Agency Information Collection Activities: Submission for OMB Review; Comment Request, 30833-30837 [2010-13146]
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Federal Register / Vol. 75, No. 105 / Wednesday, June 2, 2010 / Notices
appropriate stakeholders. A member of
the Board described in (b), (c), and (d)
in the above paragraph shall serve for a
term of 3 years, except that the Secretary
may adjust the terms of the initial Board
appointees in order to provide for a
staggered term of appointment of all
members. Members who are not fulltime
or permanent part-time Federal
employees shall be appointed by the
Secretary as Special Government
Employees.
Dated: May 21, 2010.
Nicole Lurie,
Assistant Secretary for Preparedness and
Response, U.S. Department of Health and
Human Services.
[FR Doc. 2010–13177 Filed 6–1–10; 8:45 am]
BILLING CODE P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Substance Abuse and Mental Health
Services Administration
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
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Periodically, the Substance Abuse and
Mental Health Services Administration
(SAMHSA) will publish a summary of
information collection requests under
OMB review, in compliance with the
Paperwork Reduction Act (44 U.S.C.
Chapter 35). To request a copy of these
documents, call the SAMHSA Reports
Clearance Officer on (240) 276–1243.
Project: Cross-Site Evaluation of the
Garrett Lee Smith Memorial Suicide
Prevention and Early Intervention
Programs (OMB No. 0930–0286)—
Revision
The Substance Abuse and Mental
Health Services Administration’s
(SAMHSA) Center for Mental Health
Services (CMHS) will continue to
conduct the cross-site evaluation of the
Garrett Lee Smith Memorial Youth
Suicide Prevention and Early
Intervention State/Tribal Programs and
the Garrett Lee Smith Memorial Youth
Suicide Prevention Campus Programs.
The data collected through the cross-site
evaluation addresses four stages of
program activity: (1) The context stage
includes a review of program plans,
such as grantee’s target population,
target region, service delivery
mechanisms, service delivery setting,
types of program activities to be funded
and evaluation activities; (2) the product
stage describes the prevention strategies
that are developed and utilized by
grantees; (3) the process stage assesses
progress on key activities and
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milestones related to implementation of
program plans; and (4) the impact stage
assesses the impact of the program on
early identification, referral for services
and service follow up of youth at risk.
Additionally, to obtain a
comprehensive understanding of the
integration of community-based
behavioral health services with services
provided by college or university
campuses, SAMHSA will conduct case
studies of four exemplary Campus
suicide prevention programs. Currently,
case studies of two campus grantees are
underway. The goal of the Campus Case
Studies is to understand how a public
health approach is successfully applied
as a model for campus suicide
prevention efforts, and will explore, in
a systematic manner: The suicide
prevention related infrastructures and
supports (e.g., clinical and non-clinical)
that exist on selected GLS-funded
campuses; the various student-level
factors that are related to suicide
prevention efforts (e.g., protective
factors, coping strategies, social norms,
and facilitators and barriers to student
access and receipt of behavioral
healthcare); campus interdepartmental
collaboration and the relationship
between various efforts to promote
student mental health and wellness; and
the extent to which the campus
infrastructures and supports promote
and address these factors.
To date, 86 State/Tribal grants and 93
Campus grants have participated in the
cross-site evaluation, since FY2007.
Currently, 48 State/Tribal grants and 38
Campus grants are participating in the
cross-site evaluation. Data will continue
to be collected from suicide prevention
program staff (e.g., project directors,
evaluators), key program stakeholders
(e.g., state/local officials, child-serving
agency directors, gatekeepers, mental
health providers, and campus
administrators), training participants,
college students, and campus faculty/
staff through FY2012.
Since the State/Tribal grantees differ
from the campus grantees in
programmatic approaches, specific data
collection activities also vary by type of
program. The following describes the
specific data collection activities and
data collection instruments to be used
across State/Tribal and Campus grantees
for the cross-site evaluation and the
specific data collection instruments to
be used by selected Campus grantees for
the Campus Case Studies. While most of
the data collection instruments
described below are revised versions of
instruments that have previously
received OMB approval (OMB No.
0930–0286 with Expiration Date: May
2010) and are currently in use, the
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Training Utilization and Preservation—
Survey (TUP–S) for State/Tribal
grantees and the Training Exit Survey
for Campus grantees (TES–C) are
proposed as new instruments. The
addition of these two new data
collection activities, the inclusion of the
Campus Case studies, and an overall
growth in number of grants for both the
State/Tribal and Campus programs has
increased the burden associated with
the cross-site evaluation. A summary
table of number of respondents and
respondent burden has also been
included.
Data Collection Activities for State/
Tribal Grantees
For State/Tribal grantees, the
Prevention Strategies Inventory State/
Tribal (PSI ST), Training Exit Survey
State/Tribal (TES ST), Referral Network
Survey (RNS) and Training Utilization
and Preservation—Interview (TUP–I)
described below are revised versions of
instruments that previously received
OMB approval (OMB No. 0930–0286
with Expiration Date: May 2010) and are
currently in use. The Training
Utilization and Preservation—Survey
(TUP–S) is proposed as a new data
collection instrument.
• Prevention Strategies InventoryState/Tribal (PSI ST)—Revised. The
Prevention Strategies Inventory will
collect information on the suicide
prevention strategies that grantees have
developed and utilized. Prevention
strategies include outreach and
awareness, gatekeeper training,
assessment and referral training for
mental health professionals and hotline
staff, lifeskills development programs,
screening programs, hotlines and
helplines, means restriction, policies
and protocols for intervention and
postvention, coalitions and
partnerships, and direct services and
traditional healing practices. Baseline
data will be collected from the State/
Tribal grantees at the beginning of their
grant cycle. Thereafter, they will
complete the PSI ST on a quarterly basis
over the duration of their grant period.
Baseline data will be collected on
information on the types of prevention
strategies grantees have developed and
utilized, and the follow-up data
collection asks the grantees to update
the information they have provided on
a quarterly basis over the period of the
grant. On average, 48 State/Tribal
grantees will fill out the PSI ST per year.
One respondent from each site will be
responsible for completing the survey.
