Agency Information Collection Activities: Proposed Collection; Comment Request, 37445-37448 [2010-15722]
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37445
Federal Register / Vol. 75, No. 124 / Tuesday, June 29, 2010 / Notices
assay based on 5-bromo-2’-deoxyuridine
(BrdU) incorporation. Toxicology
Letters 119(3): 203–208.
Dated: June 16, 2010.
John R. Bucher,
Associate Director, National Toxicology
Program.
[FR Doc. 2010–15777 Filed 6–28–10; 8:45 am]
BILLING CODE 4140–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day–10–09CJ]
Agency Forms Undergoing Paperwork
Reduction Act Review
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
e-mail to omb@cdc.gov. Send written
comments to CDC Desk Officer, Office of
Management and Budget, Washington,
DC, or by fax to (202) 395–5806. Written
comments should be received within 30
days of this notice.
interviews with 20 non-Hispanic black,
heterosexual men, ages 18–25, who
were recently arrested or who were
recently released from jail/prison and
meet screening criteria. The interviews
will identify their attitudes towards HIV
testing, socio-cultural norms, and
perceived behavioral control factors that
influence HIV testing. The interviews
will also elicit their opinions of how to
promote HIV testing among their peers.
Each interview will last approximately
1.5 hours. During Phase 2, the results
from Phase I will be used to identify
variables for a survey that will examine
attitudes towards HIV testing, sociocultural norms, and perceived
behavioral control factors to HIV testing
intentions and behaviors. The survey
will include 250 non-Hispanic black
heterosexual men, ages 18–25, who
meet screening criteria. Each survey will
last approximately 30 minutes.
During Phase 3, using Phase 1 and 2
results, educational materials promoting
HIV testing among 24 non-Hispanic
black heterosexual men will be
developed and pilot tested in focus
groups of young black men who meet
screening criteria to evaluate the
acceptability of the materials.
This study will provide important
epidemiologic information useful for the
development of HIV prevention
interventions for young black men.
There is no cost to respondents except
for their time. The estimated annualized
burden hours are 265.
Proposed Project
Promoting HIV Testing among Low
Income Heterosexual Young Adult
Black Men—New—National Center for
HIV/AIDS, Viral Hepatitis, STD, and TB
Prevention (NCHHSTP), Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
The lifetime risk of acquiring HIV
infection for black men is 1 in 16.
Heterosexual transmission is the second
highest category for HIV infection
among black men, yet we know little
about how to successfully access
heterosexual black men with HIV
prevention and testing messages. CDC is
requesting OMB approval for 2 years to
collect data for this 3-phase study. The
data collection will take place in
Queens and Brooklyn, New York.
The purpose of the proposed study is
to elicit attitudes about HIV testing
among a community-based sample of
non-Hispanic black, heterosexual men,
ages 18–25, who were recently arrested
or who were recently released from
jail/prison. The study will develop
culturally-tailored and gender-specific
educational materials that promote HIV
testing among this population. The data
collection process will take
approximately 2 years.
There will be a screening for each
phase, 30 respondents for the one-onone, 300 respondents for the survey, and
40 for the focus group. In Phase 1, local
investigators will conduct qualitative
ESTIMATE OF ANNUALIZED BURDEN HOURS
Type of respondents
General
General
General
General
General
General
public
public
public
public
public
public
.................................................
.................................................
.................................................
.................................................
.................................................
.................................................
Dated: June 17, 2010.
Maryam I. Daneshvar,
Reports Clearance Officer, Centers for Disease
Control and Prevention.
[FR Doc. 2010–15782 Filed 6–28–10; 8:45 am]
emcdonald on DSK2BSOYB1PROD with NOTICES4
BILLING CODE 4163–18–P
Number of
respondents
Form name
Screener for one-on-one interviews ...............
One-on-one interviews ...................................
Screener for surveys ......................................
Surveys ..........................................................
Screener for focus groups .............................
Focus groups .................................................
