Agency Information Collection Activities: Submission for OMB Review; Comment Request, 53138-53141 [2011-21713]

Download as PDF srobinson on DSK4SPTVN1PROD with NOTICES 53138 Federal Register / Vol. 76, No. 165 / Thursday, August 25, 2011 / Notices innovative payment and service delivery models that reduce spending under Medicare, Medicaid, or CHIP, while preserving or enhancing the quality of care, the Innovation Center aims to achieve the following goals through implementation of the Bundled Payments for Care Improvement initiative: • Improve care coordination, patient experience, and accountability in a patient centered manner. • Support and encourage providers who are interested in continuously reengineering care to deliver better care, better health, at lower costs through continuous improvement. • Create a virtuous cycle that leads to continually decreasing the cost of an acute or chronic episode of care while fostering quality improvement. • Develop and test payment models that create extended accountability for better care, better health at lower costs for acute and chronic medical care. • Shorten the cycle time for adoption of evidence-based care. • Create environments that stimulate rapid development of new evidencebased knowledge. The models to be tested based on applications to the RFA are as follows: • Model 1: Retrospective payment models around the acute inpatient hospital stay only. • Model 2: Retrospective bundled payment models for hospitals, physicians, and post-acute providers for an episode of care consisting of an inpatient hospital stay followed by postacute care. • Model 3: Retrospective bundled payment models for post-acute care where the episode does not include the acute inpatient hospital stay. • Model 4: Prospectively administered bundled payment models for the acute inpatient hospital stay only, such as prospective bundled payment for hospitals and physicians for an inpatient hospital stay Organizations are invited to submit proposals that define episodes of care in one or more of these four models. Proposals should demonstrate care improvement processes and enhancements such as reengineered care pathways using evidence-based medicine, standardized care using checklists, and care coordination. All models must encourage close partnerships among all of the providers caring for patients through the episode. Applicants must demonstrate robust quality monitoring and protocols to ensure beneficiary quality protection. Under all models, applicants must provide Medicare with a discount on Medicare fee-for-service expenditures. VerDate Mar<15>2010 16:39 Aug 24, 2011 Jkt 223001 Bundled Payments for Care Improvement agreements will include a performance period of 3 years, with the possibility of extending an additional 2 years, beginning with the respective program date. The program start date may be as early as the first quarter of CY 2012 for awardees in Model 1. III. Collection of Information Requirements Section 1115A(d) of the Act waives the requirements of the Paperwork Reduction Act of 1995 for the Innovation Center for purposes of testing new payment and service delivery models. Authority: 44 U.S.C. 3101. Dated: August 17, 2011. Donald M. Berwick, Administrator, Centers for Medicare & Medicaid Services. [FR Doc. 2011–21707 Filed 8–23–11; 11:15 am] BILLING CODE 4120–01–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. Project: National Child Traumatic Stress Initiative (NCTSI) Evaluation— (OMB No. 0930–0276)—Revision The Substance Abuse and Mental Health Services Administration’s (SAMHSA), Center for Mental Health Services (CMHS), will conduct the National Child Traumatic Stress Initiative (NCTSI) Evaluation. This evaluation serves multiple practical purposes: (1) To collect and analyze descriptive, outcome, and service experience information about the children and families served by the NCTSI centers; (2) to assess the NCTSI’s impact on access to high-quality, trauma-informed care; (3) to evaluate NCTSI centers’ training and consultation activity designed to promote evidence-based, traumainformed services and the impact of such activity on child-serving systems; and (4) to assess the sustainability of the PO 00000 Frm 00026 Fmt 4703 Sfmt 4703 grant-funded activities to improve access to and quality of care for traumaexposed children and their families beyond the grant period. Data will be collected from caregivers and youth served by NCTSI centers, NCTSI and non-NCTSI administrators, NCTSI trainers, service providers trained by NCTSI centers and other training participants, administrators of mental health and non-mental health professionals from state and national child-serving organizations, and administrators of affiliate centers. Data collection will take place in all Community Treatment and Services Programs (CTS) and Treatment and Service Adaptation Centers (TSA) active during the three-year approval period. Currently, there are 45 CTS centers and 17 TSA centers active (i.e., 62 active centers). After the first year, in September 2011, the 15 grantees funded in 2007 will reach the end of their data collection. At that point, additional centers may be funded or funded again. Because of this variability, the estimate of 62 centers is used to calculate burden. The NCTSI Evaluation is composed of four distinct study components, each of which involves data collection, which are described below. Descriptive and Clinical Outcomes In order to describe the children served, their trauma histories and their clinical and functional outcomes, nine instruments will be used to collect data from children and adolescents who are receiving services in the NCTSI, and from caregivers of all children who are receiving NCTSI services. Data will be collected when the child/youth enters services and during subsequent followup sessions at three-month intervals over the course of one year. This study relies upon the use of data already being collected as a part of the Core Data Set, and includes the following instruments: • The Core Clinical Characteristics Form, which collects demographic, psychosocial and clinical information about the child being served including information about the child’s domestic environment and insurance status, indicators of the