Agency Information Collection Activities: Proposed Collection; Comment Request, 37445-37448 [2010-15722]

Download as PDF 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 VerDate Mar<15>2010 19:55 Jun 28, 2010 Jkt 220001 PO 00000 Frm 00071 Fmt 4703 Sfmt 4703 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 E:\FR\FM\29JNN1.SGM 29JNN1 37446 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 VerDate Mar<15>2010 19:55 Jun 28, 2010 Jkt 220001 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). PO 00000 Frm 00072 Fmt 4703 Sfmt 4703 • 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 E:\FR\FM\29JNN1.SGM 29JNN1 37447 Federal Register / Vol. 75, No. 124 / Tuesday, June 29, 2010 / Notices 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. VerDate Mar<15>2010 19:55 Jun 28, 2010 Jkt 220001 PO 00000 Frm 00073 Fmt 4703 Sfmt 4703 E:\FR\FM\29JNN1.SGM 29JNN1 37448 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 VerDate Mar<15>2010 19:55 Jun 28, 2010 Jkt 220001 PO 00000 Frm 00074 Fmt 4703 Sfmt 9990 E:\FR\FM\29JNN1.SGM 29JNN1

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