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
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30
20
300
250
40
24
Number of
responses per
respondents
1
1
1
1
1
1
Average
burden per
responses
(hours)
10/60
1.5
10/60
30/60
10/60
2
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
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Federal Register / Vol. 75, No. 124 / Tuesday, June 29, 2010 / Notices
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.
emcdonald on DSK2BSOYB1PROD with NOTICES4
Proposed Project: Evaluation of
Pregnant and Postpartum Women
(PPW) Program
The Substance Abuse and Mental
Health Services Administration
(SAMHSA), Center for Substance Abuse
Treatment (CSAT), is funding 11 fiscal
year (FY) 2009 Services Grants for the
Residential Treatment for Pregnant and
Postpartum Women (PPW) Program.
The purpose of the PPW Program is to
provide cost-effective, comprehensive,
residential treatment services for
pregnant and postpartum women who
suffer from alcohol and other drug use
problems, and for their infants and
children impacted by the perinatal and
environmental effects of maternal
substance use and abuse.
Section 508 [290bb–1] of the Public
Health Service Act mandates the
evaluation and dissemination of
findings of residential treatment
programs for pregnant and postpartum
women. This cross-site accountability
assessment will assess project activities
implemented for these services.
CSAT is requesting approval for a
total of 8,404 burden hours for this new
data collection. CSAT is requesting
approval for a total of 23 instruments.
Of these 23 instruments, 18 instruments
are client-level tools and 5 instruments
are process-level tools. To examine the
effectiveness and impact of the PPW
program, the current design includes
both client-level outcomes and process
evaluation components. The purpose of
the outcome evaluation component is to
examine the extent to which grantees
accomplish the five core goals specified
by the PPW program request for
applications (RFA). These goals include:
• Decrease the use and/or abuse of
prescription drugs, alcohol, tobacco,
illicit and other harmful drugs (e.g.,
inhalants) among pregnant and
postpartum women;
• Increase safe and healthy
pregnancies; improve birth outcomes;
and reduce related effects of maternal
drug abuse on infants and children;
• Improve the mental and physical
health of the women and children;
• Improve family functioning,
economic stability, and quality of life;
and
• Decrease involvement in and
exposure to crime, violence, sexual and
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physical abuse, and child abuse and
neglect.
In order to help interpret client-level
outcomes, the process evaluation will
explore what grantees are actually
doing, how well they are doing it, any
challenges encountered, and strategies
grantees used to address them.
Data collection instruments will be
used to collect outcome and process
data for this cross-site accountability
evaluation, program and treatment
planning, and local evaluations. For
clients, data will be collected from
women at four time points (intake, 6months post-intake, discharge, and 6months post-discharge), consistent with
the GPRA data collection schedule. The
schedule for collecting child data is
similar to the mothers, with the addition
of a 3-month post-intake time point. The
following interview instruments will be
used for women, fathers/mother’s
partner, and children:
Women Focused Tools
• BASIS–24® (psychological
symptomology).
• Child Abuse Potential Inventory
(overall risk for child physical abuse).
• Ferrans and Powers Quality of Life
Index (quality of life measure).
• Family Support Scale (helpfulness
of sources of support to parents raising
a young child).
• Women’s Discharge Tool (services
received, length of stay, treatment goals
achieved).
• Staff Completed Women’s Items
(pregnancy status, problems and
outcomes).
• Items Administered to Women
(children residing with mother in
treatment, tobacco use, physical abuse
and sexual abuse in the past year).
Father and Partner Focused Tools
• Ferrans and Powers Quality of Life
Index (quality of life measure).
Child Focused Tools
• Brief Infant Toddler Social and
Emotional Assessment (children 12–35
months; social and emotional
assessment).
• Child Data Collection Tool (all
children; descriptive biopsychosocial
measure).
• Children’s Discharge Tool (all
children; services received, length of
stay, treatment goals achieved, whether
child lived in the facility).
• CRAFFT (children 11–17;
adolescent substance use screen).
• Newborn’s Medical Record Audit
(childen birth-3 months; birth
outcomes).
• Parenting Relationship
Questionnaire (children 2–17 years;
parent’s relationship with child).
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• Parenting Stress Index (children 1
month—12 years; parenting stress).
• Social Skills Improvement System
(children 3–17 years; social skills).
• Trauma Symptom Checklist for
Young Children (3–12 years; trauma
symptoms).
