Agency Information Collection Activities: Submission for OMB Review; Comment Request, 61144-61147 [2010-24847]

Download as PDF jlentini on DSKJ8SOYB1PROD with NOTICES 61144 Federal Register / Vol. 75, No. 191 / Monday, October 4, 2010 / Notices and Availability provides advice to the Secretary and the Assistant Secretary for Health on a range of policy issues that includes (1) definition of public health parameters around safety and availability of the blood supply and blood products, (2) broad public health, ethical and legal issues related to transfusion and transplantation safety, and (3) the implications for safety and the availability of various economic factors affecting product cost and supply. In keeping with its established mission, the ACBSA will be asked to review and comment on previous ACBSA recommendations including elements of a strategic plan for transfusion and transplantation safety. The review is intended to align the transfusion and transplantation safety initiatives to the Secretary’s Strategic Initiatives and Key Inter-Agency Collaborations: (http://www.hhs.gov/ secretary/about/secretarialstrategic initiatives2010.pdf). The Committee will also be asked to comment and make recommendations on prioritizing previous and outstanding recommendations in light of the Assistant Secretary for Health’s mission statement: ‘‘Mobilizing Leadership in Science and Prevention for a Healthier Nation’’ and strategic priorities: Creating Better Systems of Prevention; Eliminating Health Disparities and Achieving Health Equity; and Making Healthy People Come Alive for all Americans. The public will have opportunity to present their views to the Committee on both meeting days. A public comment session has been scheduled for November 5, 2010. Comments will be limited to five minutes per speaker and must be pertinent to the discussion. Preregistration is required for participation in the public comment session. Any member of the public who would like to participate in this session is encouraged to contact the Executive Secretary at his/her earliest convenience to register for time (limited to 5 minutes) and registration must be prior to close of business on November 3, 2010. It is requested that those who wish to have printed material distributed to the Committee provide thirty (30) copies of the document to the Executive Secretary, ACBSA, prior to close of business on November 3, 2010. If it is not possible to provide 30 copies of the material to be distributed, then individuals are requested to provide at a minimum one (1) copy of the document(s) to be distributed prior to the close of business on November 3, 2010. It also is requested that any member of the public who wishes to VerDate Mar<15>2010 17:23 Oct 01, 2010 Jkt 223001 provide comments to the Committee utilizing electronic data projection submit the necessary material to the Executive Secretary prior to close of business on November 3, 2010. Electronic comments must adhere to disability accessibility guidelines (Section 508 compliance). Dated: September 28, 2010. Richard A. Henry, Deputy Executive Secretary, Advisory Committee on Blood Safety and Availability. [FR Doc. 2010–24735 Filed 10–1–10; 8:45 am] BILLING CODE 4150–41–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: 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 PO 00000 Frm 00026 Fmt 4703 Sfmt 4703 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, 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 E:\FR\FM\04OCN1.SGM 04OCN1 61145 Federal Register / Vol. 75, No. 191 / Monday, October 4, 2010 / Notices 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 to 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 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 & SURVEYS jlentini on DSKJ8SOYB1PROD with NOTICES Interviews and surveys Respondent 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. Women Focused Interviews: BASIS–24® ................................. Child Abuse Potential Inventory Family Support Scale ................. Ferrans and Powers Quality of Life Index (Women). Items Administered to Women ... Partners/Fathers Interview: VerDate Mar<15>2010 17:23 Oct 01, 2010 Number of respondents 1 Responses per respondent Total responses Burden per resp. (hrs.) Total burden (hrs.) Child .................... Mother ................. 70 141 5 5 350 705 0.08 0.17 28 120 Mother ................. 440 2 880 0.75 660 Mother ................. 387 5 1,935 0.25 484 Mother ................. 418 10 4,180 0.5 2,090 Mother ................. 326 5 1,630 0.42 685 Mother ................. 290 5 1,450 0.33 479 Mother Mother Mother Mother ................. ................. ................. ................. 440 440 440 440 4 4 4 4 1,760 1,760 1,760 1,760 0.25 0.33 0.17 0.17 440 581 299 299 Mother ................. 440 4 1,760 0.17 299 Jkt 223001 PO 00000 Frm 00027 Fmt 4703 Sfmt 4703 E:\FR\FM\04OCN1.SGM 04OCN1 61146 Federal Register / Vol. 75, No. 191 / Monday, October 4, 2010 / Notices TABLE A–1—DETAILED ANNUAL BURDEN FOR ALL INTERVIEWS & SURVEYS—Continued Number of respondents 1 Responses per respondent Total responses Burden per resp. (hrs.) Total burden (hrs.) Interviews and surveys Respondent Ferrans and Powers Quality of Life Index (Partners). 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. 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. Partner/Father ..... 110 2 220 0.17 37 Project Staff ......... 11 80 880 0.58 510 Project Staff ......... Medical Staff ........ 11 11 40 25 440 275 0.58 0.08 255 22 Medical Staff ........ Project Staff ......... 11 11 25 400 275 4,400 0.25 0.08 69 352 Project Staff ......... 11 160 1,760 0.17 299 Project Director .... 11 2 22 1 22 Mother ................. 176 1 176 1.5 264 Clinical Director/ Supervisor. Counselor ............ Program Director 22 1 22 2 44 33 11 1 1 33 11 1 3 33 33 .............................. 4,701 ........................ 28,444 ........................ 8,404 Total ..................................... 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 or 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. 13 Based 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 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 .............................................................................. jlentini on DSKJ8SOYB1PROD with NOTICES Mothers ................................................................................ Partners/Fathers .................................................................. Children (11–17 yrs) ............................................................ Medical Staff ........................................................................ Project Staff ......................................................................... Project Director .................................................................... Clinical Director/Supervisor .................................................. Counselor ............................................................................. Program Director .................................................................. 