]
interdependence, and generosity--are the framework for this
collaborative community event that focuses on individual and community
healing, envisioning community wellness, mapping the assets of the
community, and committing action in the community toward prevention
efforts centered on youth violence, bullying, substance abuse, and
suicide. Baseline GONA interviews will be conducted prior to the GONA
in each community and will center on the four values and how
respondents view and describe their relationships in and with the
community; how people in the community deal with youth violence,
bullying, substance abuse, and suicide; community members' willingness
to work together to address these issues; community protective factors;
and suggestions for how community members can work together to address
these issues. The GONA baseline interviews will be conducted by
telephone in year 1 of grant funding with a maximum of 6 adults per
funded community who will attend the GONA in each Cohort. The total
number of participants across Cohorts 3, 4 and 5 for 3 years is 150.
Items are formatted as open-ended and semi-structured questions. The
GONA baseline telephone interviews include 6 items and will take
approximately 20 minutes to complete. By using either the GONA
Evaluation--Baseline Consent Form, Phone Script or Verbal Consent Form,
verbal consent will be received from each respondent prior to
administration of the GONA Baseline Interviews.
GONA--Followup Interviews (1 Version). The GONA followup
interviews will be conducted several weeks after the GONA in each
community. Followup interviews will center around the four values
(belonging, master, interdependence, and generosity) and respondents'
experience during the GONA; participation in activities; views on
community relationships; knowledge of the Native Aspirations Project;
knowledge of risk factors for youth violence, bullying, substance
abuse, and suicide; community protective factors; willingness of
community members to work together and suggestions for working
together; and next steps. The GONA follow-up interviews will be
conducted in person with a total of 9 adult respondents who attended
the GONA in each funded community. Items are formatted as open-ended
and semi-structured questions. The GONA followup interviews include 11
questions and will take approximately 60 minutes to complete. These
followup interviews will occur during a site visit in year 1 of each
grant for Cohorts 3, 4 and 5. The total number of participants across
the three cohorts is 225. Each participant will provide written consent
prior to the interview through the GONA Evaluation--Followup Interview
Consent Form.
GONA--Youth Followup Focus Group Moderator's Guide (1
Version). The GONA followup focus groups will be conducted several
weeks after the GONA with youth who attended the GONA. The focus group
moderator's guide follows the same content as the GONA Followup
Interviews (see above). Cross-community evaluation staff will conduct
up to 2 focus groups with youth in each funded community. Focus groups
will consist of a maximum of 9 participants per group and will occur
during a site visit in year 1 of each grant for Cohorts 3, 4 and 5.
Focus group guides contain 11 items and will last 2 hours. A total of
450 respondents will participate in GONA focus groups. Caregivers will
give consent for youth to participate using the GONA FollowUp Youth
Focus Group Caregiver Consent form and youth will assent to participate
using the GONA FollowUp Youth Focus Group Youth Assent form.
Community Plan Focus Group Moderator's Guide (1 Version).
Respondents participating in the Community Plan Focus Groups include
youth and adults who attended the Community Mobilization Plan (CMP)
meeting in year 1. The guide consists of questions designed to
facilitate group communication around the community mobilization
planning process, early implementation of the plan, and organizational
and community awareness and involvement. Focus group guides contain 7
items and will last 2 hours. The cross-community evaluation team will
conduct up to 3 focus groups with a maximum of 9 participants each in
year 1 of the grant for each funded community in Cohorts 3, 4 and 5.
The total number of participants across cohorts is 675. Consent to
participate will be obtained from adult participants through the
Community Plan Focus Group Consent form and youths' caregivers will use
the Community Plan Focus Group Caregiver Consent form to give consent
and youth will assent to participate using the Community Plan Focus
Group Youth Assent (Attachment B.6).
Community Plan In-depth Interviews (2 Versions). The
Community Plan In-depth Interviews will be conducted in person during
year 3 of the grant. The interviews will be conducted with the same
individuals who participated in the CMP focus groups; however, the
participants will be divided into two groups with two respective
guides. Version 1 will be conducted with participants who remained
active in the community mobilization process and Version 2 will be used
with respondents who discontinued their involvement with Native
Aspirations. The interviews will be used to gather information on the
CMP implementation process, organizational and community awareness and
involvement with Native Aspirations, and the impact of the Native
Aspirations program on the community. The Community Plan In-depth
Interview--Version 1 consists of 24 open ended and semi-structured
questions and will take 60 minutes to complete. Version 1 will be
conducted with up to 9 participants, including Native youth and adults,
in year 3 of the grant for a maximum total of 225 respondents across
Cohorts 3, 4 and 5. The Community Plan In-depth Interview--Version 2
consists of 11 open ended and semi-structured questions and will take
20 minutes to complete. Up to 9 respondents, including Native youth and
adults, will be interviewed using Version 2 in year 3 of the grant. The
maximum total of respondents from each funded community across Cohorts
3, 4 and 5 is 225 for Version 2 over the life of the grant. Adult
participants for both versions will be required to provide written
consent prior to participation using the Community Plan In-Depth
Interview V.1 Consent form or the Community Plan In-Depth Interview V.2
Consent and youth participants will need written caregiver consent
collected on the Community Plan Interview V.1 & V.2 Caregiver Consent
forms and youth assent using the Community Plan Interview V.1 & V.2
Youth Assent forms.
