Agency Information Collection Activities: Submission for OMB Review; Comment Request, 34961-34964 [2012-14200]
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34961
Federal Register / Vol. 77, No. 113 / Tuesday, June 12, 2012 / Notices
MAI Rapid HIV Testing Clinical
Information Form is to use a
standardized data collection instrument
to fully capture essential clinical
information to enhance preventive
services for those who test HIV-negative
and refer to quality treatment/medical
care those who test HIV-positive.
The aim of the project is to implement
and increase rapid HIV testing among
racial and ethnic minorities and collect
rapid HIV testing data using the MAI
Rapid HIV Testing Clinical Information
Form. To meet this requirement, all
Grantees must offer their clients rapid
HIV preliminary antibody testing during
outreach, pretreatment, or program
enrollment. In addition, rapid HIV
testing may be made available to the
sexual and/or injection partners of
clients. Grantees must provide onsite
rapid HIV testing in accordance with
their respective State and local
requirements. If a client requests an offsite rapid HIV test, the Grantee must
provide a referral to a rapid HIV testing
site certified by the local health
department.
Grantees are currently using the MAI
Rapid HIV Testing Clinical Information
MAI Rapid HIV Testing Clinical Information Form (FY 2008 and
FY 2009–63 Grantees) ................................................................
RHT form for 11 HIV program FY 2011 grantees (public health
departments) ................................................................................
MAI Rapid HIV Testing Clinical Information Form (Re-test) ...........
Total ..........................................................................................
Written comments and
recommendations concerning the
proposed information collection should
be sent by July 12, 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
Affairs, New Executive Office Building,
Room 10102, Washington, DC 20503.
Summer King,
Statistician.
[FR Doc. 2012–14199 Filed 6–11–12; 8:45 am]
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BILLING CODE 4162–20–P
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Estimated
number of
responses per
respondent
Estimated
number of
respondents
Respondents
0.133
1,330
20,000
6,000
1
1
0.133
0.133
2,660
798
30,000
............................
............................
4,788
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 Evaluation of the
Comprehensive Community Mental
Health Services for Children and Their
Families Program: Phase VI (OMB No.
0930–0307)—REVISION
The Substance Abuse and Mental
Health Services Administration
(SAMHSA), Center of Mental Health
Services is responsible for the national
evaluation of the Comprehensive
Community Mental Health Services for
Children and Their Families Program
(Children’s Mental Health Initiative—
CMHI) that will collect data on child
mental health outcomes, family life, and
service system development. Data will
be collected on 47 service systems, and
approximately 6,561 children and
families.
Fmt 4703
Estimated total
burden hours
1
Substance Abuse and Mental Health
Services Administration
Frm 00029
Average
burden
hours per
response
10,000
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
PO 00000
Form in the field to systematically
collect information from clients on
demographics, previous rapid HIV test
results, substance use and sexual risk
behaviors, current rapid HIV test results,
types of services received, and
confirmatory HIV test result. Once a
client is offered a rapid HIV test, the
Grantee staff completes the MAI Rapid
HIV Testing Clinical Information Form
with the client present and then enters
the data into a secure Web site that
allows for real-time data submission.
The estimated annualized burden is
summarized below.
Sfmt 4703
Principal changes from the previous
Phase VI OMB approval include:
• Addition of nine (9) communities
awarded cooperative agreements in
FY2010 for data collection.
• Replacement of intake and followup questionnaires for the Child Welfare
Sector and Comparison Study with an
administrative record review form to
lessen burden.
• Addition of a brief 8-item Education
Sector Caregiver Questionnaire to the
Education Sector and Comparison Study
to capture family involvement in the
development and use of Individualized
Education Plans (IEPs).
• Removal of data collection activities
for the Alumni Networking Study, the
CQI Initiative Evaluation, and the
Sustainability Study.
Data collection for this evaluation will
be conducted over a five-year period.
Child and family outcomes of interest
will be collected at intake and during
subsequent follow-up sessions at sixmonth intervals. The length of time that
individual families will participate in
the study is up to 24 months. The
outcome measures include the
following: Child symptomatology and
functioning, family functioning,
satisfaction, and caregiver strain. The
core of service system data will be
collected every 18–24 months
throughout the 5-year evaluation period.