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 VerDate Mar<15>2010 17:23 Oct 01, 2010 Jkt 223001 (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. PO 00000 Frm 00028 Fmt 4703 Sfmt 4703 Written comments and recommendations concerning the proposed information collection should be sent by November 3, 2010 to: SAMHSA Desk Officer, Human E:\FR\FM\04OCN1.SGM 04OCN1 Federal Register / Vol. 75, No. 191 / Monday, October 4, 2010 / Notices outcome assessment will examine the effectiveness of the State Videos project in meeting the core project objectives and will capture the State’s dissemination efforts. The process and outcome assessments will encompass State videos that will be produced in 2010–2013 and those that were produced in 2007 and 2009. State contacts will be asked to update their Dated: September 28, 2010. dissemination information online if Elaine Parry, there have been changes in these figures Director, Office of Management, Technology during the previous 6 months, up and Operations. through 2013. Additionally, data will be [FR Doc. 2010–24847 Filed 10–1–10; 8:45 am] collected from viewers of the State BILLING CODE 4162–20–P videos using an online survey. The information will be collected from the primary contact employee DEPARTMENT OF HEALTH AND designated by the States that have HUMAN SERVICES agreed to participate in the production of a video for the State Videos project. Substance Abuse and Mental Health The viewers’ information will be Services Administration collected from those who voluntarily decide to complete a short survey after Agency Information Collection seeing the video. Activities: Submission for OMB SAMHSA/CSAP intends to support Review; Comment Request annual videos on State underage Periodically, the Substance Abuse and drinking prevention videos. The Mental Health Services Administration information collected will be used by (SAMHSA) will publish a summary of CSAP to help plan for these annual information collection requests under video productions and provide OMB review, in compliance with the technical assistance to the participating Paperwork Reduction Act (44 U.S.C. States. The collected information will Chapter 35). To request a copy of these also provide a descriptive picture of the documents, call the SAMHSA Reports initiative, indicate how the videos have Clearance Officer on (240) 276–1243. been received, and highlight some factors that may be associated with Project: Assessment of the Underage successful dissemination outcomes. Drinking Prevention Education The information needs to be obtained Initiatives State Videos Project—New using a combination of initial telephone The Substance Abuse and Mental interviews to collect process data, Health Services Administration’s Center followed by online forms to collect for Substance Abuse Prevention (CSAP) outcome and dissemination data. A is requesting Office of Management and survey of viewers, collected online, will Budget (OMB) approval of three new also be used to assess the effectiveness data collection instruments— of the State videos in increasing • State Video Contacts Form. awareness of the underage drinking • Video Viewers Form. prevention activities in these States. • Dissemination Update Online Form. This information collection is being This new information collection is for implemented under authority of Section the assessment of the 2010–2013 501(d)(4) of the Public Health Service Underage Drinking Prevention Act (42 U.S.C. 290aa). Education Initiatives State Videos State staff members will be contacted project. In 2007, four States participated once the video has been finalized. These in a pilot study to produce videos on the State staff members will be asked to topic of underage drinking prevention. complete a short telephone interview Based upon the success of those videos, that asks questions about the process of 10 additional States and 1 Territory producing the State video. The State were provided funds to produce videos Video Contacts Form includes nine in 2009. Contingent on available funds, items about the State video, including: CSAP hopes to invite approximately 10 • State’s objectives for the video on States/Territories per year to produce underage drinking prevention. their own videos. • Targeted audiences. Over the next 4 years, CSAP will • Satisfaction with technical conduct a process and outcome assistance (TA) received. assessment of this project. The process • Usefulness of preplanning assessment will focus on the materials. • Helpfulness of TA during different experiences associated with planning phases of production. and producing the State videos. The jlentini on DSKJ8SOYB1PROD with NOTICES 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– 7285. VerDate Mar<15>2010 17:23 Oct 01, 2010 Jkt 223001 PO 00000 Frm 00029 Fmt 4703 Sfmt 4703 61147 • Recommendations for improving the process. • Recommendations for improving the content of the video. • Advice to other States interested in producing a video. If the State has disseminated the video at the time of the initial telephone interview, then they will also be asked to complete the second part of the State Video Contacts Form, which collects information on dissemination outcomes. The State Video Contacts Form includes 19 items about the dissemination activities of the State’s video, including: • Time when they disseminated the video. • Methods of dissemination. • Number of people who viewed the video. • Number of DVDs and videotapes requested. • Effectiveness of the dissemination methods. • Factors that contributed to the effectiveness of dissemination. • Effect of TA received. • Effect of the video in raising awareness about underage drinking prevention successes in the State. • Effect of the video in raising awareness about underage drinking prevention challenges in the State. • Effectiveness of the video in presenting State’s/Territory’s prevention activities. • Feedback received. • Unintended positive outcomes. • Effect of TA in improving the capacity to provide effective prevention services. After the State points of contact have completed the State Video Contacts Form online, they will be requested to update dissemination activities online if there have been any changes during the past 6 months. This form includes seven items, including: • If there have been changes in dissemination during the past 6 months. • Most recent dissemination numbers by method. • Facilitation factors. • Additional feedback. • Additional unintended positive outcomes. Data will also be collected from viewers of the State videos. Each State video will include instructions to viewers on how to access the Video Viewers Form. The instructions may be a unique URL, or they may consist of instructions on each State’s Web site on underage drinking prevention. This information will allow the CSAP to provide feedback to the States on their video and to measure the effectiveness of their video. The Video Viewers Form includes 24 items about the video, including: E:\FR\FM\04OCN1.SGM 04OCN1

