Agency Information Collection Activities: Submission for OMB Review; Comment Request, 9679-9681 [2012-3681]

Download as PDF Federal Register / Vol. 77, No. 33 / Friday, February 17, 2012 / Notices contemplated exclusive evaluation option license should be directed to: David A. Lambertson, Ph.D., Senior Licensing and Patenting Manager, Office of Technology Transfer, National Institutes of Health, 6011 Executive Boulevard, Suite 325, Rockville, MD 20852–3804; Telephone: (301) 435– 4632; Facsimile: (301) 402–0220; Email: lambertsond@od.nih.gov. This invention concerns monoclonal antibodies against CD22 and methods of using the antibodies for the treatment of CD22-expressing cancers, including hematological malignancies such as hairy cell leukemia, chronic lymphocytic leukemia and pediatric acute lymphoblastic leukemia, and autoimmune disease such as lupus and Sjogren’s syndrome. The specific antibodies covered by this technology are designated m971 and m972 (SMB– 002; applicant designation). CD22 is a cell surface antigen that is preferentially expressed on certain types of cancer cells, and is involved in the modulation of the immune system. The m971 and m972 antibodies can selectively bind to diseased cells and induce cell death while leaving healthy, essential cells unharmed. This can result in an effective therapeutic strategy with fewer side effects due to less non-specific killing of cells. The prospective exclusive evaluation option license is being considered under the small business initiative launched on 1 October 2011, and will comply with the terms and conditions of 35 U.S.C. 209 and 37 CFR 404.7. The prospective exclusive evaluation option license, and a subsequent exclusive commercialization license, may be granted unless the NIH receives written evidence and argument that establishes that the grant of the license would not be consistent with the requirements of 35 U.S.C. 209 and 37 CFR 404.7 within fifteen (15) days from the date of this published notice. Complete applications for a license in the field of use filed in response to this notice will be treated as objections to the grant of the contemplated exclusive evaluation option license. Comments and objections submitted to this notice will not be made available for public inspection and, to the extent permitted by law, will not be released under the Freedom of Information Act, 5 U.S.C. 552. mstockstill on DSK4VPTVN1PROD with NOTICES SUPPLEMENTARY INFORMATION: VerDate Mar<15>2010 19:08 Feb 16, 2012 Jkt 226001 Dated: February 13, 2012. Richard U. Rodriguez, Director, Division of Technology Development & Transfer, Office of Technology Transfer, National Institutes of Health. [FR Doc. 2012–3829 Filed 2–16–12; 8:45 am] BILLING CODE 4140–01–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. Proposed Project: Toolkit Protocol for the Crisis Counseling Assistance and Training Program (CCP)—Revision The Substance Abuse and Mental Health Services Administration’s (SAMHSA) Center for Mental Health Services (CMHS) will create a toolkit to be used for the purposes of collecting data on the Crisis Counseling Assistance and Training Program (CCP). The CCP provides supplemental funding to states and territories for individual and community crisis intervention services during a Federal disaster. The CCP has provided disaster mental health services to millions of disaster survivors since its inception and, as a result of 30 years of accumulated expertise, it has become an important model for Federal response to a variety of catastrophic events. State CCPs, such as the recent 2009 Project A’apa Atu (for the Tsunami in American Samoa), 2010 Tennessee Recovery Project (following devastating flooding), Healing Joplin and Project Rebound (following the 2011 tornadoes in Joplin, Missouri and Alabama), and most recently the multiple CCPs that resulted from 2011 Hurricane Irene, and flooding throughout the summer of 2011 have primarily addressed the short-term mental health needs of communities through (a) Outreach and public education, (b) individual and group counseling, and (c) referral. Outreach and public education serve primarily to normalize reactions and to engage people who might need further care. Crisis counseling assists survivors to cope with current stress and symptoms PO 00000 Frm 00060 Fmt 4703 Sfmt 4703 9679 in order to return to predisaster functioning. Crisis counseling relies largely on ‘‘active listening,’’ and crisis counselors also provide psychoeducation (especially about the nature of responses to trauma) and help clients build coping skills. Crisis counseling typically continues no more than a few times. Because crisis counseling is timelimited, referral is the third important functions of CCPs. Counselors are expected to refer clients to formal treatment if the person has developed more serious psychiatric problems. Data about services delivered and users of services will be collected