Cross Community Data Collection Activities--Tier II
Service Provider Focus Group Moderator's Guide (2
Versions). The Service Provider Focus Groups are designed to facilitate
conversation and information sharing with youth service providers
across communities to acquire a broader understanding of provider and
service availability for Native youth. Version 1 participants will
include agency staff such as teachers, mental health professionals,
justice providers and welfare providers and Version 2 participants will
include non-agency staff such as paraprofessional providers and/or
``natural helpers.'' However, specific provider types will be
identified for each participating community as a function of their
existence and number. Version 1 of the
[[Page 31960]]
focus group guides consists of 9 items and Version 2 consists of 7
items, each with additional sub-questions/probes covering the
availability of wellness and mental health services, how agencies work
together, awareness of violence/suicide prevention activities, and
areas for improvement. Focus groups will include a maximum of 9
participants per group, with up to 3 focus groups in each community in
each of years 1 (baseline) and 3 (follow up) of the grant. Two focus
groups will be conducted with agency staff using Version 1, for a
maximum total of 900 respondents across the life of the grant. One
focus group will be conducted with non-agency staff using Version 2 for
a maximum number of 450 participants across the life of the grant for
each Cohort. Focus groups will last approximately 2 hours. Written
consent will be obtained prior to focus group participation using the
Service Provider Focus Group V.1 Consent form and Service Provider
Focus Group V.2 Consent form.
Community Knowledge, Awareness and Behavior Survey (C-
KABS)--Adult Version. The C-KABS--Adult Version is designed to gather
knowledge and awareness information from adult community members
related to suicide, substance abuse, violence, and bullying. In
addition, respondents will report on their exposure to Native
Aspirations Project activities regarding the prevention of suicide,
substance abuse, violence, and bullying. Other constructs include the
availability of services, knowledge of youth risk factors, and stigma
around and attitude toward seeking services for wellness. The C-KABS--
Adult Version will be administered annually, for all 3 years of the
grant, to 100 Native adults from each funded community. The survey
consists of 36 open and closed-ended questions that include Likert-type
agreement scales, prevalence scales and questions, behavior scales and
questions, true/false items, and demographic questions. The survey
takes approximately 45 minutes to complete. A total of 7,500
respondents will participate from Cohorts 3, 4 and 5. Written consent
will be obtained using the C-KABS Adult Consent form.
Community Knowledge, Awareness, and Behavior Survey (C-
KABS)--Youth Version. The C-KABS Youth Version will be administered to
youth participants (age 11 and older) to gather information about
existing social norms around help-seeking behavior, pro-social behavior
(e.g., traditional Indian activities) among youth, and the extent to
which respondent youth have been exposed to risky behaviors (suicide,
violence, substance abuse, and/or bullying), as well as their exposure
to prevention efforts for risky behaviors related to the Native
Aspirations Project. The survey will also contain items about youths'
access to pathways to risky behaviors (e.g., how hard/easy is it to get
drugs/alcohol), access to and awareness of/willingness to seek help for
these behaviors for themselves or others, and youths' engagement in
risky and protective behaviors. The C-KABS Youth Version will be
administered annually, for all 3 years of the grant, to 100 Native
youth from each funded community. The survey consists of 38 open and
closed-ended questions that include Likert-type agreement scales,
prevalence scales and questions, behavior scales and questions, true/
false items, and demographic questions. A total of 7,500 youth will
participate from Cohorts 3, 4 and 5. Youths' caregivers will provide
consent for youth to participate using the C-KABS Youth Caregiver
Consent form and youth will assent to participate using the C-KABS
Youth Assent form.
Community Readiness Assessment (1 Version). The CRA
addresses 6 dimensions focused an identified social concern (i.e.,
youth violence, bullying, and suicide). These dimensions include (a)
community prevention efforts, (b) community knowledge of prevention
efforts, (c) leadership, (d) community climate, (e) knowledge about the
problem, and (f) resources for prevention efforts. In addition, there
are 9 developmental levels of readiness within a community that must
progress through. CRAs include 26 interview questions which address
each of the 6 community readiness dimensions; most items are formatted
as open-ended questions with 3 items scored on a scale of 1 to 10.