Service utilization and cost data will be
tracked and submitted to the national
evaluation every six months using two
tools: The Flex Fund Tool and the
Services and Costs Data Tool to estimate
E:\FR\FM\12JNN1.SGM
12JNN1
34962
Federal Register / Vol. 77, No. 113 / Tuesday, June 12, 2012 / Notices
average cost of treatment per child,
distribution of costs, and allocation of
costs across service categories. Service
delivery and system variables of interest
include the following: Maturity of
system of care development in funded
system of care communities, adherence
to the system of care program model,
and client service experience.
In addition, the evaluation will
include one special study: The Sector
and Comparison Study will examine in
more detail the outcomes and service
Instrument
experience of children from multiple
child-serving sectors and, through childlevel matching, compare these outcomes
with those not receiving system of care
services.
Internet-based technology such as
data entry and management tools will be
used in this evaluation. The measures of
the national evaluation address annual
Congressional reporting requirements of
the program’s authorizing legislation,
and the national outcome measures for
Number of
respondents
Respondent
Total average
number of
responses per
respondent
mental health programs as currently
established by SAMHSA.
The average annual respondent
burden is estimated below. The estimate
reflects the average number of
respondents in each respondent
category, the average number of
responses per respondent per year, the
average length of time it will take to
complete each response, and the total
average annual burden for each category
of respondent, and for all categories of
respondents combined.
Hours per
response
Total burden
hours
5-Year
average
annual
burden hours
System of Care Assessment
Interview Guides A–S ........................
Key site informants.
1081
3
1.00
3,243
649
6,561
1
0.37
2,406
481
6,561
4
0.28
7,436
1,487
Caregiver .............
6,561
5
0.17
5,478
1,096
Caregiver .............
6,561
5
0.33
10,924
2,185
Caregiver .............
6,561
5
0.33
10,924
2,185
Caregiver .............
Caregiver .............
6,561
5,389
5
5
0.08
0.17
2,723
4,500
545
900
Caregiver .............
Caregiver .............
Caregiver .............
6,281
2,151
1,576
5
5
5
0.08
0.08
0.08
2,607
896
657
521
179
131
Caregiver .............
1,576
5
0.10
788
158
Youth ...................
Youth ...................
3,986
3,986
5
5
0.13
0.17
2,657
3,328
531
666
Youth ...................
3,986
5
0.08
1,654
331
Youth ...................
3,986
5
0.10
1,993
399
Youth ...................
3,986
5
0.07
1,329
266
Youth ...................
3,986
5
0.05
997
199
Youth ...................
3,986
1
0.25
997
199
srobinson on DSK4SPTVN1PROD with NOTICES
Child and Family Outcome Study
Caregiver Information Questionnaire,
Revised: Caregiver—Intake (CIQ–
RC–I).
Caregiver Information Questionnaire,
Revised: Staff as Caregiver—Intake (CIQ–RS–I).
Caregiver Information Questionnaire,
Revised:
Caregiver—Follow-Up
(CIQ–RC–F).
Caregiver Information Questionnaire,
Revised: Staff as Caregiver—Follow-Up (CIQ–RS–F).
Caregiver
Strain
Questionnaire
(CGSQ).
Child Behavior Checklist 11⁄2–5
(CBCL 11⁄2–5).
Child Behavior Checklist 6–18 (CBCL
6–18).
Education Questionnaire, Revision 2
(EQ–R2).
Living Situations Questionnaire (LSQ)
Behavioral and Emotional Rating
Scale—Second Edition, Parent
Rating Scale (BERS–2C).
Columbia Impairment Scale (CIS) .....
Parenting Stress Index (PSI) .............
Devereux Early Childhood Assessment for Infants (DECA 1–18M).
Devereux Early Childhood Assessment for Toddlers (DECA 18–36M).
Devereux Early Childhood Assessment (DECA 2–5Y).
Preschool Behavioral and Emotional
Rating (PreBERS).
Delinquency Survey, Revised (DS–R)
Behavioral and Emotional Rating
Scale—Second Edition, Youth Rating Scale (BERS–2Y).
Gain Quick–R: Substance Problem
Scale (GAIN).
Substance Use Survey, Revised
(SUS–R).
Revised Children’s Manifest Anxiety
Scale, Second Edition (RCMAS–2).
Reynolds Adolescent Depression
Scale, Second Edition (RADS–2).