• Staff Completed Child Items
(children 0–17; prematurity, child’s
recent primary residence, whether child
will reside in treatment with mother).
• Staff Completed Newborn Items
(children 0–3 months; prematurity,
length of stay in hospital, neonatal
intensive care unit (NICU), and
treatment for neononatal abstinence
syndrome).
Note that all child focused tools are
records reviews or administered as
maternal interviews with the exception
of CRAFFT, which is administered to
the children directly.
Process Evaluation Tools
• Biannual Project Director
Telephone Interview (interview with
grantee project directors to clarify
information reported in their biannual
progress reports);
• Site Visit Protocol—Client Focus
Group (focus groups with clients to
gather information about their
experience in the program);
• Site Visit Protocol—Clinical
Director(s)/Supervisor(s) (interviews
with both the director of clinical
services for women and the director of
clinical services for children to gather
more specific information about clinical
services);
• Site Visit Protocol—Counselor(s)
(interviews with counselors to gather
information related to daily treatment
operations and their experience in
providing services); and
• Site Visit Protocol—Program
Director (interview with grantee
program directors gather information
about overall PPW programmatic
issues).
All data will be collected using a
combination of observation, records
review, questionnaires, and personal
interviews. CSAT will use this data for
accountability reporting, and program
monitoring to inform public policy,
research, and programming as they
relate to the provision of women’s
services. Data produced by this study
will provide direction to the type of
technical assistance that will be
required by service providers of
women’s programming. In addition, the
data will be used by individual grantees
to support progress report efforts.
The total annualized burden to
respondents for all components of the
PPW program is estimated to be 8,404
hours. Table A–1 presents a detailed
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breakdown of the annual burden for all
data collection instruments for all
respondents (i.e., mother, child, project
staff, partner/father (family members),
medical staff, project director, clinical
director, counselor, program director).
The number of respondents for all childfocused tools is weighted, based on the
percentage of children within the
appropriate age bracket in the prior
PPW evaluation. With the exception of
the CRAFFT, all child-focused tools are
completed for the child by the mother
or project staff. The burden estimates,
also summarized in Table A–2, are
based on the reported experience of the
2006 cohort, proprietary instrument
developer estimates and experience,
pre-testing of the additional items
completed by staff and administered to
women, and pre-testing of process
evaluation measures. There are no direct
costs to respondents other than their
time to participate.
TABLE A–1—DETAILED ANNUAL BURDEN FOR ALL INTERVIEWS AND SURVEYS
Interviews and surveys
Respondent
Number of
respondents 1
Responses
per
respondent
Total
responses
Burden per
resp. (hrs.)
Total
burden
(hrs.)
Child Focused Interviews
CRAFFT (11–17 yrs) 2 ..............................................
Brief Infant Toddler Social and Emotional Assessment (12–35 mos) 3.
Child Data Collection Tool (0–17 yrs) 4 ....................
Parenting Relationship Questionnaire (2–17 yrs) 5 ..
Parenting Stress Index (1 month–12 yrs) 6 ..............
Social Skills Improvement System (3–17 yrs) 7 ........
Trauma Symptom Checklist for Young Children (3–
12 yrs) 8.
Child .................
Mother ..............
70
141
5
5
350
705
0.08
0.17
28
120
Mother
Mother
Mother
Mother
Mother
440
387
418
326
290
2
5
10
5
5
880
1,935
4,180
1,630
1,450
0.75
0.25
0.5
0.42
0.33
660
484
2,090
685
479
4
4
4
4
4
1,760
1,760
1,760
1,760
1,760
0.25
0.33
0.17
0.17
0.17
440
581
299
299
299
2
220
0.17
37
..............
..............
..............
..............
..............
Women Focused Interviews
BASIS–24® ...............................................................
Child Abuse Potential Inventory ...............................
Family Support Scale ................................................
Ferrans and Powers Quality of Life Index (Women)
Items Administered to Women .................................
Mother
Mother
Mother
Mother
Mother
..............
..............
..............
..............
..............
440
440
440
440
440
Fathers and Partners Interview
Ferrans and Powers Quality of Life Index (Partners)
Partner/Father ..