The survey will take approximately 45
minutes; however, the number of
products, services and activities
implemented under each strategy will
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determine the number of items each
respondent will complete. The PSI ST
primarily has multiple-choice questions
with several open-ended questions.
• Training Exit Survey State-Tribal
Version (TES ST)—Revised. The TES ST
will be administered to all participants
in suicide prevention training activities
immediately following their training
experience in order to assess the content
of the training, the participants’
intended use of the skills and
knowledge learned and satisfaction with
the training experience. The survey will
also contain modules with questions
tailored to specific types of training. It
is estimated that approximately 94,848
trainees per year will respond to the
TES ST. The questions on the TES ST
are multiple-choice, Likert-scale, and
open-ended. The survey includes about
33 items and will take approximately 10
minutes to complete.
• Training Exit Survey Cover Page
State/Tribal Version (TES CP)—
Revision. State and Tribal grantees are
required to report aggregate training
participant information for all training
conducted as part of their suicide
prevention programs. These data are
aggregated from existing data sources,
some of which are attendance sheets,
management information systems, etc.
Grantees are responsible for aggregating
these data and submitting to the crosssite evaluation team using the TES CP.
• Training Utilization and
Preservation Survey (TUP–S)—New. The
Training Utilization and Preservation
Survey (TUP–S) is a quantitative,
computer-assisted telephone interview
that will be administered to a random
sample of trainees two months
following the training. The TUP–S will
assess trainee knowledge retention and
gatekeeper behavior, particularly
behavior related to identifying youth at
risk. The TUP–S will ask trainees to
provide demographic information about
individuals they have identified at risk,
information about the subsequent
referrals or supports provided by the
trainee, and any available information
about services accessed by the at-risk
individual. An average of 2,000
participants per year will be sampled.
The TUP–S includes 26 items and will
take approximately 10 minutes to
complete.
• Training Utilization and
Preservation Key Informant Interview
(TUP–1)—Revision. The TUP–I is a
qualitative follow-up interview that is
targeted towards locally developed and
understudied standardized training
curricula as well as towards particular
understudied gatekeeper trainee
populations. The TUP–I will be
administered to respondents two
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months following the training
experience to assess whether the suicide
prevention knowledge, skills or
techniques learned through training
were utilized and had an impact on
youth. On average, the TUP–I will be
administered to 100 respondents per
year. The interviews are semistructured
and open-ended. The TUP includes 22
items and will take approximately 40
minutes to complete.
• Referral Network Survey (RNS)—
Revision. The Referral Network Survey
(RNS) will be administered to
representatives of youth-serving
organizations or agencies that form
referral networks supporting youth
identified at risk. The RNS examines
how collaboration and integration are
used for sharing and transferring
knowledge, resources, and technology
among State/Tribal Program agencies
and organizational stakeholders, how
these networks influence referral
mechanisms and service availability,
policies and protocols regarding followup for youths who have attempted
suicide and who are at risk for suicide,
and access to electronic databases. Most
State/Tribal grantees will select a single
referral network for this survey, the
average size of the network is 11
agencies/organizations and there will be
2 respondents per agency. The RNS will
be administered to referral networks on
an annual basis over the period of the
grant. On average, 1,056 respondents
per year will complete the RNS.
Questions on the RNS are multiplechoice, Likert-scale, and open-ended.
The RNS includes 28 items and will
take approximately 30 minutes to
complete.
• Early Identification, Referral and
Follow up Aggregate Screening Form—
State/Tribal grantees are also required to
report aggregate screening information
for all youth screened as part of their
suicide prevention programs. These data
are aggregated from existing data
sources. Grantees are responsible for
aggregating these data and submitting to
the cross-site evaluation team using the
Early Identification, Referral and Follow
up Aggregate Screening Form.
• Early Identification, Referral and
Follow Up Analyses—State/Tribal
grantees are required to share existing
data with the cross-site evaluation team
on the number of youth identified at
risk as a result of early identification
activities, referred for services, and who
present for services.
Data Collection Activities for Campuses
For Campus grantees, the Prevention
Strategies Inventory-Campus Baseline
and Follow Up (PSI C), Suicide
Prevention Exposure, Awareness and
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Knowledge Survey—Student Version
(SPEAKS–S), Suicide Prevention
Exposure, Awareness and Knowledge
Survey—Faculty/StaffVersion
(SPEAKS–FS) and Campus
Infrastructure Interviews (CIFI) are
revised versions of instruments that
previously received OMB approval
(OMB No. 0930–0286 with Expiration
Date: May 2010) and are currently in
use, and the Training Exit Survey—
Campus (TES C) is proposed as a new
data collection instrument.
• Prevention Strategies InventoryCampus (PSI C)—Revision. The
Prevention Strategies Inventory will
collect information on the suicide
prevention strategies that grantees have
developed and utilized. Prevention
strategies include outreach and
awareness, gatekeeper training,
assessment and referral training for
mental health professionals and hotline
staff, lifeskills development activities,
screening programs, hotlines and
helplines, means restriction, policies
and protocols for intervention and
postvention, and coalitions and
partnerships. The Campus grantees will
first complete collecting baseline data.
Thereafter, they will collect follow-up
data on a quarterly basis over the
duration of their grant period. Baseline
data will be collected on information on
the types of prevention strategies
grantees have developed and utilized,
and the follow-up data collection asks
the grantees to update the information
they have provided on a quarterly basis
over the period of the grant. On average,
38 Campus grantees will fill out the PSI
C per year. One respondent from each
site will be responsible for completing
the survey. The survey will take
approximately 45 minutes. However,
the number of products, services and
activities implemented under each
strategy will determine the number of
items to complete. The survey primarily
has multiple choice questions with
several open-ended questions.
• Training Exit Survey Campus
Version (TES C)—New. The TES C will
be administered to all participants in
suicide prevention training activities
immediately following their training
experience in order to assess the content
of the training, the participants’
intended use of the skills and
knowledge learned, and satisfaction
with the training experience. The survey
will also contain modules with
questions tailored to specific types of
training. It is estimated that
approximately 23,712 trainees per year
will respond to the Training Exit
Survey. The questions on the TES C are
multiple-choice, Likert-scale, and openended. The survey includes about 33
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items and will take approximately 10
minutes to complete.