Youth Information Questionnaire, Revised—Intake (YIQ–R–I).
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Caregiver .............
Staff as Caregiver.
Caregiver .............
Staff as Caregiver.
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PO 00000
Frm 00030
Fmt 4703
Sfmt 4703
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Federal Register / Vol. 77, No. 113 / Tuesday, June 12, 2012 / Notices
Instrument
Youth Information Questionnaire, Revised—Follow-Up (YIQ–R–F).
Number of
respondents
Respondent
Youth ...................
Total average
number of
responses per
respondent
3,986
Hours per
response
Total burden
hours
5-Year
average
annual
burden hours
4
0.25
3,986
797
6,561
1
0.25
1,640
328
6,561
4
0.25
6,561
1,312
Caregiver .............
6,561
4
0.13
3,499
700
Caregiver .............
6,561
4
0.12
3,071
614
Youth ...................
3,986
4
0.08
1,323
265
Service Experience Study
Multi-Sector Service Contacts, Revised: Caregiver—Intake (MSSC–
RC–I).
Multi-Sector Service Contacts, Revised: Staff as Caregiver—Intake
(MSSC–RS–I).
Multi-Sector Service Contacts, Revised:
Caregiver—Follow-Up
(MSSC–RC–F).
Multi-Sector Service Contacts, Revised: Staff as Caregiver—FollowUp (MSSC–RS–F).
Cultural Competence and Service
Provision Questionnaire, Revised
(CCSP–R).
Youth Services Survey for Families
(YSS–F).
Youth Services Survey (YSS) ...........
Caregiver .............
Staff as Caregiver.
Caregiver .............
Staff as Caregiver.
Comparison and Sector Study: Juvenile Justice
Court Representative Questionnaire
(CRQ).
Electronic Data Transfer of Juvenile
Justice Records.
Court representatives.
Key site personnel
202
5
0.50
505
101
202
5
0.03
34
7
Comparison and Sector Study: Education
Teacher Questionnaire (TQ) ..............
School Administrator Questionnaire
(SAQ).
Electronic Data Transfer of Education
Records.
Education Sector Caregiver Questionnaire (ESCQ).
Teacher ...............
School administrators.
Key site personnel
202
202
5
5
0.50
0.50
505
505
101
101
202
5
0.03
34
7
Caregiver .............
202
5
0.08
81
16
5
0.03
34
7
1,565
3
0.03
155
31
6,561
100
0.05
32,805
6,561
Comparison and Sector Study: Child Welfare
Electronic Data Transfer of Child
Welfare Records.
Key site personnel
202
Services and Costs Study
Flex Funds Data Dictionary/Tool .......
srobinson on DSK4SPTVN1PROD with NOTICES
Services and Costs Data Dictionary/
Data Entry Application.
Local programming staff compiling/entering
administrative
data on children/youth.
Local evaluator,
staff at partner
agencies, and
programming
staff compiling/
entering service
and cost
records on children/youth.
Number of
respondents
Respondent
Caregiver .........................................................................................................
Youth ................................................................................................................
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Number of
responses/
respondent
6,561
3,986
E:\FR\FM\12JNN1.SGM
0.9
0.9
12JNN1
Average
burden/
response
2.2
1.1
Total average
annual burden
12,838
3,653
34964
Federal Register / Vol. 77, No. 113 / Tuesday, June 12, 2012 / Notices
Number of
respondents
Respondent
Number of
responses/
respondent
Average
burden/
response
Total average
annual burden
Provider/Administrator .....................................................................................
1,081
12.9
0.5
7,564
Total ..........................................................................................................
11,628
........................
........................
24,055
Written comments and
recommendations concerning the
proposed information collection should
be sent by July 12, 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
Affairs, New Executive Office Building,
Room 10102, Washington, DC 20503.
Summer King,
Statistician.
[FR Doc. 2012–14200 Filed 6–11–12; 8:45 am]
BILLING CODE 4162–20–P
DEPARTMENT OF HOMELAND
SECURITY
U.S. Customs and Border Protection
Notice of Issuance of Final
Determination Concerning Toshiba
E-Studio Multi-Function Peripherals
U.S. Customs and Border
Protection, Department of Homeland
Security.
ACTION: Notice of final determination.