throughout the program period. The data will be collected via the use of a toolkit that relies on standardized forms. At the program level, the data will be entered quickly and easily into a cumulative database to yield summary tables for quarterly and final reports for the program. We have confirmed the feasibility of using scanable forms for most purposes. Because the data will be collected in a consistent way from all programs, they can be uploaded into an ongoing national database that likewise provides CMHS with a way of producing summary reports of services provided across all programs funded. The components of the tool kit are listed and described below: • Encounter Logs. These forms document all services provided. Completion of these logs is required by the crisis counselors. There are three types of encounter logs: (1) Individual/ Family Crisis Counseling Services Encounter Log; (2) Group Encounter Log; and (3) Weekly Tally Sheet. Æ Individual/Family Crisis Counseling Services Encounter Log. Crisis counseling is defined as an interaction that lasts at least 15 minutes and involves participant disclosure. This form is completed by the Crisis Counselor for each service recipient or family, defined as the person or persons who actively participated in the session (e.g., by verbally participating), not someone who is merely present. For families, complete only one form to capture all family members who are actively engaged in the visit. Information collected includes demographics, service characteristics, risk factors, and referral data. Æ Group Encounter Log. This form is used to identify either a group crisis counseling encounter or a group public education encounter. A check at the top identifies the class of activities (i.e., counseling or education). Information collected includes services characteristics, group identity and characteristics, and group activities. E:\FR\FM\17FEN1.SGM 17FEN1 9680 Federal Register / Vol. 77, No. 33 / Friday, February 17, 2012 / Notices • Weekly Tally Sheet. This form documents brief educational and supportive encounters not captured on any other form. Information collected includes service characteristics, daily tallies and weekly totals for brief educational or supportive contacts, and material distribution with no or minimal interaction. • Assessment and Referral Tool. This tool provides descriptive information about intense users of services, defined as all individuals receiving a third individual crisis counseling visit. This tool will be used beginning three months postdisaster and will be completed by a licensed mental health professional. • Participant Feedback. These surveys are completed by and collected from a sample of service recipients, not every recipient. A time sampling approach (e.g., soliciting participation from all counseling encounters one week per quarter) will be used. Information collected includes satisfaction with services, perceived improvements in self-functioning, types of exposure, and event reactions. • CCP Service Provider Feedback. These surveys are completed by and collected from the CCP service providers anonymously at six months and one year postevent. The survey will be coded on several program-level as well as worker-level variables. However, the program itself will be identified and shared with program management only if the number of individual workers was greater than 20. Highlights of the Propose Revisions, Based on Public Comments Received From the 60-Day Review • The previous Individual Crisis Counseling Services Encounter Log is now revised to Individual/Family Crisis Counseling Services Encounter Log. Previously, when encountering a family, crisis counselors would complete a separate Individual Encounter Log for all family members participating in the encounter. It is anticipated that the new form will reduce the burden of completing so many Individual Encounter Forms by 30% or more, by allowing crisis counselors to complete just one form on the family unit. Consequently, the name of the form, many of the fields, and the instructions have been revised to align with this change. • In response to public comment a new field within the demographics has been added to capture aggregate level information on persons with disabilities or other functional or access needs. This new field is now included on the Individual/Family Crisis Counseling Encounter Log, Group Encounter Log, Adult Assessment and Referral Tool and Child/Youth Assessment and Referral Tool. The forms also provide the statutory definition within the instructions. • To encourage compliance with program guidelines that Crisis Counselors conduct outreach in pairs, we have added an additional field for a Crisis Counselor to record their employee number. • In order to better classify services and contacts made by phone, a new field was created on the Weekly Tally Sheet to capture and distinguish the type of telephone contact being recorded. Additionally, under location of service for the remaining forms, a checkbox has been added underneath the Phone Counseling section, for respondents to indicate if the phone counseling session was ‘‘Hotline, helpline, or crisis line.’’ • In order to better understand the number of individual or families that were displaced following the disaster, we have separated permanent home and temporary home by adding a ‘‘home (permanent)’’ option as a separate selection for location of service on all forms, except the Weekly Tally Sheet, where this field does not apply. • In order to capture the helpfulness/ usefulness of the program and the resources, referrals, and services provided, questions were added to the Participant Feedback Form. • A new field was added to the Individual/Family Encounter Log and Group Encounter Log to capture the materials distributed as part of an individual, family, or group encounter ‘‘Were materials (flyer, brochure, handouts, etc.) provided to this/these participant(s)?’’ This will reduce confusion among crisis counselors and reduce the burden of having to count the materials and complete a second form (the Weekly Tally Sheet) for materials distributed as part of the encounter. • For the Adult and Child/Youth Assessment and Referral Tools, language and guidance has been provided that ‘‘The Child Assessment Tool and the Adult Assessment Tool must be administered by licensed mental health professionals. Paraprofessionals may not administer these tools’’. ESTIMATES OF ANNUALIZED HOUR BURDEN Number of respondents Form Responses per respondents Hours per responses Total hour burden 200 100 200 200 1,000 100 196 33 33 14 1 1 .08 .07 .2 .25 .25 .25 3,136 231 1,320 700 250 25 Total ........................................................................................................ mstockstill on DSK4VPTVN1PROD with NOTICES Individual Crisis Counseling Services Encounter Log ................................... Group Encounter Log .................................................................................... Weekly Tally Sheet ........................................................................................ Assessment and Referral Tools .................................................................... Participant Feedback Survey ......................................................................... Service Provider Feedback Survey ............................................................... 1,800 ........................ .......................... 5,662 Written comments and recommendations concerning the proposed information collection should be sent by March 19, 2012 to the SAMHSA Desk Officer at the Office of Information and Regulatory Affairs, Office of Management and Budget VerDate Mar<15>2010 19:08 Feb 16, 2012 Jkt 226001 (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 email to: OIRA_Submission@omb.eop.gov. PO 00000 Frm 00061 Fmt 4703 Sfmt 4703 Although commenters are encouraged to send their comments via email, 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 E:\FR\FM\17FEN1.SGM 17FEN1 Federal Register / Vol. 77, No. 33 / Friday, February 17, 2012 / Notices Affairs, New Executive Office Building, Room 10102, Washington, DC 20503. Summer King, Statistician. [FR Doc. 2012–3681 Filed 2–16–12; 8:45 am] BILLING CODE 4162–20–P DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR–5601–N–07] Federal Property Suitable as Facilities To Assist the Homeless Office of the Assistant Secretary for Community Planning and Development, HUD. ACTION: Notice. AGENCY: This Notice identifies unutilized, underutilized, excess, and surplus Federal property reviewed by HUD for suitability for use to assist the homeless. FOR FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing and Urban Development, 451 Seventh Street SW., Room 7266, Washington, DC 20410; telephone (202) 708–1234; TTY number for the hearing- and speechimpaired (202) 708–2565 (these telephone numbers are not toll-free), or call the toll-free Title V information line at 800–927–7588. SUPPLEMENTARY INFORMATION: In accordance with 24 CFR part 581 and section 501 of the Stewart B. McKinney Homeless Assistance Act (42 U.S.C. 11411), as amended, HUD is publishing this Notice to identify Federal buildings and other real property that HUD has reviewed for suitability for use to assist the homeless. The properties were reviewed using information provided to HUD by Federal landholding agencies regarding unutilized and underutilized buildings and real property controlled by such agencies or by GSA regarding its inventory of excess or surplus Federal property. This Notice is also published in order to comply with the December 12, 1988 Court Order in National Coalition for the Homeless v. Veterans Administration, No. 88–2503– OG (D.D.C.). Properties reviewed are listed in this Notice according to the following categories: Suitable/available, suitable/ unavailable, suitable/to be excess, and unsuitable. The properties listed in the three suitable categories have been reviewed by the landholding agencies, and each agency has transmitted to HUD: (1) Its intention to make the property available for use to assist the homeless, (2) its intention to declare the mstockstill on DSK4VPTVN1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 19:08 Feb 16, 2012 Jkt 226001 property excess to the agency’s needs, or (3) a statement of the reasons that the property cannot be declared excess or made available for use as facilities to assist the homeless. Properties listed as suitable/available will be available exclusively for homeless use for a period of 60 days from the date of this Notice. Where property is described as for ‘‘off-site use only’’ recipients of the property will be required to relocate the building to their own site at their own expense. Homeless assistance providers interested in any such property should send a written expression of interest to HHS, addressed to Theresa Ritta, Division of Property Management, Program Support Center, HHS, room 5B–17, 5600 Fishers Lane, Rockville, MD 20857; (301) 443–2265. (This is not a toll-free number.) HHS will mail to the interested provider an application packet, which will include instructions for completing the application. In order to maximize the opportunity to utilize a suitable property, providers should submit their written expressions of interest as soon as possible. For complete details concerning the processing of applications, the reader is encouraged to refer to the interim rule governing this program, 24 CFR part 581. For properties listed as suitable/to be excess, that property may, if subsequently accepted as excess by GSA, be made available for use by the homeless in accordance with applicable law, subject to screening for other Federal use. At the appropriate time, HUD will publish the property in a Notice showing it as either suitable/ available or suitable/unavailable. For properties listed as suitable/ unavailable, the landholding agency has decided that the property cannot be declared excess or made available for use to assist the homeless, and the property will not be available. Properties listed as unsuitable will not be made available for any other purpose for 20 days from the date of this Notice. Homeless assistance providers interested in a review by HUD of the determination of unsuitability should call the toll free information line at 1– 800–927–7588 for detailed instructions or write a letter to Mark Johnston at the address listed at the beginning of this Notice. Included in the request for review should be the property address (including zip code), the date of publication in the Federal Register, the landholding agency, and the property number. For more information regarding particular properties identified in this Notice (i.e., acreage, floor plan, existing PO 00000 Frm 00062 Fmt 4703 Sfmt 4703 9681 sanitary facilities, exact street address), providers should contact the appropriate landholding agencies at the following addresses: Army: Ms. Veronica Rines, Department of the Army, Office of the Assistant Chief of Staff for Installation Management, +DAIM–ZS, Room 8536, 2511 Jefferson Davis Hwy., Arlington, VA 22202: (571) 256–8145; Coast Guard: Commandant, United States Coast Guard, Attn: Jennifer Stomber, 2100 Second St. SW., Stop 7901, Washington, DC 20593– 0001; (202) 475–5609; Energy: Mr. Mark Price, Department of Energy, Office of Engineering & Construction Management, MA–50, 1000 Independence Ave. SW., Washington, DC 20585: (202) 586–5422; Interior: Mr. Michael Wright, Acquisition & Property Management, Department of the Interior, 1801 Pennsylvania Ave. NW., 4th Floor, Washington, DC 20006: 202–254–5522; (These are not toll-free numbers). Dated: February 9, 2012. Mark R. Johnston, Deputy Assistant Secretary for Special Needs. TITLE V, FEDERAL SURPLUS PROPERTY PROGRAM FEDERAL REGISTER REPORT FOR 02/17/2012 Suitable/Available Properties Building Mississippi Tract 02–168 Nat’l Park Service Vickerburg MS Landholding Agency: Interior Property Number: 61201210006 Status: Unutilized Comments: Off-site removal only; bldg. need repairs; 1200 sq. ft.; current use: residential New York Bldg. 0589 Brookhaven Nat’l Lab Upton NY 11973 Landholding Agency: Energy Property Number: 41201210002 Status: Unutilized Comments: Off-site removal only; 60 sq. ft.; current use: storage; poor conditions— signs of decay; need repairs Four Multi-Unit Apts. Fort Wadsworth Staten Island NY 10305 Landholding Agency: Coast Guard Property Number: 88201210001 Status: Underutilized Comments: Off-site removal only; sq. ft. varies; current use: residential; bldgs. are not energy sufficient Washington Wahlgren Property-Duk Property Olympic Nat’l Park Clallam WA 98326 Landholding Agency: Interior Property Number: 61201210008 Status: Excess E:\FR\FM\17FEN1.SGM 17FEN1