• Training Exit Survey Cover Page
Campus Version (TES CP)—Revision.
State and Tribal grantees are required to
report aggregate training participant
information for all training conducted as
part of their suicide prevention
programs. These data are aggregated
from existing data sources, some of
which are attendance sheets,
management information systems, etc.
Grantees are responsible for aggregating
these data and submitting to the crosssite evaluation team using the TES CP.
• Suicide Prevention Exposure,
Awareness and Knowledge Survey—
Student Version (SPEAKS–S)—Revision.
This survey will examine: The exposure
of campus populations to suicide
prevention initiatives; awareness of
appropriate crisis interventions,
supports, services, and resources for
mental health seeking; knowledge of
myths and facts related to suicide and
suicide prevention; perceived and
personal stigma related to depression
and mental health seeking; and
behaviors related to seeking help and
referring for mental health services. This
survey will be administered annually
over the grant period. It is estimated that
7,600 students per year will respond to
the SPEAKS S. The SPEAKS–S is Webbased and includes multiple-choice,
Likert-scale and true/false questions.
The SPEAKS–Student Version includes
85 items and will take approximately 25
minutes to complete.
• Suicide Prevention Exposure,
Awareness and Knowledge Survey—
(SPEAKS FS)—Revision. The SPEAKS–
FS assesses the exposure, awareness and
knowledge of suicide prevention
activities among faculty/staff on campus
as result of the suicide prevention
program. Questions include whether
faculty/staff have been exposed to
suicide prevention materials, their
agreement with myths and facts about
suicide, and the availability of resources
to provide assistance to those at risk for
suicide. This survey will be
administered annually over the grant
period. It is estimated that 1,900 faculty/
staff per year will respond to the
SPEAKS FS. The SPEAKS–FS is Webbased and includes multiple-choice,
Likert-scale and true/false questions.
The survey includes 54 items and will
take approximately 15 minutes to
complete.
• Campus Infrastructure Interviews
(CIFI)—Revision. CIFI is designed to
gather information around campus
infrastructure, program, policy, and
planning related to suicide prevention;
it involves key informant interviews
conducted by the cross-site evaluation
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team via teleconference for each campus
twice during the life of the grant. These
semistructured interviews are
conducted with up to five site
representatives to gather information
from multiple and varied perspectives
on campus-based infrastructure
development around suicide prevention
activities. These representatives
include; (1) Administrator, (2) Student
Leader, (3) Counseling Center Staff, (4)
Faculty/Staff-human services
department, and (5) Faculty/Staff-nonhuman service department. Questions
on the Campus Infrastructure Interview
include whether respondents are aware
of suicide prevention activities, what
the campus culture is related to suicide
prevention, and what specific efforts are
in place to prevent suicide among the
campus population. Questions will
include close-ended background
questions, with the remaining questions
being open-ended and semi-structured.
It is estimated that on average 64
respondents per year will respond to
CIFI. The Campus Infrastructure
Interviews include 29 items and will
take approximately 60 minutes to
complete.
Data Collection Activities for Campus
Case Studies
For Campus Case Studies, the
instruments described below are
currently used by 2 Campus grantees.
These instruments are proposed for 4
additional Campus grantees. The
Campus Case Studies will take place
over the period of the grant.
• Student Focus Group Moderator’s
Guide. This component will assess
student risk and protective factors
related to mental health, help-seeking
behaviors, and knowledge of prevention
activities on campus and their perceived
effectiveness. This will help researchers
more fully understand student-level
factors in relation to population-level
factors addressed by the SPEAKS–S.
Questions address stressors that
different groups of students face while
in college, barriers to seeking help,
attitudes and stigma related to seeking
help, and the accessibility of the
campus counseling center. Six focus
groups will be conducted on each
campus twice over the data collection
period. The following groups of
students will potentially be represented
in the focus groups, as decided by the
campus: (1) First-year students, (2)
athletes, (3) international students, (4)
Lesbian, Gay, Bisexual, and Transgender
(LGBT) students, (5) Greek life students,
(6) graduate students, and (7) residential
advisors/peer educators. Recruitment
will be conducted by campus project
staff. Focus groups will include a
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maximum of 9 students. It is estimated
that on average 432 students will
participate in focus groups. Groups will
last approximately 90 minutes.
• Faculty/Staff Focus Group
Moderator’s Guide. The faculty and staff
focus groups will assess the campus’
approach to prevention, attitudes and
stigma around student mental health
and wellness on campus, campus
infrastructure supports for students who
need mental health help, and the
general campus climate around mental
health and wellness. Faculty and staff
will also describe their knowledge of
prevention activities on campus and
their perceived effectiveness of these
efforts. Local campus staff will recruit
appropriate respondents for the faculty
and staff focus groups to include a
maximum of 9 respondents per group.
Two faculty focus groups and one staff
focus group will be conducted on each
campus twice over the period of data
collection. It is estimated that 216
faculty/staff will participate in focus
groups. The groups will last
approximately 90 minutes.
• Case Study Key Informant
Interviews (7 versions). The Case Study
Key Informant Interviews (CSIs) include
7 qualitative interview versions: (1)
Administrator, (2) Counseling Staff, (3)
Coalition Member—Faculty, (4)
Prevention Staff, (5) Case Finder, (6)
Campus Police, and (7) Student Leader.
Local project staff will be responsible
for identifying appropriate respondents
for each CSI version and scheduling the
interview to occur during site visits by
the case study team. Fourteen
individuals from each of the campus
sites will be selected as key informants
to participate in the CSIs in each of the
two stages of the GLS Campus Case
Studies. Questions on the CSIs include
whether respondents are aware of
suicide prevention activities, what the
campus culture is related to suicide
prevention, and what specific efforts are
in place to prevent suicide among the
campus population. Items are formatted
as open-ended and semi-structured
questions. The CSIs include 16 to 21
items and will take approximately 60
minutes to complete. On the second site
visit, the case study team will
incorporate preliminary findings from
the case studies in the interviews,
which may be modified to some extent
to collect more comprehensive
information and gather feedback from
local key informants surrounding the
context of the preliminary findings. It is
estimated that the CSI will be
administered to 112 respondents. The
CSIs for the second site visit will last 60
minutes.