AGENCY:
This document provides
notice that U.S. Customs and Border
Protection (‘‘CBP’’) has issued a final
determination concerning the country of
origin of certain Toshiba e-Studio Multifunction Peripherals (MFPs), which
perform imaging, scanning, faxing, and
printing functions. Based upon the facts
presented, CBP has concluded that the
country where the last substantial
transformation takes place is Singapore.
Therefore, the country of origin of the
MFPs is Singapore for purposes of U.S.
Government procurement.
DATES: The final determination was
issued on June 5, 2012. A copy of the
final determination is attached. Any
srobinson on DSK4SPTVN1PROD with NOTICES
SUMMARY:
VerDate Mar<15>2010
22:42 Jun 11, 2012
Jkt 226001
party-at-interest, as defined in 19 CFR
177.22(d), may seek judicial review of
this final determination on or before
July 12, 2012.
FOR FURTHER INFORMATION CONTACT:
Heather K. Pinnock, Valuation and
Special Programs Branch: (202) 325–
0034.
SUPPLEMENTARY INFORMATION: Notice is
hereby given that on June 5, 2012,
pursuant to subpart B of Part 177, U.S.
Customs and Border Protection
Regulations (19 CFR part 177, subpart
B), CBP issued a final determination
concerning the country of origin of
certain Toshiba e-Studio MFPs which
may be offered to the U.S. Government
under an undesignated government
procurement contract. This final
determination, HQ H198875, was issued
under procedures set forth at 19 CFR
part 177, subpart B, which implements
Title III of the Trade Agreements Act of
1979, as amended (19 U.S.C. 2511–18).
In the final determination, CBP
concluded that, based upon the facts
presented, the country where the last
substantial transformation takes place is
Singapore. Therefore, the country of
origin of the MFPs is Singapore for
purposes of U.S. Government
procurement.
Section 177.29, CBP Regulations (19
CFR 177.29), provides that a notice of
final determination shall be published
in the Federal Register within 60 days
of the date the final determination is
issued. Section 177.30, CBP Regulations
(19 CFR 177.30), provides that any
party-at-interest, as defined in 19 CFR
177.22(d), may seek judicial review of a
final determination within 30 days of
publication of such determination in the
Federal Register.
Dated: June 5, 2012.
Sandra L. Bell,
Executive Director, Regulations and Rulings,
Office of International Trade.
Attachment
HQ H198875
June 5, 2012
MAR OT:RR:CTF:VS H198875 HkP
CATEGORY: Origin
David T. Ralston Jr., Esq.
Foley & Lardner LLP
3000 K Street, NW
Suite 600
PO 00000
Frm 00032
Fmt 4703
Sfmt 4703
Washington, DC 20007–5109
RE: U.S. Government Procurement;
Country of Origin of Toshiba
e-Studio Multi-function
Peripherals; Substantial
Transformation
Dear Mr. Ralston:
This is in response to your letter,
dated December 30, 2011, clarified on
January 30, 2012, requesting a final
determination on behalf of Toshiba
America Business Solutions (‘‘TABS’’),
pursuant to subpart B of part 177 of the
U.S. Customs and Border Protection
(‘‘CBP’’) Regulations (19 C.F.R. Part
177). Under these regulations, which
implement Title III of the Trade
Agreements Act of 1979 (‘‘TAA’’), as
amended (19 U.S.C. § 2511 et seq.), CBP
issues country of origin advisory rulings
and final determinations as to whether
an article is or would be a product of a
designated country or instrumentality
for the purposes of granting waivers of
certain ‘‘Buy American’’ restrictions in
U.S. law or practice for products offered
for sale to the U.S. Government.
This final determination concerns the
country of origin of eight models of
Toshiba e-Studio multi-function
peripherals (‘‘MFPs’’). As a U.S.
importer, TABS is a party-at-interest
within the meaning of 19 C.F.R.
§ 177.22(d)(1) and is entitled to request
this final determination.
FACTS:
Toshiba’s MFPs perform imaging,
scanning, faxing and printing functions.
TABS imports eight models of MFPs
from Singapore: (1) the e-Studio
3040CG; (2) the e-Studio 4540CG; (3) the
e-Studio 5540CG; (4) the e-Studio
6540CG; (5) the e-Studio 306G; (6) the
e-Studio 456G; (7) the e-Studio 656G;
and, (8) the e-Studio 856G. The model
numbers ending in ‘‘CG’’ offer full color
printing while those ending in ‘‘G’’ offer
monochrome printing only. Apart from
this, the primary distinction between
the model types is the speed at which
they print documents. The model name
incorporates the maximum page-perminute (‘‘ppm’’) output of each model.