severity of the child’s problems, behaviors and symptoms, and use of non-Network services; • The Trauma Information/Detail Form, which collects information on the history of trauma(s) experienced by the child served by the NCTSI center including the type of trauma experienced, the age at which the trauma was experienced, type of exposure, whether or not the trauma is chronic, and the setting and E:\FR\FM\25AUN1.SGM 25AUN1 Federal Register / Vol. 76, No. 165 / Thursday, August 25, 2011 / Notices srobinson on DSK4SPTVN1PROD with NOTICES perpetrator(s) associated with the traumatic experience; • The Child Behavior Checklist (CBCL) 1.5–5 and 6–18, which measure symptoms in such domains such as emotionally reactive, anxious/ depressed, somatic complaints, withdrawn, attention problems, aggressive behavior, sleep problems, rule-breaking behavior, social problems, thought problems, and withdrawn/ depressed; • The UCLA PTSD Short Form, which screens for exposure to traumatic events and for all DSM–IV PTSD symptoms in children who report traumatic stress experiences; and the • The Trauma Symptoms Checklist for Children, which evaluates acute and chronic posttraumatic stress symptoms in children’s responses to unspecified traumatic events across several symptom domains. • The Trauma Symptoms Checklist for Young Children (TSCYC), which is a 90-item caretaker-report instrument developed for the assessment of traumarelated symptoms in children ages 3 to 12. • The Parenting Stress Index Short Form (PSI–SF), which yields a total stress score from three scales: Parental distress, parent-child dysfunctional interaction, and difficult child. The PSI– SF was developed from factor analysis of the PSI–Full-Length Version. • The Children’s Depression Inventory-2 Short (CDI–2S), which is a comprehensive multi-rater assessment of depressive symptoms in youth aged 7 to 17 years. Depressive symptomatology is quantified by the CDI 2 based on reports from children/ adolescents, teachers and parents. • The Global Appraisal of Individual Needs Modified Shore Screener (GAIN– MSS), which is designed primarily as a screener in general populations, ages 12 and older, to quickly and accurately identify clients who have 1 or more behavioral health disorders (e.g., internalizing or externalizing psychiatric disorders, substance use disorders, or crime/violence problems). Approximately 6,000 youth and 9,700 caregivers will participate in the descriptive and clinical outcomes study over the clearance period. Access to High Quality, TraumaInformed Services The NCTSI mission is to expand access to high quality, trauma-informed services for trauma-exposed children and adolescents and their families nationwide. This component of the evaluation is designed to assess NCTSI program progress in achieving this mission by collecting and analyzing VerDate Mar<15>2010 16:39 Aug 24, 2011 Jkt 223001 data from a variety of sources addressing the question of whether access to high quality, trauma-informed services has improved and for which demographic groups. Instruments used as a part of this study component include: • Evidence-based Practice (EBP) and Trauma-informed Systems Change Survey (ETSC), which assesses the extent to which NCTSI training and other dissemination activities have enhanced the knowledge base and use of trauma-informed services (TIS) within child-serving agencies, centers and organizations that are not a part of the NCTSI but rather have received training from the NCTSI as well as to assess the extent to which such services are evidence-based. The survey branches into two versions adapted for project directors/administrators and human service providers (e.g., mental health providers, child welfare case workers, teachers, primary care health care providers and others), allowing for questions tailored to the professional orientation and activities of each group. The ETSC survey will be used to assess the extent to which NCTSI training and dissemination activities have improved access to high quality, trauma-informed services for trauma-exposed children and their families that are served through such child-serving systems. • The National Reach Survey, which assesses the extent to which the NCTSI has impacted the knowledge and awareness, policies, planning, programs, and practices related to traumainformed care among state and national child-serving organizations external to the NCTSI centers. • The Online Performance Monitoring Report (OPMR), which is primarily a mechanism for SAMHSA to monitor centers’ progress towards achieving stated goals and a fulfillment of SAMHSA requirements for accountability and performance monitoring. In addition, this form will also serve as an important data source informing several components of the NCTSI evaluation. Approximately 496 service providers and 186 administrators from NCTSI centers and organizations or agencies trained by NCTSI centers will participate in the ETSC survey. Approximately 4,000 individuals will be participating in the National Reach Survey, while approximately 62 individuals will participate in the OPMR. PO 00000 Frm 00027 Fmt 4703 Sfmt 4703 53139 Training, Evidence-Based Practices (EBPs), and Family/Consumer Partnerships A major goal of the NCTSI is to enhance the capacity of administrators and service providers from agencies, centers and organizations associated with child-serving systems (including mental health, child welfare, juvenile justice, education and primary care) to use trauma-informed services (TIS) with trauma-exposed children and their families. NCTSI centers promote the use of TIS within child-serving systems to increase public awareness and knowledge about trauma exposure, trauma impact, and the range of traumainformed assessments and services that are available. For this component, the ETSC Survey will be used to assess whether agencies, schools, and organizations that are a part of childserving systems trained by the NCTSI have become more evidence-based and trauma-informed. Two additional forms will be used including: • The Training Summary Form (TSF), which will be completed by trainers and will collect information on the number of participants trained, the type of training (including the trauma types addressed in the training), and