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In addition to the above described
data collection activities, data from
existing sources (i.e., management
information systems (MIS),
administrative records, case files, etc.)
will continue to be analyzed across
grantee sites to support the impact stage
of the cross-site evaluation. For the
cross-site evaluation of the Campus
programs, existing program data related
to the number of students who are at
risk for suicide, the number who seek
services, and the type of services
received are analyzed to determine the
impact of Campus program activities on
the student and campus populations.
Because this information is obtained
through existing sources, data collection
instruments were not developed as part
of the cross-site evaluation and no
identifiable respondents exist; therefore
no respondent burden has been
estimated.
Internet-based technology will
continue to be used for collecting data
via Web-based surveys, and for data
entry and management. The average
annual respondent burden is estimated
below. The estimate reflects the average
annual number of respondents, the
average annual number of responses, the
time it will take for each response, and
the average annual burden. While the
different cohorts of grantees finish their
grants at different times, we have
assumed that new cohorts will replace
previous cohorts. Therefore, the number
of grantees in each year is assumed to
be constant.
TABLE—ESTIMATES OF ANNUALIZED HOUR BURDEN
Number of
respondents
Measure name
Prevention Strategies Inventory—State Tribal (PSI–ST) ................................
Training Exit Survey State/Tribal (TES–ST) ....................................................
Training Utilization and Penetration Survey (TUP–S) .....................................
Training Utilization and Penetration Interview (TUP–I) ...................................
Referral Network Survey (RNS) ......................................................................
Early Identification, Referral and Follow Up Analysis (EIRF) ..........................
Early Identification, Referral and Follow Up Aggregate Screening Form
(EIRF–S) ......................................................................................................
Training Exit Survey Cover Page State/Tribal (TES–CP–ST) ........................
Prevention Strategies Inventory—Campus (PSI–C) ........................................
Training Exit Survey Campus (TES–C) ...........................................................
Suicide Prevention Exposure, Awareness and Knowledge Survey—Student
Version (SPEAKS–S) ...................................................................................
Suicide Prevention Exposure, Awareness and Knowledge Survey—Faculty/
Staff (SPEAKS–FS) .....................................................................................
Campus Infrastructure Interview (CIFI) for Student ........................................
Campus Infrastructure Interview (CIFI) for Faculty .........................................
Campus Infrastructure Interview (CIFI) for Administrator ................................
Campus Infrastructure Interview (CIFI) for Counselor ....................................
Training Exit Survey Cover Page Campus (TES–CP–C) ...............................
MIS Data Abstraction .......................................................................................
Focus Group—Student Version .......................................................................
Focus Group—Faculty Version .......................................................................
Focus Group—Staff Version ............................................................................
Interview—Student Leader Version .................................................................
Interview—Case Finder Version ......................................................................
Interview—Faculty Version ..............................................................................
Interview—Campus Police Version .................................................................
Interview—Counseling Staff Version ...............................................................
Interview—Prevention Staff Version ................................................................
Interview—Administrator Version .....................................................................
Number of
responses/
respondent
Hours/
response
Response
burden
(in hours)
48
94,848
2,000
100
1,024
48
0.75
0.17
0.25
0.67
0.67
1
144
16,125
500
67
687
192
48
48
38
23,712
4
4
4
1
0.33
0.33
0.75
0.17
64
64
114
4,032
7,600
1
0.42
3,192
1,900
38
76
38
38
38
38
216
72
36
8
4
8
8
8
12
8
1
1
1
1
1
4
4
1
1
1
1
1
1
1
1
1
1
0.25
0.75
0.75
0.75
0.75
0.33
0.33
1.5
1.5
1.5
1
1
1
1
1
1
1
475
29
57
29
29
51
51
324
108
54
8
4
8
8
8
12
8
132,060
Total ..........................................................................................................
4
1
1
1
1
4
........................
........................
26,444
Responses/
respondent
Total
responses
ANNUALIZED SUMMARY TABLE
Number of
respondents
Respondents
Total
annualized
hour burden
STATE/TRIBAL CROSS–SITE EVALUATION INSTRUMENTS
Project Evaluators ............................................................................................
Providers ..........................................................................................................
192
97,972
16
4
768
97,972
464
17,379
12
2
4
1
1,368
7,638
2,052
23,712
216
3,221
590
4,032
3
228
336
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CAMPUS CROSS-SITE EVALUATION INSTRUMENTS
Project Evaluators ............................................................................................
Students ...........................................................................................................
Campus Staff ...................................................................................................
Providers ..........................................................................................................
114
7,638
2,052
23,712
CAMPUS CASE STUDY INSTRUMENTS
Students ...........................................................................................................
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Federal Register / Vol. 75, No. 105 / Wednesday, June 2, 2010 / Notices
ANNUALIZED SUMMARY TABLE—Continued
Number of
respondents
Respondents
Responses/
respondent
Total
responses
Total
annualized
hour burden
Campus Staff ...................................................................................................
152
7
152
206
Total ..........................................................................................................
132,060
49
133,890
26,444
Written comments and
recommendations concerning the
proposed information collection should
be sent by July 2, 2010 to: SAMHSA
Desk Officer, Human Resources and
Housing Branch, Office of Management
and Budget, New Executive Office
Building, Room 10235, Washington, DC
20503; due to potential delays in OMB’s
receipt and processing of mail sent
through the U.S. Postal Service,
respondents are encouraged to submit
comments by fax to: 202–395–6974.
Dated: May 25, 2010.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. 2010–13146 Filed 6–1–10; 8:45 am]
BILLING CODE 4162–20–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Substance Abuse and Mental Health
Services Administration
Agency Information Collection
Activities: 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 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: Screening, Brief
Intervention, Brief Treatment and
Referral to Treatment (SBIRT) CrossSite Evaluation—New
SAMHSA is conducting a cross-site
external evaluation of the impact of
programs of screening, brief
intervention (BI), brief treatment (BT)
and referral to treatment on patients
presenting at various health care
delivery units with a continuum of
severity of substance use. SAMHSA’s
SBIRT program is a cooperative
agreement grant program designed to
help States and Tribal Councils expand
the continuum of care available for
substance misuse and use disorders.