Agencies

[Federal Register Volume 77, Number 33 (Friday, February 17, 2012)]
[Notices]
[Pages 9679-9681]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-3681]


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

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: Toolkit Protocol for the Crisis Counseling Assistance 
and Training Program (CCP)--Revision

    The Substance Abuse and Mental Health Services Administration's 
(SAMHSA) Center for Mental Health Services (CMHS) will create a toolkit 
to be used for the purposes of collecting data on the Crisis Counseling 
Assistance and Training Program (CCP). The CCP provides supplemental 
funding to states and territories for individual and community crisis 
intervention services during a Federal disaster.
    The CCP has provided disaster mental health services to millions of 
disaster survivors since its inception and, as a result of 30 years of 
accumulated expertise, it has become an important model for Federal 
response to a variety of catastrophic events. State CCPs, such as the 
recent 2009 Project A'apa Atu (for the Tsunami in American Samoa), 2010 
Tennessee Recovery Project (following devastating flooding), Healing 
Joplin and Project Rebound (following the 2011 tornadoes in Joplin, 
Missouri and Alabama), and most recently the multiple CCPs that 
resulted from 2011 Hurricane Irene, and flooding throughout the summer 
of 2011 have primarily addressed the short-term mental health needs of 
communities through (a) Outreach and public education, (b) individual 
and group counseling, and (c) referral. Outreach and public education 
serve primarily to normalize reactions and to engage people who might 
need further care. Crisis counseling assists survivors to cope with 
current stress and symptoms in order to return to predisaster 
functioning. Crisis counseling relies largely on ``active listening,'' 
and crisis counselors also provide psycho-education (especially about 
the nature of responses to trauma) and help clients build coping 
skills. Crisis counseling typically continues no more than a few times. 
Because crisis counseling is time-limited, referral is the third 
important functions of CCPs. Counselors are expected to refer clients 
to formal treatment if the person has developed more serious 
psychiatric problems.
    Data about services delivered and users of services will be 
collected throughout the program period. The data will be collected via 
the use of a toolkit that relies on standardized forms. At the program 
level, the data will be entered quickly and easily into a cumulative 
database to yield summary tables for quarterly and final reports for 
the program. We have confirmed the feasibility of using scanable forms 
for most purposes. Because the data will be collected in a consistent 
way from all programs, they can be uploaded into an ongoing national 
database that likewise provides CMHS with a way of producing summary 
reports of services provided across all programs funded.
    The components of the tool kit are listed and described below:
     Encounter Logs. These forms document all services 
provided. Completion of these logs is required by the crisis 
counselors. There are three types of encounter logs: (1) Individual/
Family Crisis Counseling Services Encounter Log; (2) Group Encounter 
Log; and (3) Weekly Tally Sheet.
    [cir] Individual/Family Crisis Counseling Services Encounter Log. 
Crisis counseling is defined as an interaction that lasts at least 15 
minutes and involves participant disclosure. This form is completed by 
the Crisis Counselor for each service recipient or family, defined as 
the person or persons who actively participated in the session (e.g., 
by verbally participating), not someone who is merely present. For 
families, complete only one form to capture all family members who are 
actively engaged in the visit. Information collected includes 
demographics, service characteristics, risk factors, and referral data.
    [cir] Group Encounter Log. This form is used to identify either a 
group crisis counseling encounter or a group public education 
encounter. A check at the top identifies the class of activities (i.e., 
counseling or education). Information collected includes services 
characteristics, group identity and characteristics, and group 
activities.

[[Page 9680]]

     Weekly Tally Sheet. This form documents brief educational 
and supportive encounters not captured on any other form. Information 
collected includes service characteristics, daily tallies and weekly 
totals for brief educational or supportive contacts, and material 
distribution with no or minimal interaction.
     Assessment and Referral Tool. This tool provides 
descriptive information about intense users of services, defined as all 
individuals receiving a third individual crisis counseling visit. This 
tool will be used beginning three months postdisaster and will be 
completed by a licensed mental health professional.
     Participant Feedback. These surveys are completed by and 
collected from a sample of service recipients, not every recipient. A 
time sampling approach (e.g., soliciting participation from all 
counseling encounters one week per quarter) will be used. Information 
collected includes satisfaction with services, perceived improvements 
in self-functioning, types of exposure, and event reactions.
     CCP Service Provider Feedback. These surveys are completed 
by and collected from the CCP service providers anonymously at six 
months and one year postevent. The survey will be coded on several 
program-level as well as worker-level variables. However, the program 
itself will be identified and shared with program management only if 
the number of individual workers was greater than 20.