110
Staff Completed Items/Record Reviews at 11 Facilities
Children’s Discharge Tool (0–17 yrs) 9 .....................
Women’s Discharge Tool ..........................................
Newborn’s Medical Record Audit (0–3 mos) 10 ........
Staff Completed Newborn Items ...............................
Staff Completed Child Items (0–17 yrs) 11 ...............
Staff Completed Women’s Items 12 ..........................
Project Staff ......
Project Staff ......
Medical Staff .....
Medical Staff .....
Project Staff ......
Project Staff ......
11
11
11
11
11
11
80
40
25
25
400
160
880
440
275
275
4,400
1,760
0.58
0.58
0.08
0.25
0.08
0.17
510
255
22
69
352
299
Project Director
Mother ..............
Clinical Director/
Supervisor.
Counselor .........
Program Director.
11
176
22
2
1
1
22
176
22
1
1.5
2
22
264
44
33
11
1
1
33
11
1
3
33
33
...........................
4,701
....................
28,444
....................
8,404
Process Evaluation
Biannual Project Director Telephone Interview ........
Site Visit Protocol—Client Focus Group 13 ...............
Site Visit Protocol—Clinical Director/Supervisor ......
Site Visit Protocol—Counselor(s) .............................
Site Visit Protocol—Program Director ......................
Total ...................................................................
emcdonald on DSK2BSOYB1PROD with NOTICES4
1 Data
will be collected from women at four time points (intake, 6-months post-intake, discharge, and 6-months post-discharge), consistent with
the GPRA data collection schedule. Figures in this table are based on 40 mothers per site with 2 children and 0.25 father/partner per mother.
The schedule for collecting child data is similar to the mother’s with the addition of a 3-months post-intake time point with selected tools for a
total of five time points. All child focused tools are completed by the mother of project staff, with the exception of CRAFFT. For fathers and partners, data will be collected at two points (intake and discharge).
2 Based on 8% of 880 minor children ages 11 to 17 at intake, 3 months, 6 months, discharge, and 6-months post-discharge.
3 Based on 16% of 880 minor children ages 12–35 months at intake, 3 months, 6 months, discharge, and 6-months post-discharge.
4 Based on 440 mothers having 2 minor children at intake and/or delivery.
5 Based on 44% of 880 minor children ages 2 to 17 at intake, 3 months, 6 months, discharge, and 6-months post-discharge.
6 Based on 95% of 880 minor children ages 1 month to 12 years (n=836). For simplicity, this calculation assumes that 95% of mothers have
two children in this age group and complete the tool for each child at intake, 3 months, 6 months, discharge, and 6-months post-discharge.
7 Based on 37% of 880 minor children ages 3 to 17 at intake, 3 months, 6 months, discharge, and 6-months post-discharge.
8 Based on 33% of 880 minor children ages 3 to 12 at intake, 3 months, 6 months, discharge, and 6-months post-discharge.
9 Based on 1 staff member at each of the 11 programs completing the tool for 80 children at discharge.
10 Based on 31% of 880 minor children ages 0–3 months at intake or delivery.
11 Based on 80 minor children per site ages 0 to 17 at intake, 3 months, 6 months, discharge, and 6-months post-discharge.
12 Based on 1 staff member at each of the 11 programs completing items for 40 women at intake, 6 months, discharge, and 6-months post-discharge.
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13 Based
Federal Register / Vol. 75, No. 124 / Tuesday, June 29, 2010 / Notices
on 2 focus groups with 8 mothers at each site.
TABLE A–2—SUMMARY TOTAL ANNUAL RESPONDENT BURDEN
Number of
respondents
Respondent
Responses
per
respondent
Total
responses
Hours per
response
Total hour
burden
Mothers ................................................................................
Family Members ..................................................................
Children (11–17 yrs) ............................................................
Medical Staff ........................................................................
Project Staff .........................................................................
Project Director ....................................................................
Clinical Director/Supervisor ..................................................
Counselor .............................................................................
Program Director ..................................................................
440
110
70
11
11
11
22
33
11
........................
........................
........................
........................
........................
........................
........................
........................
........................