The program includes screening, brief
intervention, brief treatment and
referrals to treatment for persons at risk
for dependence on alcohol or drugs. The
cross-site evaluation will provide a
comprehensive assessment of the effects
of SBIRT on patient outcomes,
performance site practices, and
treatment systems. This information
will allow SAMHSA to determine the
extent to which SBIRT has met its
objectives of implementing a
comprehensive system of identification
and care to meet the needs of
individuals at all points along the
substance use continuum.
A paper and pencil survey will be
administered to practitioners in sites
where SBIRT services are being
delivered. The practitioner survey is
designed to evaluate the
implementation of proposed SBIRT
models by measuring their penetration
and practitioners’ willingness to adopt.
Furthermore, the survey will document
moderating factors related to
practitioner and health care delivery
unit characteristics.
The 93 question practitioner survey
includes collection of demographic
information as well as questions that
attempt to assess barriers to
implementation encountered by the
practitioners and to gauge the
effectiveness of the training they
received. These measures were
developed and used by Babor et al.
(2005) in their comparable study
comparing different implementation
strategies for primary care screening and
brief intervention programs for
hazardous and harmful drinkers. The
practitioner survey also includes an
instrument developed by Panzano and
Roth (2006) to measures an
organization’s willingness to adopt new
innovative practices.
TOTAL BURDEN HOURS FOR THE CROSS-SITE PATIENT SURVEY
Number of
respondents
Instrument/Activity
sroberts on DSKD5P82C1PROD with NOTICES
Practitioner Survey ...................................
VerDate Mar<15>2010
19:08 Jun 01, 2010
Jkt 220001
Responses
per
respondent
1,075
PO 00000
Frm 00068
Hours per
response
1
Fmt 4703
Sfmt 9990
Total burden
hours
.30
E:\FR\FM\02JNN1.SGM
322.5
02JNN1
Hourly wage
$32
Total
respondent
cost a
$10,320
]]>Agencies
[Federal Register Volume 75, Number 105 (Wednesday, June 2, 2010)]
[Notices]
[Pages 30833-30837]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-13146]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
Periodically, the Substance Abuse and Mental Health Services
Administration (SAMHSA) will publish a summary of information
collection requests under OMB review, in compliance with the Paperwork
Reduction Act (44 U.S.C. Chapter 35). To request a copy of these
documents, call the SAMHSA Reports Clearance Officer on (240) 276-1243.
Project: Cross-Site Evaluation of the Garrett Lee Smith Memorial
Suicide Prevention and Early Intervention Programs (OMB No. 0930-
0286)--Revision
The Substance Abuse and Mental Health Services Administration's
(SAMHSA) Center for Mental Health Services (CMHS) will continue to
conduct the cross-site evaluation of the Garrett Lee Smith Memorial
Youth Suicide Prevention and Early Intervention State/Tribal Programs
and the Garrett Lee Smith Memorial Youth Suicide Prevention Campus
Programs. The data collected through the cross-site evaluation
addresses four stages of program activity: (1) The context stage
includes a review of program plans, such as grantee's target
population, target region, service delivery mechanisms, service
delivery setting, types of program activities to be funded and
evaluation activities; (2) the product stage describes the prevention
strategies that are developed and utilized by grantees; (3) the process
stage assesses progress on key activities and milestones related to
implementation of program plans; and (4) the impact stage assesses the
impact of the program on early identification, referral for services
and service follow up of youth at risk.
Additionally, to obtain a comprehensive understanding of the
integration of community-based behavioral health services with services
provided by college or university campuses, SAMHSA will conduct case
studies of four exemplary Campus suicide prevention programs.
Currently, case studies of two campus grantees are underway. The goal
of the Campus Case Studies is to understand how a public health
approach is successfully applied as a model for campus suicide
prevention efforts, and will explore, in a systematic manner: The
suicide prevention related infrastructures and supports (e.g., clinical
and non-clinical) that exist on selected GLS-funded campuses; the
various student-level factors that are related to suicide prevention
efforts (e.g., protective factors, coping strategies, social norms, and
facilitators and barriers to student access and receipt of behavioral
healthcare); campus interdepartmental collaboration and the
relationship between various efforts to promote student mental health
and wellness; and the extent to which the campus infrastructures and
supports promote and address these factors.
To date, 86 State/Tribal grants and 93 Campus grants have
participated in the cross-site evaluation, since FY2007. Currently, 48
State/Tribal grants and 38 Campus grants are participating in the
cross-site evaluation. Data will continue to be collected from suicide
prevention program staff (e.g., project directors, evaluators), key
program stakeholders (e.g., state/local officials, child-serving agency
directors, gatekeepers, mental health providers, and campus
administrators), training participants, college students, and campus
faculty/staff through FY2012.
Since the State/Tribal grantees differ from the campus grantees in
programmatic approaches, specific data collection activities also vary
by type of program. The following describes the specific data
collection activities and data collection instruments to be used across
State/Tribal and Campus grantees for the cross-site evaluation and the
specific data collection instruments to be used by selected Campus
grantees for the Campus Case Studies. While most of the data collection
instruments described below are revised versions of instruments that
have previously received OMB approval (OMB No. 0930-0286 with
Expiration Date: May 2010) and are currently in use, the Training
Utilization and Preservation--Survey (TUP-S) for State/Tribal grantees
and the Training Exit Survey for Campus grantees (TES-C) are proposed
as new instruments. The addition of these two new data collection
activities, the inclusion of the Campus Case studies, and an overall
growth in number of grants for both the State/Tribal and Campus
programs has increased the burden associated with the cross-site
evaluation. A summary table of number of respondents and respondent
burden has also been included.
Data Collection Activities for State/Tribal Grantees
For State/Tribal grantees, the Prevention Strategies Inventory
State/Tribal (PSI ST), Training Exit Survey State/Tribal (TES ST),
Referral Network Survey (RNS) and Training Utilization and
Preservation--Interview (TUP-I) described below are revised versions of
instruments that previously received OMB approval (OMB No. 0930-0286
with Expiration Date: May 2010) and are currently in use. The Training
Utilization and Preservation--Survey (TUP-S) is proposed as a new data
collection instrument.