the topics emphasized in the training. • The Training Sign-In Sheet (TSIS), which will be completed by this participants of NCTSI-sponsored trainings. Participants will provide their names; agency, organization or center for which they work; their roles; and contact information including an email addresses. In addition, they will be asked to indicate whether the evaluation may contact them for participation. Approximately 124 trainers will complete and submit the TSF, while approximately 12,400 trainees will complete the TSIS. Sustainability Assessing the sustainability of the progress made by the NCTSI and its partners is a key evaluation priority identified by stakeholders advising on the redesign of the NCTSI Evaluation. Therefore, while this issue was not addressed as part of the previous evaluation design, it has been included as a new area of importance for future NCTSI evaluation. This component of the evaluation focuses on understanding the degree to which NCTSI grant activities continue after funding has ended and the factors associated with the continuation of—or lapse in—grant activities such as the implementation of evidence-based practices or approaches to strengthen trauma-informed service provision. This component collects E:\FR\FM\25AUN1.SGM 25AUN1 53140 Federal Register / Vol. 76, No. 165 / Thursday, August 25, 2011 / Notices sustainability data as part of the OPMR in the case of funded centers and, in the case of affiliate centers (centers that no longer receive SAMHSA funding but have continued involvement with the NCTSI and are defined by SAMHSA as affiliates), the following survey will be implemented: • Sustainability Survey for Affiliate Centers, which assesses sustainability of NCTSI grant activities by collecting data on domains including grant history, funding sources and fiscal strategies, program mission, infrastructure, service delivery and continuation of practices and programs. Approximately 45 administrators of affiliate centers are expected to participate in this survey. The revision to the currently approved information collection activities includes the extension of NCTSI Evaluation information collection activities for an additional three years. This revision also addresses the following programmatic changes: • The number of centers for which burden was calculated is 62, which represents the number of currently active grantees (the number of centers at the time of the previous submission was 44). • As a result of efforts to address updated evaluation priorities, reduce redundancy and consolidate multiple data collection efforts focused on national monitoring and evaluating of the NCTSI program, the request discontinues ten surveys, forms or interviews that are currently OMBapproved. • In place of the ten surveys, forms or interviews that are currently OMBapproved that are being discontinued, and as part of the redesigned evaluation, three new data collection efforts will be implemented, including: Æ Online Performance Monitoring Report Form (OPMR) Æ Evidence-based Practice and Trauma-informed System Change Survey (ETSC) Number of respondents Instrument Average number of responses per respondent Æ Sustainability Survey for affiliate centers • This request also enhances the existing Core Data Set by revising the Core Clinical Characteristics Forms and adding new instruments to address existing gaps in knowledge including: Æ Trauma Symptom Checklist for Young Children (TSCYC) Æ Parenting Stress Index Short Form (PSI–SF) Æ Children’s Depression Inventory-2 Short (CDI–2S) Æ Global Appraisal of Needs Modified Short Screener (GAIN–MSS) • A Training Sign-in Sheet (TSIS) has been developed for use at each training event sponsored by NCTSI centers. The purpose of the form is to collect brief information about NCTSI training participants. The average annual respondent burden is estimated below. Hours per response Total burden hours 3-year average of annual burden hours Caregivers Served by NCTSI Centers 1 9,729 24 9,729 9,729 3 7,394 4 2,724 5 2,919 Child Behavior Checklist 1.5–5/6–18 (CBCL 1.5–5/6–18) .. Trauma Information/Detail Form .......................................... Core Clinical Characteristics Form ...................................... UCLA–PTSD Short Form (UCLA–PTSD) ............................ Trauma Symptoms Checklist for Young Children (TSCYC) Parenting Stress Index Short Form (PSI–SF) ..................... 4 4 4 4 4 0.33 0.22 0.5 0.17 0.33 0.08 12,842 8,562 19,458 5,028 3,596 934 4,281 2,854 6,486 1,676 1,199 311 Youth Served by NCTSI Centers Centers Trauma Symptoms Checklist for Children-Abbreviated (TSCC–A) ......................................................................... Children’s Depression Inventory-2 Short (CDI–2S) ............. Global Appraisal of Individual Needs Modified Shore Screener (GAIN–MSS) ..................................................... 6 6,129 7 2,140 4 4 0.33 0.08 8,090 685 2,697 228 8 3,989 4 0.08 1,276 425 0.60 0.28 446 52 149 17 2 0.30 112 37 5 0.2 124 41 3 0.3 446 149 1 .02 248 83 Funded NCTSI Center Project Directors of Other Administrators Online Performance Monitoring Report (OPMR) ................. Sustainability Survey for Currently—Funded Centers ......... 62 62 12 3 NCTSI and Non-NCTSI Administrators Evidence-based Practice (EBP) and Trauma Informed Systems Change Survey (ETSC)—Administrator Version ............................................................................. 9 186 NCTSI Trainers 10 124 srobinson on DSK4SPTVN1PROD with NOTICES Training Summary Form ...................................................... Service Providers Trained by NCTSI Centers Evidence-based Practice (EBP) and Trauma Informed Systems Change Survey (ETSC)—Provider Version ...... 11 496 Training Participants Training Sign-In Sheet (TSIS) ............................................. VerDate Mar<15>2010 16:39 Aug 24, 2011 Jkt 223001 PO 00000 Frm 00028 12 12,400 Fmt 4703 Sfmt 4703 E:\FR\FM\25AUN1.SGM 25AUN1 53141 Federal Register / Vol. 76, No. 165 / Thursday, August 25, 2011 / Notices Number of respondents Instrument Average number of responses per respondent Hours per response Total burden hours 3-year average of annual burden hours Mental Health and Non-Mental Health Professionals from State and National Child Serving Organizations NCTSI National Reach Survey ............................................ 