19,756
220
350
550
7,480
22
22
33
11
........................
........................
........................
........................
........................
........................
........................
........................
........................
6,700
37
28
91
1,416
22
44
33
33
Total ..............................................................................
719
........................
28,444
........................
8,404
Note: Total number of respondents
represents the number of each type of
respondent that will be completing at least
one tool across eleven sites over one year of
data collection. The number of respondents
(719) reported on this table differs from Table
A–1 total number of respondents (4,701)
which reflects completion of all tools across
eleven sites over one year of data collection.
Send comments to Summer King,
SAMHSA Reports Clearance Officer,
Room 7–1044, 1 Choke Cherry Road,
Rockville, MD 20850. Written comments
should be received within 60 days of
this notice.
Dated: June 22, 2010.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. 2010–15722 Filed 6–28–10; 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: Submission for OMB
Review; Comment Request
Periodically, the Substance Abuse and
Mental Health Services Administration
(SAMHSA) will publish a summary of
information collection requests under
OMB review, in compliance with the
Paperwork Reduction Act (44 U.S.C.
Chapter 35). To request a copy of these
documents, call the SAMHSA Reports
Clearance Officer on (240) 276–1243.
Proposed Project: SAMHSA
Application for Peer Grant Reviewers
(OMB No. 0930–0255)—Extension
Section 501(h) of the Public Health
Service (PHS) Act (42 U.S.C. 290aa)
directs the Administrator of the
Substance Abuse and Mental Health
Services Administration (SAMHSA) to
establish such peer review groups as are
needed to carry out the requirements of
Title V of the PHS Act. SAMHSA
administers a large discretionary grants
program under authorization of Title V,
and, for many years, SAMHSA has
funded grants to provide prevention and
treatment services related to substance
abuse and mental health.
In support of its grant peer review
efforts, SAMHSA desires to continue to
expand the number and types of
reviewers it uses on these grant review
committees. To accomplish that end,
SAMHSA has determined that it is
important to proactively seek the
inclusion of new and qualified
representatives on its peer review
groups. Accordingly SAMHSA has
developed an application form for use
by individuals who wish to apply to
serve as peer reviewers.
The application form has been
developed to capture the essential
information about the individual
applicants. Although consideration was
given to requesting a resume from
interested individuals, it is essential to
have specific information from all
applicants about their qualifications.
The most consistent method to
accomplish this is through completion
of a standard form by all interested
persons which captures information
about knowledge, education, and
experience in a consistent manner from
all interested applicants. SAMHSA will
use the information provided on the
applications to identify appropriate peer
grant reviewers. Depending on their
experience and qualifications,
applicants may be invited to serve as
either grant reviewers or review group
chairpersons.
The following table shows the annual
response burden estimate.
Responses/respondent
Burden/responses (hours)
Total burden hours
500
emcdonald on DSK2BSOYB1PROD with NOTICES4
Number of respondents
1
1.5
750
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]]>Agencies
[Federal Register Volume 75, Number 124 (Tuesday, June 29, 2010)]
[Notices]
[Pages 37445-37448]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-15722]
-----------------------------------------------------------------------
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
[[Page 37446]]
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: Evaluation of Pregnant and Postpartum Women (PPW)
Program
The Substance Abuse and Mental Health Services Administration
(SAMHSA), Center for Substance Abuse Treatment (CSAT), is funding 11
fiscal year (FY) 2009 Services Grants for the Residential Treatment for
Pregnant and Postpartum Women (PPW) Program. The purpose of the PPW
Program is to provide cost-effective, comprehensive, residential
treatment services for pregnant and postpartum women who suffer from
alcohol and other drug use problems, and for their infants and children
impacted by the perinatal and environmental effects of maternal
substance use and abuse.
Section 508 [290bb-1] of the Public Health Service Act mandates the
evaluation and dissemination of findings of residential treatment
programs for pregnant and postpartum women. This cross-site
accountability assessment will assess project activities implemented
for these services.
CSAT is requesting approval for a total of 8,404 burden hours for
this new data collection. CSAT is requesting approval for a total of 23
instruments. Of these 23 instruments, 18 instruments are client-level
tools and 5 instruments are process-level tools. To examine the
effectiveness and impact of the PPW program, the current design
includes both client-level outcomes and process evaluation components.