Prevention Strategies Inventory-State/Tribal (PSI ST)--
Revised. The Prevention Strategies Inventory will collect information
on the suicide prevention strategies that grantees have developed and
utilized. Prevention strategies include outreach and awareness,
gatekeeper training, assessment and referral training for mental health
professionals and hotline staff, lifeskills development programs,
screening programs, hotlines and helplines, means restriction, policies
and protocols for intervention and postvention, coalitions and
partnerships, and direct services and traditional healing practices.
Baseline data will be collected from the State/Tribal grantees at the
beginning of their grant cycle. Thereafter, they will complete the PSI
ST on a quarterly basis over the duration of their grant period.
Baseline data will be collected on information on the types of
prevention strategies grantees have developed and utilized, and the
follow-up data collection asks the grantees to update the information
they have provided on a quarterly basis over the period of the grant.
On average, 48 State/Tribal grantees will fill out the PSI ST per year.
One respondent from each site will be responsible for completing the
survey. The survey will take approximately 45 minutes; however, the
number of products, services and activities implemented under each
strategy will
[[Page 30834]]
determine the number of items each respondent will complete. The PSI ST
primarily has multiple-choice questions with several open-ended
questions.
Training Exit Survey State-Tribal Version (TES ST)--
Revised. The TES ST will be administered to all participants in suicide
prevention training activities immediately following their training
experience in order to assess the content of the training, the
participants' intended use of the skills and knowledge learned and
satisfaction with the training experience. The survey will also contain
modules with questions tailored to specific types of training. It is
estimated that approximately 94,848 trainees per year will respond to
the TES ST. The questions on the TES ST are multiple-choice, Likert-
scale, and open-ended. The survey includes about 33 items and will take
approximately 10 minutes to complete.
Training Exit Survey Cover Page State/Tribal Version (TES
CP)--Revision. State and Tribal grantees are required to report
aggregate training participant information for all training conducted
as part of their suicide prevention programs. These data are aggregated
from existing data sources, some of which are attendance sheets,
management information systems, etc. Grantees are responsible for
aggregating these data and submitting to the cross-site evaluation team
using the TES CP.
Training Utilization and Preservation Survey (TUP-S)--New.
The Training Utilization and Preservation Survey (TUP-S) is a
quantitative, computer-assisted telephone interview that will be
administered to a random sample of trainees two months following the
training. The TUP-S will assess trainee knowledge retention and
gatekeeper behavior, particularly behavior related to identifying youth
at risk. The TUP-S will ask trainees to provide demographic information
about individuals they have identified at risk, information about the
subsequent referrals or supports provided by the trainee, and any
available information about services accessed by the at-risk
individual. An average of 2,000 participants per year will be sampled.
The TUP-S includes 26 items and will take approximately 10 minutes to
complete.
Training Utilization and Preservation Key Informant
Interview (TUP-1)--Revision. The TUP-I is a qualitative follow-up
interview that is targeted towards locally developed and understudied
standardized training curricula as well as towards particular
understudied gatekeeper trainee populations. The TUP-I will be
administered to respondents two months following the training
experience to assess whether the suicide prevention knowledge, skills
or techniques learned through training were utilized and had an impact
on youth. On average, the TUP-I will be administered to 100 respondents
per year. The interviews are semistructured and open-ended. The TUP
includes 22 items and will take approximately 40 minutes to complete.
Referral Network Survey (RNS)--Revision. The Referral
Network Survey (RNS) will be administered to representatives of youth-
serving organizations or agencies that form referral networks
supporting youth identified at risk. The RNS examines how collaboration
and integration are used for sharing and transferring knowledge,
resources, and technology among State/Tribal Program agencies and
organizational stakeholders, how these networks influence referral
mechanisms and service availability, policies and protocols regarding
follow-up for youths who have attempted suicide and who are at risk for
suicide, and access to electronic databases. Most State/Tribal grantees
will select a single referral network for this survey, the average size
of the network is 11 agencies/organizations and there will be 2
respondents per agency. The RNS will be administered to referral
networks on an annual basis over the period of the grant. On average,
1,056 respondents per year will complete the RNS. Questions on the RNS
are multiple-choice, Likert-scale, and open-ended. The RNS includes 28
items and will take approximately 30 minutes to complete.
Early Identification, Referral and Follow up Aggregate
Screening Form--State/Tribal grantees are also required to report
aggregate screening information for all youth screened as part of their
suicide prevention programs. These data are aggregated from existing
data sources. Grantees are responsible for aggregating these data and
submitting to the cross-site evaluation team using the Early
Identification, Referral and Follow up Aggregate Screening Form.
Early Identification, Referral and Follow Up Analyses--
State/Tribal grantees are required to share existing data with the
cross-site evaluation team on the number of youth identified at risk as
a result of early identification activities, referred for services, and
who present for services.
Data Collection Activities for Campuses
For Campus grantees, the Prevention Strategies Inventory-Campus
Baseline and Follow Up (PSI C), Suicide Prevention Exposure, Awareness
and Knowledge Survey--Student Version (SPEAKS-S), Suicide Prevention
Exposure, Awareness and Knowledge Survey--Faculty/StaffVersion (SPEAKS-
FS) and Campus Infrastructure Interviews (CIFI) are revised versions of
instruments that previously received OMB approval (OMB No. 0930-0286
with Expiration Date: May 2010) and are currently in use, and the
Training Exit Survey--Campus (TES C) is proposed as a new data
collection instrument.
Prevention Strategies Inventory-Campus (PSI C)--Revision.
The Prevention Strategies Inventory will collect information on the
suicide prevention strategies that grantees have developed and
utilized. Prevention strategies include outreach and awareness,
gatekeeper training, assessment and referral training for mental health
professionals and hotline staff, lifeskills development activities,
screening programs, hotlines and helplines, means restriction, policies
and protocols for intervention and postvention, and coalitions and
partnerships. The Campus grantees will first complete collecting
baseline data. Thereafter, they will collect follow-up data on a
quarterly basis over the duration of their grant period. Baseline data
will be collected on information on the types of prevention strategies
grantees have developed and utilized, and the follow-up data collection
asks the grantees to update the information they have provided on a
quarterly basis over the period of the grant. On average, 38 Campus
grantees will fill out the PSI C per year. One respondent from each
site will be responsible for completing the survey. The survey will
take approximately 45 minutes. However, the number of products,
services and activities implemented under each strategy will determine
the number of items to complete. The survey primarily has multiple
choice questions with several open-ended questions.