4,000 1 0.5 2,000 667 Affiliate Center Administrators Sustainability Survey— Affiliate Centers ............................. 45 3 .28 38 19 Total summary .............................................................. 71,857 66 ........................ ........................ 63,957 Total annual summary ........................................... 23,952 22 ........................ ........................ 21,319 1. On average, 75 percent of centers participate in the Core Data Set (47 of 62 centers), with an average of 69 baseline visits per year. 2. On the basis of the children enrolled in the Core Data Set through September 30, 2010, the average length of time in treatment is 9 months, yielding an average of 4 assessments per child. 3. On the basis of the children enrolled in the Core Data Set through September 30, 2010, approximately 76% of the children in the Core Data Set will be ages 7 and older. 4. On the basis of the children enrolled in the Core Data Set through September 30, 2010, approximately 28% of the children in the Core Data Set will be between the ages of 3 and 7. 5. On the basis of the children enrolled in the Core Data Set through September 30, 2010, approximately 60% of the children in the Core Data Set will be aged 12 and under. We estimate that approximately 50% of centers will use this optional instrument, leading to an estimate of 30% of children in the Core Data Set. 6. On the basis of the children enrolled in the Core Data Set through September 30, 2010, approximately 63% of the children in the Core Data Set will be between the ages of 8 and 16. 7. On the basis of the children enrolled in the Core Data Set through September 30, 2010, approximately 44% of the children in the Core Data Set will between the ages of 7 and 18, and will have depression indicated as a potential problem at baseline. We estimate that approximately 50% of centers will use this optional instrument, leading to an estimate of 22% of children in the Core Data Set. 8. On the basis of the children enrolled in the Core Data Set through September 30, 2010, approximately 41% of the children in the Core Data Set will be aged 12 and older. 9. Respondents will be administrators from 62 currently funded NCTSI centers and administrators from two child serving systems that each NCTSI center trains. 10. Respondents will be center trainers or evaluation staff. On average, 5 Training Summary Forms may be completed by 124 trainers. 11. Respondents are NCTSI center employed clinicians and center trained providers. It is estimated that on average from the 62 centers, four center-employed clinicians and four center trained providers will take the survey three times. 12. It is expected that at least two trainers per center will provide five trainings and on an average there will be twenty participants per training. srobinson on DSK4SPTVN1PROD with NOTICES Written comments and recommendations concerning the proposed information collection should be sent by September 26, 2011 to the SAMHSA Desk Officer at the Office of Information and Regulatory Affairs, Office of Management and Budget (OMB). To ensure timely receipt of comments, and to avoid potential delays in OMB’s receipt and processing of mail sent through the U.S. Postal Service, commenters are encouraged to submit their comments to OMB via e-mail to: OIRA_Submission@omb.eop.gov. Although commenters are encouraged to send their comments via e-mail, commenters may also fax their comments to: 202–395–7285. Commenters may also mail them to: Office of Management and Budget, Office of Information and Regulatory Affairs, New Executive Office Building, Room 10102, Washington, DC 20503. Dated: August 18, 2011. Elaine Parry, Director, Office of Management, Technology and Operations. [FR Doc. 2011–21713 Filed 8–24–11; 8:45 am] BILLING CODE 4162–20–P VerDate Mar<15>2010 16:39 Aug 24, 2011 Jkt 223001 DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency [Internal Agency Docket No. FEMA–4009– DR; Docket ID FEMA–2011–0001] Minnesota; Major Disaster and Related Determinations Federal Emergency Management Agency, DHS. ACTION: Notice. AGENCY: This is a notice of the Presidential declaration of a major disaster for the State of Minnesota (FEMA–4009–DR), dated July 28, 2011, and related determinations. DATES: Effective Date: July 28, 2011. FOR FURTHER INFORMATION CONTACT: Peggy Miller, Office of Response and Recovery, Federal Emergency Management Agency, 500 C Street, SW., Washington, DC 20472, (202) 646–3886. SUPPLEMENTARY INFORMATION: Notice is hereby given that, in a letter dated July 28, 2011, the President issued a major disaster declaration under the authority of the Robert T. Stafford Disaster Relief and Emergency Assistance Act, 42 SUMMARY: PO 00000 Frm 00029 Fmt 4703 Sfmt 4703 U.S.C. 5121 et seq. (the ‘‘Stafford Act’’), as follows: I have determined that the damage in certain areas of the State of Minnesota resulting from severe storms, flooding, and tornadoes during the period of July 1–11, 2011, is of sufficient severity and magnitude to warrant a major disaster declaration under the Robert T. Stafford Disaster Relief and Emergency Assistance Act, 42 U.S.C. 5121 et seq. (the ‘‘Stafford Act’’). Therefore, I declare that such a major disaster exists in the State of Minnesota. In order to provide Federal assistance, you are hereby authorized to allocate from funds available for these purposes such amounts as you find necessary for Federal disaster assistance and administrative expenses. You are authorized to provide Public Assistance in the designated areas and Hazard Mitigation throughout the State. Consistent with the requirement that Federal assistance is supplemental, any Federal funds provided under the Stafford Act for Public Assistance and Hazard Mitigation will be limited to 75 percent of the total eligible costs. Further, you are authorized to make changes to this declaration for the approved assistance to the extent allowable under the Stafford Act. The Federal Emergency Management Agency (FEMA) hereby gives notice that pursuant to the authority vested in the Administrator, under Executive Order E:\FR\FM\25AUN1.SGM 25AUN1