Agencies

[Federal Register Volume 75, Number 191 (Monday, October 4, 2010)]
[Notices]
[Pages 61144-61147]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-24847]


-----------------------------------------------------------------------

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: 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

[[Page 61145]]

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 to 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 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 & Surveys
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                             Number of
          Interviews and surveys                     Respondent             respondents    Responses per       Total        Burden per     Total burden
                                                                                \1\         respondent       responses     resp.  (hrs.)      (hrs.)
--------------------------------------------------------------------------------------------------------------------------------------------------------
Child Focused Interviews:
    CRAFFT (11-17 yrs) \2\................  Child.......................              70               5             350            0.08              28
    Brief Infant Toddler Social and         Mother......................             141               5             705            0.17             120
     Emotional Assessment (12-35 mos) \3\.
    Child Data Collection Tool (0-17 yrs)   Mother......................             440               2             880            0.75             660
     \4\.
    Parenting Relationship Questionnaire    Mother......................             387               5           1,935            0.25             484
     (2-17 yrs) \5\.
    Parenting Stress Index (1 month-12      Mother......................             418              10           4,180             0.5           2,090
     yrs) \6\.
    Social Skills Improvement System (3-17  Mother......................             326               5           1,630            0.42             685
     yrs) \7\.
    Trauma Symptom Checklist for Young      Mother......................             290               5           1,450            0.33             479
     Children (3-12 yrs) \8\.
Women Focused Interviews:
    BASIS-24[reg].........................  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      Mother......................             440               4           1,760            0.17             299
     Index (Women).
    Items Administered to Women...........  Mother......................             440               4           1,760            0.17             299
Partners/Fathers Interview:

[[Page 61146]]

 
    Ferrans and Powers Quality of Life      Partner/Father..............             110               2             220            0.17              37
     Index (Partners).
Staff Completed Items/Record Reviews at 11
 Facilities:
    Children's Discharge Tool (0-17 yrs)    Project Staff...............              11              80             880            0.58             510
     \9\.
    Women's Discharge Tool................  Project Staff...............              11              40             440            0.58             255
    Newborn's Medical Record Audit (0-3     Medical Staff...............              11              25             275            0.08              22
     mos) \10\.
    Staff Completed Newborn Items.........  Medical Staff...............              11              25             275            0.25              69
    Staff Completed Child Items (0-17 yrs)  Project Staff...............              11             400           4,400            0.08             352
     \11\.
    Staff Completed Women's Items \12\....  Project Staff...............              11             160           1,760            0.17             299
Process Evaluation:
    Biannual Project Director Telephone     Project Director............              11               2              22               1              22
     Interview.
    Site Visit Protocol--Client Focus       Mother......................             176               1             176             1.5             264
     Group \13\.
    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 or 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.
\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
Partners/Fathers................             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.

    Written comments and recommendations concerning the proposed 
information collection should be sent by November 3, 2010 to: SAMHSA 
Desk Officer, Human

[[Page 61147]]

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: 202-395-7285.

    Dated: September 28, 2010.
Elaine Parry,
Director, Office of Management, Technology and Operations.
[FR Doc. 2010-24847 Filed 10-1-10; 8:45 am]
BILLING CODE 4162-20-P