Training Exit Survey Campus Version (TES C)--New. The TES
C will be administered to all participants in suicide prevention
training activities immediately following their training experience in
order to assess the content of the training, the participants' intended
use of the skills and knowledge learned, and satisfaction with the
training experience. The survey will also contain modules with
questions tailored to specific types of training. It is estimated that
approximately 23,712 trainees per year will respond to the Training
Exit Survey. The questions on the TES C are multiple-choice, Likert-
scale, and open-ended. The survey includes about 33
[[Page 30835]]
items and will take approximately 10 minutes to complete.
Training Exit Survey Cover Page Campus Version (TES CP)--
Revision. State and Tribal grantees are required to report aggregate
training participant information for all training conducted as part of
their suicide prevention programs. These data are aggregated from
existing data sources, some of which are attendance sheets, management
information systems, etc. Grantees are responsible for aggregating
these data and submitting to the cross-site evaluation team using the
TES CP.
Suicide Prevention Exposure, Awareness and Knowledge
Survey--Student Version (SPEAKS-S)--Revision. This survey will examine:
The exposure of campus populations to suicide prevention initiatives;
awareness of appropriate crisis interventions, supports, services, and
resources for mental health seeking; knowledge of myths and facts
related to suicide and suicide prevention; perceived and personal
stigma related to depression and mental health seeking; and behaviors
related to seeking help and referring for mental health services. This
survey will be administered annually over the grant period. It is
estimated that 7,600 students per year will respond to the SPEAKS S.
The SPEAKS-S is Web-based and includes multiple-choice, Likert-scale
and true/false questions. The SPEAKS-Student Version includes 85 items
and will take approximately 25 minutes to complete.
Suicide Prevention Exposure, Awareness and Knowledge
Survey--(SPEAKS FS)--Revision. The SPEAKS-FS assesses the exposure,
awareness and knowledge of suicide prevention activities among faculty/
staff on campus as result of the suicide prevention program. Questions
include whether faculty/staff have been exposed to suicide prevention
materials, their agreement with myths and facts about suicide, and the
availability of resources to provide assistance to those at risk for
suicide. This survey will be administered annually over the grant
period. It is estimated that 1,900 faculty/staff per year will respond
to the SPEAKS FS. The SPEAKS-FS is Web-based and includes multiple-
choice, Likert-scale and true/false questions. The survey includes 54
items and will take approximately 15 minutes to complete.
Campus Infrastructure Interviews (CIFI)--Revision. CIFI is
designed to gather information around campus infrastructure, program,
policy, and planning related to suicide prevention; it involves key
informant interviews conducted by the cross-site evaluation team via
teleconference for each campus twice during the life of the grant.
These semistructured interviews are conducted with up to five site
representatives to gather information from multiple and varied
perspectives on campus-based infrastructure development around suicide
prevention activities. These representatives include; (1)
Administrator, (2) Student Leader, (3) Counseling Center Staff, (4)
Faculty/Staff-human services department, and (5) Faculty/Staff-non-
human service department. Questions on the Campus Infrastructure
Interview include whether respondents are aware of suicide prevention
activities, what the campus culture is related to suicide prevention,
and what specific efforts are in place to prevent suicide among the
campus population. Questions will include close-ended background
questions, with the remaining questions being open-ended and semi-
structured. It is estimated that on average 64 respondents per year
will respond to CIFI. The Campus Infrastructure Interviews include 29
items and will take approximately 60 minutes to complete.
Data Collection Activities for Campus Case Studies
For Campus Case Studies, the instruments described below are
currently used by 2 Campus grantees. These instruments are proposed for
4 additional Campus grantees. The Campus Case Studies will take place
over the period of the grant.
Student Focus Group Moderator's Guide. This component will
assess student risk and protective factors related to mental health,
help-seeking behaviors, and knowledge of prevention activities on
campus and their perceived effectiveness. This will help researchers
more fully understand student-level factors in relation to population-
level factors addressed by the SPEAKS-S. Questions address stressors
that different groups of students face while in college, barriers to
seeking help, attitudes and stigma related to seeking help, and the
accessibility of the campus counseling center. Six focus groups will be
conducted on each campus twice over the data collection period. The
following groups of students will potentially be represented in the
focus groups, as decided by the campus: (1) First-year students, (2)
athletes, (3) international students, (4) Lesbian, Gay, Bisexual, and
Transgender (LGBT) students, (5) Greek life students, (6) graduate
students, and (7) residential advisors/peer educators. Recruitment will
be conducted by campus project staff. Focus groups will include a
maximum of 9 students. It is estimated that on average 432 students
will participate in focus groups. Groups will last approximately 90
minutes.
Faculty/Staff Focus Group Moderator's Guide. The faculty
and staff focus groups will assess the campus' approach to prevention,
attitudes and stigma around student mental health and wellness on
campus, campus infrastructure supports for students who need mental
health help, and the general campus climate around mental health and
wellness. Faculty and staff will also describe their knowledge of
prevention activities on campus and their perceived effectiveness of
these efforts. Local campus staff will recruit appropriate respondents
for the faculty and staff focus groups to include a maximum of 9
respondents per group. Two faculty focus groups and one staff focus
group will be conducted on each campus twice over the period of data
collection. It is estimated that 216 faculty/staff will participate in
focus groups. The groups will last approximately 90 minutes.