During years 1 and 3, CRAs will be conducted with each funded community
in Cohorts 3, 4 and 5 to address youth violence, bullying, and suicide
from a multi-faceted perspective. Telephone interviews will be
conducted with up to six key informants in the community. Interviews
will last 60 minutes and a maximum of 300 respondents will be
interviewed. Overall readiness scores will be determined based on key
informants' responses and will indicate the community's status with
respect to each of these dimensions. Consent will be obtaining using
either the Community Readiness Assessment Verbal Consent form or the
Community Readiness Assessment Written Consent form.
Data Abstraction and Submission. In addition to the above described
data collection activities, data from existing sources abstracted using
the Data Abstraction and Submission Form (i.e., management information
systems (MIS), administrative records, case files, etc.) will be
analyzed across communities to support the impact stage of Tier I of
the cross-community evaluation. To minimize data collection burden on
community members, this activity will be tailored to key components
identified in the community plan and will be developed around existing
data systems and related infrastructures. Cross-community technical
assistance providers will assist in the identification of existing data
sources and their relevance to locally planned Native Aspirations
activities. Data elements may be requested from educational systems,
juvenile justice/law enforcement sources, mental health agencies, child
welfare, Medicaid, and community organizations (e.g., YMCA, boys and
girls clubs, etc.). A maximum of 10 data elements each will be
requested from education and juvenile justice/law enforcement sources
and a maximum of 5 data elements each will be requested from mental
health, child welfare, Medicaid, and community activities. These data
will be aggregated from existing data sources, some of which are
attendance sheets, management information systems, etc. Grantees are
responsible for aggregating these data and submitting them to the
Native Aspirations Cross-community Evaluation team by mail, electronic
mail, or by uploading the data. The burden associated with accessing,
aggregating, and submitting existing data is approximately 6 hours per
activity per year. Data abstraction and submission will occur two times
per year in each funded community in Cohorts 3, 4 and 5. Seven
respondents (one each representing education, juvenile justice, law
enforcement, mental health, child welfare, Medicaid, and community
activities) in each community will perform data abstraction and
submission for a total of 175 respondents and 2,100 hours across 3
years of data collection for Cohorts 3, 4 and 5.
Given the expected variation in available technology (e.g.,
Internet) and geographic spread of the target populations, flexible
implementation options for surveys include local distribution and/or
administration of surveys, in-person group, and Internet options and
will be determined with each participating community and used when
relevant and viable.
The average annual respondent burden is estimated below. The
estimate reflects the average annual number of
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respondents, the average annual number of responses, the time it will
take for each response, and the average annual burden across 3 years of
OMB clearance, which includes 3 years of data collection for Cohorts 3
and 4 and two years of data collection for Cohort 5.
Annualized Averages: Respondents, Responses and Hours
----------------------------------------------------------------------------------------------------------------
Number of
Measure name Number of responses per Hours/ Response
respondents respondent response burden*
----------------------------------------------------------------------------------------------------------------
Community Specific Data Collection Activities-
Tier I:
GONA Baseline Interviews.................... 50 1 0.33 17
GONA Follup Interviews...................... 75 1 1.0 75
GONA Youth Followup Focus Groups............ 150 1 2.0 300
Community Plan Focus Groups................. 225 1 2.0 450
Community Plan In-depth Interviews--V.1..... 51 1 1.0 51
Community Plan In-depth Interviews--V.2..... 51 1 0.33 17
Service Provider Focus Groups--V.1.......... 252 1 2.0 504
Cross Community Data Collection Activities--Tier
II:
Service Provider Focus Groups--V. 2......... 126 1 2.0 252
C-KABS Adult Version........................ 2,234 1 0.75 1,676
C-KABS Youth Version........................ 2,234 1 0.75 1,676
Community Readiness Assessment1............. 84 1 1.0 84
Data Abstraction and Submission Form........ 156 2.0 6.0 1,872
---------------------------------------------------------------
Total................................... 5,688 .............. .............. 6,974
----------------------------------------------------------------------------------------------------------------
* Rounded to the nearest whole number.
Send comments to Summer King, SAMHSA Reports Clearance Officer,
Room 7-1044, One Choke Cherry Road, Rockville, MD 20857 and e-mail her
a copy at summer.king@samhsa.hhs.gov. Written comments should be
received within 60 days of this notice.
Dated: June 26, 2009.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. E9-15915 Filed 7-2-09; 8:45 am]
BILLING CODE 4162-20-P