The purpose of the outcome evaluation component is to examine the
extent to which grantees accomplish the five core goals specified by
the PPW program request for applications (RFA). These goals include:
Decrease the use and/or abuse of prescription drugs,
alcohol, tobacco, illicit and other harmful drugs (e.g., inhalants)
among pregnant and postpartum women;
Increase safe and healthy pregnancies; improve birth
outcomes; and reduce related effects of maternal drug abuse on infants
and children;
Improve the mental and physical health of the women and
children;
Improve family functioning, economic stability, and
quality of life; and
Decrease involvement in and exposure to crime, violence,
sexual and physical abuse, and child abuse and neglect.
In order to help interpret client-level outcomes, the process
evaluation will explore what grantees are actually doing, how well they
are doing it, any challenges encountered, and strategies grantees used
to address them.
Data collection instruments will be used to collect outcome and
process data for this cross-site accountability evaluation, program and
treatment planning, and local evaluations. For clients, data will be
collected from women at four time points (intake, 6-months post-intake,
discharge, and 6-months post-discharge), consistent with the GPRA data
collection schedule. The schedule for collecting child data is similar
to the mothers, with the addition of a 3-month post-intake time point.
The following interview instruments will be used for women, fathers/
mother's partner, and children:
Women Focused Tools
BASIS-24[supreg] (psychological symptomology).
Child Abuse Potential Inventory (overall risk for child
physical abuse).
Ferrans and Powers Quality of Life Index (quality of life
measure).
Family Support Scale (helpfulness of sources of support to
parents raising a young child).
Women's Discharge Tool (services received, length of stay,
treatment goals achieved).
Staff Completed Women's Items (pregnancy status, problems
and outcomes).
Items Administered to Women (children residing with mother
in treatment, tobacco use, physical abuse and sexual abuse in the past
year).
Father and Partner Focused Tools
Ferrans and Powers Quality of Life Index (quality of life
measure).
Child Focused Tools
Brief Infant Toddler Social and Emotional Assessment
(children 12-35 months; social and emotional assessment).
Child Data Collection Tool (all children; descriptive
biopsychosocial measure).
Children's Discharge Tool (all children; services
received, length of stay, treatment goals achieved, whether child lived
in the facility).
CRAFFT (children 11-17; adolescent substance use screen).
Newborn's Medical Record Audit (childen birth-3 months;
birth outcomes).
Parenting Relationship Questionnaire (children 2-17 years;
parent's relationship with child).
Parenting Stress Index (children 1 month--12 years;
parenting stress).
Social Skills Improvement System (children 3-17 years;
social skills).
Trauma Symptom Checklist for Young Children (3-12 years;
trauma symptoms).
Staff Completed Child Items (children 0-17; prematurity,
child's recent primary residence, whether child will reside in
treatment with mother).
Staff Completed Newborn Items (children 0-3 months;
prematurity, length of stay in hospital, neonatal intensive care unit
(NICU), and treatment for neononatal abstinence syndrome).
Note that all child focused tools are records reviews or
administered as maternal interviews with the exception of CRAFFT, which
is administered to the children directly.
Process Evaluation Tools
Biannual Project Director Telephone Interview (interview
with grantee project directors to clarify information reported in their
biannual progress reports);
Site Visit Protocol--Client Focus Group (focus groups with
clients to gather information about their experience in the program);
Site Visit Protocol--Clinical Director(s)/Supervisor(s)
(interviews with both the director of clinical services for women and
the director of clinical services for children to gather more specific
information about clinical services);
Site Visit Protocol--Counselor(s) (interviews with
counselors to gather information related to daily treatment operations
and their experience in providing services); and
Site Visit Protocol--Program Director (interview with
grantee program directors gather information about overall PPW
programmatic issues).
All data will be collected using a combination of observation,
records review, questionnaires, and personal interviews. CSAT will use
this data for accountability reporting, and program monitoring to
inform public policy, research, and programming as they relate to the
provision of women's services. Data produced by this study will provide
direction to the type of technical assistance that will be required by
service providers of women's programming. In addition, the data will be
used by individual grantees to support progress report efforts.