Case Study Key Informant Interviews (7 versions). The Case
Study Key Informant Interviews (CSIs) include 7 qualitative interview
versions: (1) Administrator, (2) Counseling Staff, (3) Coalition
Member--Faculty, (4) Prevention Staff, (5) Case Finder, (6) Campus
Police, and (7) Student Leader. Local project staff will be responsible
for identifying appropriate respondents for each CSI version and
scheduling the interview to occur during site visits by the case study
team. Fourteen individuals from each of the campus sites will be
selected as key informants to participate in the CSIs in each of the
two stages of the GLS Campus Case Studies. Questions on the CSIs
include whether respondents are aware of suicide prevention activities,
what the campus culture is related to suicide prevention, and what
specific efforts are in place to prevent suicide among the campus
population. Items are formatted as open-ended and semi-structured
questions. The CSIs include 16 to 21 items and will take approximately
60 minutes to complete. On the second site visit, the case study team
will incorporate preliminary findings from the case studies in the
interviews, which may be modified to some extent to collect more
comprehensive information and gather feedback from local key informants
surrounding the context of the preliminary findings. It is estimated
that the CSI will be administered to 112 respondents. The CSIs for the
second site visit will last 60 minutes.
[[Page 30836]]
In addition to the above described data collection activities, data
from existing sources (i.e., management information systems (MIS),
administrative records, case files, etc.) will continue to be analyzed
across grantee sites to support the impact stage of the cross-site
evaluation. For the cross-site evaluation of the Campus programs,
existing program data related to the number of students who are at risk
for suicide, the number who seek services, and the type of services
received are analyzed to determine the impact of Campus program
activities on the student and campus populations. Because this
information is obtained through existing sources, data collection
instruments were not developed as part of the cross-site evaluation and
no identifiable respondents exist; therefore no respondent burden has
been estimated.
Internet-based technology will continue to be used for collecting
data via Web-based surveys, and for data entry and management. The
average annual respondent burden is estimated below. The estimate
reflects the average annual number of respondents, the average annual
number of responses, the time it will take for each response, and the
average annual burden. While the different cohorts of grantees finish
their grants at different times, we have assumed that new cohorts will
replace previous cohorts. Therefore, the number of grantees in each
year is assumed to be constant.
Table--Estimates of Annualized Hour Burden
----------------------------------------------------------------------------------------------------------------
Number of Response
Measure name Number of responses/ Hours/ burden (in
respondents respondent response hours)
----------------------------------------------------------------------------------------------------------------
Prevention Strategies Inventory--State Tribal 48 4 0.75 144
(PSI-ST).......................................
Training Exit Survey State/Tribal (TES-ST)...... 94,848 1 0.17 16,125
Training Utilization and Penetration Survey (TUP- 2,000 1 0.25 500
S).............................................
Training Utilization and Penetration Interview 100 1 0.67 67
(TUP-I)........................................
Referral Network Survey (RNS)................... 1,024 1 0.67 687
Early Identification, Referral and Follow Up 48 4 1 192
Analysis (EIRF)................................
Early Identification, Referral and Follow Up 48 4 0.33 64
Aggregate Screening Form (EIRF-S)..............
Training Exit Survey Cover Page State/Tribal 48 4 0.33 64
(TES-CP-ST)....................................
Prevention Strategies Inventory--Campus (PSI-C). 38 4 0.75 114
Training Exit Survey Campus (TES-C)............. 23,712 1 0.17 4,032
Suicide Prevention Exposure, Awareness and 7,600 1 0.42 3,192
Knowledge Survey--Student Version (SPEAKS-S)...
Suicide Prevention Exposure, Awareness and 1,900 1 0.25 475
Knowledge Survey--Faculty/Staff (SPEAKS-FS)....
Campus Infrastructure Interview (CIFI) for 38 1 0.75 29
Student........................................
Campus Infrastructure Interview (CIFI) for 76 1 0.75 57
Faculty........................................
Campus Infrastructure Interview (CIFI) for 38 1 0.75 29
Administrator..................................
Campus Infrastructure Interview (CIFI) for 38 1 0.75 29
Counselor......................................
Training Exit Survey Cover Page Campus (TES-CP- 38 4 0.33 51
C).............................................
MIS Data Abstraction............................ 38 4 0.33 51
Focus Group--Student Version.................... 216 1 1.5 324
Focus Group--Faculty Version.................... 72 1 1.5 108
Focus Group--Staff Version...................... 36 1 1.5 54
Interview--Student Leader Version............... 8 1 1 8
Interview--Case Finder Version.................. 4 1 1 4
Interview--Faculty Version...................... 8 1 1 8
Interview--Campus Police Version................ 8 1 1 8
Interview--Counseling Staff Version............. 8 1 1 8
Interview--Prevention Staff Version............. 12 1 1 12
Interview--Administrator Version................ 8 1 1 8
---------------------------------------------------------------
Total....................................... 132,060 .............. .............. 26,444
----------------------------------------------------------------------------------------------------------------
Annualized Summary Table
----------------------------------------------------------------------------------------------------------------
Total
Respondents Number of Responses/ Total annualized
respondents respondent responses hour burden
----------------------------------------------------------------------------------------------------------------
STATE/TRIBAL CROSS-SITE EVALUATION INSTRUMENTS
----------------------------------------------------------------------------------------------------------------
Project Evaluators.............................. 192 16 768 464
Providers....................................... 97,972 4 97,972 17,379
----------------------------------------------------------------------------------------------------------------
CAMPUS CROSS-SITE EVALUATION INSTRUMENTS
----------------------------------------------------------------------------------------------------------------
Project Evaluators.............................. 114 12 1,368 216
Students........................................ 7,638 2 7,638 3,221
Campus Staff.................................... 2,052 4 2,052 590
Providers....................................... 23,712 1 23,712 4,032
----------------------------------------------------------------------------------------------------------------
CAMPUS CASE STUDY INSTRUMENTS
----------------------------------------------------------------------------------------------------------------
Students........................................ 228 3 228 336
[[Page 30837]]
Campus Staff.................................... 152 7 152 206
---------------------------------------------------------------
Total....................................... 132,060 49 133,890 26,444
----------------------------------------------------------------------------------------------------------------
Written comments and recommendations concerning the proposed
information collection should be sent by July 2, 2010 to: SAMHSA Desk
Officer, Human Resources and Housing Branch, Office of Management and
Budget, New Executive Office Building, Room 10235, Washington, DC
20503; due to potential delays in OMB's receipt and processing of mail
sent through the U.S. Postal Service, respondents are encouraged to
submit comments by fax to: 202-395-6974.
Dated: May 25, 2010.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. 2010-13146 Filed 6-1-10; 8:45 am]
BILLING CODE 4162-20-P