Agencies

[Federal Register Volume 76, Number 165 (Thursday, August 25, 2011)]
[Notices]
[Pages 53138-53141]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-21713]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Substance Abuse and Mental Health Services Administration


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

    Periodically, the Substance Abuse and Mental Health Services 
Administration (SAMHSA) will publish a summary of information 
collection requests under OMB review, in compliance with the Paperwork 
Reduction Act (44 U.S.C. Chapter 35). To request a copy of these 
documents, call the SAMHSA Reports Clearance Officer on (240) 276-1243.

Project: National Child Traumatic Stress Initiative (NCTSI) 
Evaluation--(OMB No. 0930-0276)--Revision

    The Substance Abuse and Mental Health Services Administration's 
(SAMHSA), Center for Mental Health Services (CMHS), will conduct the 
National Child Traumatic Stress Initiative (NCTSI) Evaluation. This 
evaluation serves multiple practical purposes: (1) To collect and 
analyze descriptive, outcome, and service experience information about 
the children and families served by the NCTSI centers; (2) to assess 
the NCTSI's impact on access to high-quality, trauma-informed care; (3) 
to evaluate NCTSI centers' training and consultation activity designed 
to promote evidence-based, trauma-informed services and the impact of 
such activity on child-serving systems; and (4) to assess the 
sustainability of the grant-funded activities to improve access to and 
quality of care for trauma-exposed children and their families beyond 
the grant period.
    Data will be collected from caregivers and youth served by NCTSI 
centers, NCTSI and non-NCTSI administrators, NCTSI trainers, service 
providers trained by NCTSI centers and other training participants, 
administrators of mental health and non-mental health professionals 
from state and national child-serving organizations, and administrators 
of affiliate centers. Data collection will take place in all Community 
Treatment and Services Programs (CTS) and Treatment and Service 
Adaptation Centers (TSA) active during the three-year approval period. 
Currently, there are 45 CTS centers and 17 TSA centers active (i.e., 62 
active centers). After the first year, in September 2011, the 15 
grantees funded in 2007 will reach the end of their data collection. At 
that point, additional centers may be funded or funded again. Because 
of this variability, the estimate of 62 centers is used to calculate 
burden.
    The NCTSI Evaluation is composed of four distinct study components, 
each of which involves data collection, which are described below.

Descriptive and Clinical Outcomes

    In order to describe the children served, their trauma histories 
and their clinical and functional outcomes, nine instruments will be 
used to collect data from children and adolescents who are receiving 
services in the NCTSI, and from caregivers of all children who are 
receiving NCTSI services. Data will be collected when the child/youth 
enters services and during subsequent follow-up sessions at three-month 
intervals over the course of one year. This study relies upon the use 
of data already being collected as a part of the Core Data Set, and 
includes the following instruments:
     The Core Clinical Characteristics Form, which collects 
demographic, psychosocial and clinical information about the child 
being served including information about the child's domestic 
environment and insurance status, indicators of the severity of the 
child's problems, behaviors and symptoms, and use of non-Network 
services;
     The Trauma Information/Detail Form, which collects 
information on the history of trauma(s) experienced by the child served 
by the NCTSI center including the type of trauma experienced, the age 
at which the trauma was experienced, type of exposure, whether or not 
the trauma is chronic, and the setting and