The total annualized burden to respondents for all components of
the PPW program is estimated to be 8,404 hours. Table A-1 presents a
detailed
[[Page 37447]]
breakdown of the annual burden for all data collection instruments for
all respondents (i.e., mother, child, project staff, partner/father
(family members), medical staff, project director, clinical director,
counselor, program director). The number of respondents for all child-
focused tools is weighted, based on the percentage of children within
the appropriate age bracket in the prior PPW evaluation. With the
exception of the CRAFFT, all child-focused tools are completed for the
child by the mother or project staff. The burden estimates, also
summarized in Table A-2, are based on the reported experience of the
2006 cohort, proprietary instrument developer estimates and experience,
pre-testing of the additional items completed by staff and administered
to women, and pre-testing of process evaluation measures. There are no
direct costs to respondents other than their time to participate.
Table A-1--Detailed Annual Burden for All Interviews and Surveys
--------------------------------------------------------------------------------------------------------------------------------------------------------
Number of Responses Burden per Total
Interviews and surveys Respondent respondents per Total resp. burden
\1\ respondent responses (hrs.) (hrs.)
--------------------------------------------------------------------------------------------------------------------------------------------------------
Child Focused Interviews
--------------------------------------------------------------------------------------------------------------------------------------------------------
CRAFFT (11-17 yrs) \2\......................... Child................................. 70 5 350 0.08 28
Brief Infant Toddler Social and Emotional Mother................................ 141 5 705 0.17 120
Assessment (12-35 mos) \3\.
Child Data Collection Tool (0-17 yrs) \4\...... Mother................................ 440 2 880 0.75 660
Parenting Relationship Questionnaire (2-17 yrs) Mother................................ 387 5 1,935 0.25 484
\5\.
Parenting Stress Index (1 month-12 yrs) \6\.... Mother................................ 418 10 4,180 0.5 2,090
Social Skills Improvement System (3-17 yrs) \7\ Mother................................ 326 5 1,630 0.42 685
Trauma Symptom Checklist for Young Children (3- Mother................................ 290 5 1,450 0.33 479
12 yrs) \8\.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Women Focused Interviews
--------------------------------------------------------------------------------------------------------------------------------------------------------
BASIS-24[supreg]............................... Mother................................ 440 4 1,760 0.25 440
Child Abuse Potential Inventory................ Mother................................ 440 4 1,760 0.33 581
Family Support Scale........................... Mother................................ 440 4 1,760 0.17 299
Ferrans and Powers Quality of Life Index Mother................................ 440 4 1,760 0.17 299
(Women).
Items Administered to Women.................... Mother................................ 440 4 1,760 0.17 299
--------------------------------------------------------------------------------------------------------------------------------------------------------
Fathers and Partners Interview
--------------------------------------------------------------------------------------------------------------------------------------------------------
Ferrans and Powers Quality of Life Index Partner/Father........................ 110 2 220 0.17 37
(Partners).
--------------------------------------------------------------------------------------------------------------------------------------------------------
Staff Completed Items/Record Reviews at 11 Facilities
--------------------------------------------------------------------------------------------------------------------------------------------------------
Children's Discharge Tool (0-17 yrs) \9\....... Project Staff......................... 11 80 880 0.58 510
Women's Discharge Tool......................... Project Staff......................... 11 40 440 0.58 255
Newborn's Medical Record Audit (0-3 mos) \10\.. Medical Staff......................... 11 25 275 0.08 22
Staff Completed Newborn Items.................. Medical Staff......................... 11 25 275 0.25 69
Staff Completed Child Items (0-17 yrs) \11\.... Project Staff......................... 11 400 4,400 0.08 352
Staff Completed Women's Items \12\............. Project Staff......................... 11 160 1,760 0.17 299
--------------------------------------------------------------------------------------------------------------------------------------------------------
Process Evaluation
--------------------------------------------------------------------------------------------------------------------------------------------------------
Biannual Project Director Telephone Interview.. Project Director...................... 11 2 22 1 22
Site Visit Protocol--Client Focus Group \13\... Mother................................ 176 1 176 1.5 264
Site Visit Protocol--Clinical Director/ Clinical Director/Supervisor.......... 22 1 22 2 44
Supervisor.