Highlights of the Propose Revisions, Based on Public Comments Received 
From the 60-Day Review

     The previous Individual Crisis Counseling Services 
Encounter Log is now revised to Individual/Family Crisis Counseling 
Services Encounter Log. Previously, when encountering a family, crisis 
counselors would complete a separate Individual Encounter Log for all 
family members participating in the encounter. It is anticipated that 
the new form will reduce the burden of completing so many Individual 
Encounter Forms by 30% or more, by allowing crisis counselors to 
complete just one form on the family unit. Consequently, the name of 
the form, many of the fields, and the instructions have been revised to 
align with this change.
     In response to public comment a new field within the 
demographics has been added to capture aggregate level information on 
persons with disabilities or other functional or access needs. This new 
field is now included on the Individual/Family Crisis Counseling 
Encounter Log, Group Encounter Log, Adult Assessment and Referral Tool 
and Child/Youth Assessment and Referral Tool. The forms also provide 
the statutory definition within the instructions.
     To encourage compliance with program guidelines that 
Crisis Counselors conduct outreach in pairs, we have added an 
additional field for a Crisis Counselor to record their employee 
number.
     In order to better classify services and contacts made by 
phone, a new field was created on the Weekly Tally Sheet to capture and 
distinguish the type of telephone contact being recorded. Additionally, 
under location of service for the remaining forms, a checkbox has been 
added underneath the Phone Counseling section, for respondents to 
indicate if the phone counseling session was ``Hotline, helpline, or 
crisis line.''
     In order to better understand the number of individual or 
families that were displaced following the disaster, we have separated 
permanent home and temporary home by adding a ``home (permanent)'' 
option as a separate selection for location of service on all forms, 
except the Weekly Tally Sheet, where this field does not apply.
     In order to capture the helpfulness/usefulness of the 
program and the resources, referrals, and services provided, questions 
were added to the Participant Feedback Form.
     A new field was added to the Individual/Family Encounter 
Log and Group Encounter Log to capture the materials distributed as 
part of an individual, family, or group encounter ``Were materials 
(flyer, brochure, handouts, etc.) provided to this/these 
participant(s)?'' This will reduce confusion among crisis counselors 
and reduce the burden of having to count the materials and complete a 
second form (the Weekly Tally Sheet) for materials distributed as part 
of the encounter.
     For the Adult and Child/Youth Assessment and Referral 
Tools, language and guidance has been provided that ``The Child 
Assessment Tool and the Adult Assessment Tool must be administered by 
licensed mental health professionals. Paraprofessionals may not 
administer these tools''.

                                       Estimates of Annualized Hour Burden
----------------------------------------------------------------------------------------------------------------
                                                     Number of     Responses per     Hours per      Total hour
                      Form                          respondents     respondents      responses        burden
----------------------------------------------------------------------------------------------------------------
Individual Crisis Counseling Services Encounter              200             196             .08           3,136
 Log............................................
Group Encounter Log.............................             100              33             .07             231
Weekly Tally Sheet..............................             200              33             .2            1,320
Assessment and Referral Tools...................             200              14             .25             700
Participant Feedback Survey.....................           1,000               1             .25             250
Service Provider Feedback Survey................             100               1             .25              25
                                                 ---------------------------------------------------------------
    Total.......................................           1,800  ..............  ..............           5,662
----------------------------------------------------------------------------------------------------------------

    Written comments and recommendations concerning the proposed 
information collection should be sent by March 19, 2012 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 email to: OIRA_Submission@omb.eop.gov. Although commenters are encouraged to send 
their comments via email, 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

[[Page 9681]]

Affairs, New Executive Office Building, Room 10102, Washington, DC 
20503.

Summer King,
Statistician.
[FR Doc. 2012-3681 Filed 2-16-12; 8:45 am]
BILLING CODE 4162-20-P
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.