[[Page 53139]]

perpetrator(s) associated with the traumatic experience;
     The Child Behavior Checklist (CBCL) 1.5-5 and 6-18, which 
measure symptoms in such domains such as emotionally reactive, anxious/
depressed, somatic complaints, withdrawn, attention problems, 
aggressive behavior, sleep problems, rule-breaking behavior, social 
problems, thought problems, and withdrawn/depressed;
     The UCLA PTSD Short Form, which screens for exposure to 
traumatic events and for all DSM-IV PTSD symptoms in children who 
report traumatic stress experiences; and the
     The Trauma Symptoms Checklist for Children, which 
evaluates acute and chronic posttraumatic stress symptoms in children's 
responses to unspecified traumatic events across several symptom 
domains.
     The Trauma Symptoms Checklist for Young Children (TSCYC), 
which is a 90-item caretaker-report instrument developed for the 
assessment of trauma-related symptoms in children ages 3 to 12.
     The Parenting Stress Index Short Form (PSI-SF), which 
yields a total stress score from three scales: Parental distress, 
parent-child dysfunctional interaction, and difficult child. The PSI-SF 
was developed from factor analysis of the PSI-Full-Length Version.
     The Children's Depression Inventory-2 Short (CDI-2S), 
which is a comprehensive multi-rater assessment of depressive symptoms 
in youth aged 7 to 17 years. Depressive symptomatology is quantified by 
the CDI 2 based on reports from children/adolescents, teachers and 
parents.
     The Global Appraisal of Individual Needs Modified Shore 
Screener (GAIN-MSS), which is designed primarily as a screener in 
general populations, ages 12 and older, to quickly and accurately 
identify clients who have 1 or more behavioral health disorders (e.g., 
internalizing or externalizing psychiatric disorders, substance use 
disorders, or crime/violence problems).
    Approximately 6,000 youth and 9,700 caregivers will participate in 
the descriptive and clinical outcomes study over the clearance period.

Access to High Quality, Trauma-Informed Services

    The NCTSI mission is to expand access to high quality, trauma-
informed services for trauma-exposed children and adolescents and their 
families nationwide. This component of the evaluation is designed to 
assess NCTSI program progress in achieving this mission by collecting 
and analyzing data from a variety of sources addressing the question of 
whether access to high quality, trauma-informed services has improved 
and for which demographic groups. Instruments used as a part of this 
study component include:
     Evidence-based Practice (EBP) and Trauma-informed Systems 
Change Survey (ETSC), which assesses the extent to which NCTSI training 
and other dissemination activities have enhanced the knowledge base and 
use of trauma-informed services (TIS) within child-serving agencies, 
centers and organizations that are not a part of the NCTSI but rather 
have received training from the NCTSI as well as to assess the extent 
to which such services are evidence-based. The survey branches into two 
versions adapted for project directors/administrators and human service 
providers (e.g., mental health providers, child welfare case workers, 
teachers, primary care health care providers and others), allowing for 
questions tailored to the professional orientation and activities of 
each group. The ETSC survey will be used to assess the extent to which 
NCTSI training and dissemination activities have improved access to 
high quality, trauma-informed services for trauma-exposed children and 
their families that are served through such child-serving systems.
     The National Reach Survey, which assesses the extent to 
which the NCTSI has impacted the knowledge and awareness, policies, 
planning, programs, and practices related to trauma-informed care among 
state and national child-serving organizations external to the NCTSI 
centers.
     The Online Performance Monitoring Report (OPMR), which is 
primarily a mechanism for SAMHSA to monitor centers' progress towards 
achieving stated goals and a fulfillment of SAMHSA requirements for 
accountability and performance monitoring. In addition, this form will 
also serve as an important data source informing several components of 
the NCTSI evaluation.
    Approximately 496 service providers and 186 administrators from 
NCTSI centers and organizations or agencies trained by NCTSI centers 
will participate in the ETSC survey. Approximately 4,000 individuals 
will be participating in the National Reach Survey, while approximately 
62 individuals will participate in the OPMR.

Training, Evidence-Based Practices (EBPs), and Family/Consumer 
Partnerships

    A major goal of the NCTSI is to enhance the capacity of 
administrators and service providers from agencies, centers and 
organizations associated with child-serving systems (including mental 
health, child welfare, juvenile justice, education and primary care) to 
use trauma-informed services (TIS) with trauma-exposed children and 
their families. NCTSI centers promote the use of TIS within child-
serving systems to increase public awareness and knowledge about trauma 
exposure, trauma impact, and the range of trauma-informed assessments 
and services that are available. For this component, the ETSC Survey 
will be used to assess whether agencies, schools, and organizations 
that are a part of child-serving systems trained by the NCTSI have 
become more evidence-based and trauma-informed. Two additional forms 
will be used including:
     The Training Summary Form (TSF), which will be completed 
by trainers and will collect information on the number of participants 
trained, the type of training (including the trauma types addressed in 
the training), and the topics emphasized in the training.
     The Training Sign-In Sheet (TSIS), which will be completed 
by this participants of NCTSI-sponsored trainings. Participants will 
provide their names; agency, organization or center for which they 
work; their roles; and contact information including an email 
addresses. In addition, they will be asked to indicate whether the 
evaluation may contact them for participation.
    Approximately 124 trainers will complete and submit the TSF, while 
approximately 12,400 trainees will complete the TSIS.