Site Visit Protocol--Counselor(s).............. Counselor............................. 33 1 33 1 33
Site Visit Protocol--Program Director.......... Program Director...................... 11 1 11 3 33
--------------------------------------------------------------------------------------------------------
Total...................................... ...................................... 4,701 ........... 28,444 ........... 8,404
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ Data will be collected from women at four time points (intake, 6-months post-intake, discharge, and 6-months post-discharge), consistent with the
GPRA data collection schedule. Figures in this table are based on 40 mothers per site with 2 children and 0.25 father/partner per mother. The schedule
for collecting child data is similar to the mother's with the addition of a 3-months post-intake time point with selected tools for a total of five
time points. All child focused tools are completed by the mother of project staff, with the exception of CRAFFT. For fathers and partners, data will
be collected at two points (intake and discharge).
\2\ Based on 8% of 880 minor children ages 11 to 17 at intake, 3 months, 6 months, discharge, and 6-months post-discharge.
\3\ Based on 16% of 880 minor children ages 12-35 months at intake, 3 months, 6 months, discharge, and 6-months post-discharge.
\4\ Based on 440 mothers having 2 minor children at intake and/or delivery.
\5\ Based on 44% of 880 minor children ages 2 to 17 at intake, 3 months, 6 months, discharge, and 6-months post-discharge.
\6\ Based on 95% of 880 minor children ages 1 month to 12 years (n=836). For simplicity, this calculation assumes that 95% of mothers have two children
in this age group and complete the tool for each child at intake, 3 months, 6 months, discharge, and 6-months post-discharge.
\7\ Based on 37% of 880 minor children ages 3 to 17 at intake, 3 months, 6 months, discharge, and 6-months post-discharge.
\8\ Based on 33% of 880 minor children ages 3 to 12 at intake, 3 months, 6 months, discharge, and 6-months post-discharge.
\9\ Based on 1 staff member at each of the 11 programs completing the tool for 80 children at discharge.
\10\ Based on 31% of 880 minor children ages 0-3 months at intake or delivery.
\11\ Based on 80 minor children per site ages 0 to 17 at intake, 3 months, 6 months, discharge, and 6-months post-discharge.
\12\ Based on 1 staff member at each of the 11 programs completing items for 40 women at intake, 6 months, discharge, and 6-months post-discharge.
[[Page 37448]]
\13\ Based on 2 focus groups with 8 mothers at each site.
Table A-2--Summary Total Annual Respondent Burden
----------------------------------------------------------------------------------------------------------------
Number of Responses per Total Hours per Total hour
Respondent respondents respondent responses response burden
----------------------------------------------------------------------------------------------------------------
Mothers......................... 440 .............. 19,756 .............. 6,700
Family Members.................. 110 .............. 220 .............. 37
Children (11-17 yrs)............ 70 .............. 350 .............. 28
Medical Staff................... 11 .............. 550 .............. 91
Project Staff................... 11 .............. 7,480 .............. 1,416
Project Director................ 11 .............. 22 .............. 22
Clinical Director/Supervisor.... 22 .............. 22 .............. 44
Counselor....................... 33 .............. 33 .............. 33
Program Director................ 11 .............. 11 .............. 33
-------------------------------------------------------------------------------
Total....................... 719 .............. 28,444 .............. 8,404
----------------------------------------------------------------------------------------------------------------
Note: Total number of respondents represents the number of each
type of respondent that will be completing at least one tool across
eleven sites over one year of data collection. The number of
respondents (719) reported on this table differs from Table A-1
total number of respondents (4,701) which reflects completion of all
tools across eleven sites over one year of data collection.
Send comments to Summer King, SAMHSA Reports Clearance Officer,
Room 7-1044, 1 Choke Cherry Road, Rockville, MD 20850. Written comments
should be received within 60 days of this notice.
Dated: June 22, 2010.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. 2010-15722 Filed 6-28-10; 8:45 am]
BILLING CODE 4162-20-P