Sustainability

    Assessing the sustainability of the progress made by the NCTSI and 
its partners is a key evaluation priority identified by stakeholders 
advising on the redesign of the NCTSI Evaluation. Therefore, while this 
issue was not addressed as part of the previous evaluation design, it 
has been included as a new area of importance for future NCTSI 
evaluation. This component of the evaluation focuses on understanding 
the degree to which NCTSI grant activities continue after funding has 
ended and the factors associated with the continuation of--or lapse 
in--grant activities such as the implementation of evidence-based 
practices or approaches to strengthen trauma-informed service 
provision. This component collects

[[Page 53140]]

sustainability data as part of the OPMR in the case of funded centers 
and, in the case of affiliate centers (centers that no longer receive 
SAMHSA funding but have continued involvement with the NCTSI and are 
defined by SAMHSA as affiliates), the following survey will be 
implemented:
     Sustainability Survey for Affiliate Centers, which 
assesses sustainability of NCTSI grant activities by collecting data on 
domains including grant history, funding sources and fiscal strategies, 
program mission, infrastructure, service delivery and continuation of 
practices and programs. Approximately 45 administrators of affiliate 
centers are expected to participate in this survey.
    The revision to the currently approved information collection 
activities includes the extension of NCTSI Evaluation information 
collection activities for an additional three years. This revision also 
addresses the following programmatic changes:
     The number of centers for which burden was calculated is 
62, which represents the number of currently active grantees (the 
number of centers at the time of the previous submission was 44).
     As a result of efforts to address updated evaluation 
priorities, reduce redundancy and consolidate multiple data collection 
efforts focused on national monitoring and evaluating of the NCTSI 
program, the request discontinues ten surveys, forms or interviews that 
are currently OMB-approved.
     In place of the ten surveys, forms or interviews that are 
currently OMB-approved that are being discontinued, and as part of the 
redesigned evaluation, three new data collection efforts will be 
implemented, including:
    [cir] Online Performance Monitoring Report Form (OPMR)
    [cir] Evidence-based Practice and Trauma-informed System Change 
Survey (ETSC)
    [cir] Sustainability Survey for affiliate centers
     This request also enhances the existing Core Data Set by 
revising the Core Clinical Characteristics Forms and adding new 
instruments to address existing gaps in knowledge including:
    [cir] Trauma Symptom Checklist for Young Children (TSCYC)
    [cir] Parenting Stress Index Short Form (PSI-SF)
    [cir] Children's Depression Inventory-2 Short (CDI-2S)
    [cir] Global Appraisal of Needs Modified Short Screener (GAIN-MSS)
     A Training Sign-in Sheet (TSIS) has been developed for use 
at each training event sponsored by NCTSI centers. The purpose of the 
form is to collect brief information about NCTSI training participants.
    The average annual respondent burden is estimated below.

----------------------------------------------------------------------------------------------------------------
                                                  Average number                                  3-year average
           Instrument                Number of     of responses      Hours per     Total burden      of annual
                                    respondents   per respondent     response          hours       burden hours
----------------------------------------------------------------------------------------------------------------
                                       Caregivers Served by NCTSI Centers
----------------------------------------------------------------------------------------------------------------
 
Child Behavior Checklist 1.5-5/6-      \1\ 9,729           \2\ 4            0.33          12,842           4,281
 18 (CBCL 1.5-5/6-18)...........
Trauma Information/Detail Form..           9,729               4            0.22           8,562           2,854
Core Clinical Characteristics              9,729               4             0.5          19,458           6,486
 Form...........................
UCLA-PTSD Short Form (UCLA-PTSD)       \3\ 7,394               4            0.17           5,028           1,676
Trauma Symptoms Checklist for          \4\ 2,724               4            0.33           3,596           1,199
 Young Children (TSCYC).........
Parenting Stress Index Short           \5\ 2,919               4            0.08             934             311
 Form (PSI-SF)..................
----------------------------------------------------------------------------------------------------------------
                                      Youth Served by NCTSI Centers Centers
----------------------------------------------------------------------------------------------------------------
 
Trauma Symptoms Checklist for          \6\ 6,129               4            0.33           8,090           2,697
 Children-Abbreviated (TSCC-A)..
Children's Depression Inventory-       \7\ 2,140               4            0.08             685             228
 2 Short (CDI-2S)...............
Global Appraisal of Individual         \8\ 3,989               4            0.08           1,276             425
 Needs Modified Shore Screener
 (GAIN-MSS).....................
----------------------------------------------------------------------------------------------------------------
                          Funded NCTSI Center Project Directors of Other Administrators
----------------------------------------------------------------------------------------------------------------
 
Online Performance Monitoring                 62              12            0.60             446             149
 Report (OPMR)..................
Sustainability Survey for                     62               3            0.28              52              17
 Currently--Funded Centers......
----------------------------------------------------------------------------------------------------------------
                                       NCTSI and Non-NCTSI Administrators
----------------------------------------------------------------------------------------------------------------
 
Evidence-based Practice (EBP)            \9\ 186               2            0.30             112              37
 and Trauma Informed Systems
 Change Survey (ETSC)--
 Administrator Version..........
----------------------------------------------------------------------------------------------------------------
                                                 NCTSI Trainers
----------------------------------------------------------------------------------------------------------------
 
Training Summary Form...........        \10\ 124               5             0.2             124              41
----------------------------------------------------------------------------------------------------------------
                                   Service Providers Trained by NCTSI Centers
----------------------------------------------------------------------------------------------------------------
 
Evidence-based Practice (EBP)           \11\ 496               3             0.3             446             149
 and Trauma Informed Systems
 Change Survey (ETSC)--Provider
 Version........................
----------------------------------------------------------------------------------------------------------------
                                              Training Participants
----------------------------------------------------------------------------------------------------------------
 
Training Sign-In Sheet (TSIS)...     \12\ 12,400               1             .02             248              83
----------------------------------------------------------------------------------------------------------------

[[Page 53141]]

 
      Mental Health and Non-Mental Health Professionals from State and National Child Serving Organizations
----------------------------------------------------------------------------------------------------------------
 
NCTSI National Reach Survey.....           4,000               1             0.5           2,000             667
----------------------------------------------------------------------------------------------------------------
                                         Affiliate Center Administrators
----------------------------------------------------------------------------------------------------------------
 
Sustainability Survey--                       45               3             .28              38              19
 Affiliate Centers..............
                                 -------------------------------------------------------------------------------
    Total summary...............          71,857              66  ..............  ..............          63,957
                                 -------------------------------------------------------------------------------
        Total annual summary....          23,952              22  ..............  ..............          21,319
----------------------------------------------------------------------------------------------------------------
1. On average, 75 percent of centers participate in the Core Data Set (47 of 62 centers), with an average of 69
  baseline visits per year.
2. On the basis of the children enrolled in the Core Data Set through September 30, 2010, the average length of
  time in treatment is 9 months, yielding an average of 4 assessments per child.
3. On the basis of the children enrolled in the Core Data Set through September 30, 2010, approximately 76% of
  the children in the Core Data Set will be ages 7 and older.
4. On the basis of the children enrolled in the Core Data Set through September 30, 2010, approximately 28% of
  the children in the Core Data Set will be between the ages of 3 and 7.
5. On the basis of the children enrolled in the Core Data Set through September 30, 2010, approximately 60% of
  the children in the Core Data Set will be aged 12 and under. We estimate that approximately 50% of centers
  will use this optional instrument, leading to an estimate of 30% of children in the Core Data Set.
6. On the basis of the children enrolled in the Core Data Set through September 30, 2010, approximately 63% of
  the children in the Core Data Set will be between the ages of 8 and 16.
7. On the basis of the children enrolled in the Core Data Set through September 30, 2010, approximately 44% of
  the children in the Core Data Set will between the ages of 7 and 18, and will have depression indicated as a
  potential problem at baseline. We estimate that approximately 50% of centers will use this optional
  instrument, leading to an estimate of 22% of children in the Core Data Set.
8. On the basis of the children enrolled in the Core Data Set through September 30, 2010, approximately 41% of
  the children in the Core Data Set will be aged 12 and older.
9. Respondents will be administrators from 62 currently funded NCTSI centers and administrators from two child
  serving systems that each NCTSI center trains.
10. Respondents will be center trainers or evaluation staff. On average, 5 Training Summary Forms may be
  completed by 124 trainers.
11. Respondents are NCTSI center employed clinicians and center trained providers. It is estimated that on
  average from the 62 centers, four center-employed clinicians and four center trained providers will take the
  survey three times.
12. It is expected that at least two trainers per center will provide five trainings and on an average there
  will be twenty participants per training.

    Written comments and recommendations concerning the proposed 
information collection should be sent by September 26, 2011 to the 
SAMHSA Desk Officer at the Office of Information and Regulatory 
Affairs, Office of Management and Budget (OMB). To ensure timely 
receipt of comments, and to avoid potential delays in OMB's receipt and 
processing of mail sent through the U.S. Postal Service, commenters are 
encouraged to submit their comments to OMB via e-mail to: OIRA_Submission@omb.eop.gov. Although commenters are encouraged to send 
their comments via e-mail, commenters may also fax their comments to: 
202-395-7285. Commenters may also mail them to: Office of Management 
and Budget, Office of Information and Regulatory Affairs, New Executive 
Office Building, Room 10102, Washington, DC 20503.

    Dated: August 18, 2011.
Elaine Parry,
Director, Office of Management, Technology and Operations.
[FR Doc. 2011-21713 Filed 8-24-11; 8:45 am]
BILLING CODE 4162-20-P