For example, the e-Studio 3040CG
model prints a maximum of 30 ppm,
and the e-Studio 856G model prints a
maximum of 85 ppm. Each MFP model
is primarily composed of the same
E:\FR\FM\12JNN1.SGM
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]]>Agencies
[Federal Register Volume 77, Number 113 (Tuesday, June 12, 2012)]
[Notices]
[Pages 34961-34964]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-14200]
-----------------------------------------------------------------------
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 Evaluation of the Comprehensive Community Mental
Health Services for Children and Their Families Program: Phase VI (OMB
No. 0930-0307)--REVISION
The Substance Abuse and Mental Health Services Administration
(SAMHSA), Center of Mental Health Services is responsible for the
national evaluation of the Comprehensive Community Mental Health
Services for Children and Their Families Program (Children's Mental
Health Initiative--CMHI) that will collect data on child mental health
outcomes, family life, and service system development. Data will be
collected on 47 service systems, and approximately 6,561 children and
families.
Principal changes from the previous Phase VI OMB approval include:
Addition of nine (9) communities awarded cooperative
agreements in FY2010 for data collection.
Replacement of intake and follow-up questionnaires for the
Child Welfare Sector and Comparison Study with an administrative record
review form to lessen burden.
Addition of a brief 8-item Education Sector Caregiver
Questionnaire to the Education Sector and Comparison Study to capture
family involvement in the development and use of Individualized
Education Plans (IEPs).
Removal of data collection activities for the Alumni
Networking Study, the CQI Initiative Evaluation, and the Sustainability
Study.
Data collection for this evaluation will be conducted over a five-year
period. Child and family outcomes of interest will be collected at
intake and during subsequent follow-up sessions at six-month intervals.
The length of time that individual families will participate in the
study is up to 24 months. The outcome measures include the following:
Child symptomatology and functioning, family functioning, satisfaction,
and caregiver strain. The core of service system data will be collected
every 18-24 months throughout the 5-year evaluation period. Service
utilization and cost data will be tracked and submitted to the national
evaluation every six months using two tools: The Flex Fund Tool and the
Services and Costs Data Tool to estimate
[[Page 34962]]
average cost of treatment per child, distribution of costs, and
allocation of costs across service categories. Service delivery and
system variables of interest include the following: Maturity of system
of care development in funded system of care communities, adherence to
the system of care program model, and client service experience.
In addition, the evaluation will include one special study: The
Sector and Comparison Study will examine in more detail the outcomes
and service experience of children from multiple child-serving sectors
and, through child-level matching, compare these outcomes with those
not receiving system of care services.
Internet-based technology such as data entry and management tools
will be used in this evaluation. The measures of the national
evaluation address annual Congressional reporting requirements of the
program's authorizing legislation, and the national outcome measures
for mental health programs as currently established by SAMHSA.
The average annual respondent burden is estimated below. The
estimate reflects the average number of respondents in each respondent
category, the average number of responses per respondent per year, the
average length of time it will take to complete each response, and the
total average annual burden for each category of respondent, and for
all categories of respondents combined.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Total average
Number of number of Hours per Total burden 5-Year
Instrument Respondent respondents responses per response hours average annual
respondent burden hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
System of Care Assessment
--------------------------------------------------------------------------------------------------------------------------------------------------------
Interview Guides A-S...................... Key site informants......... 1081 3 1.00 3,243 649
--------------------------------------------------------------------------------------------------------------------------------------------------------
Child and Family Outcome Study
--------------------------------------------------------------------------------------------------------------------------------------------------------
Caregiver Information Questionnaire, Caregiver................... 6,561 1 0.37 2,406 481
Revised: Caregiver--Intake (CIQ-RC-I).
Caregiver Information Questionnaire, Staff as Caregiver..........
Revised: Staff as Caregiver--Intake (CIQ-
RS-I).
Caregiver Information Questionnaire, Caregiver................... 6,561 4 0.28 7,436 1,487
Revised: Caregiver--Follow-Up (CIQ-RC-F).
Caregiver Information Questionnaire, Staff as Caregiver..........
Revised: Staff as Caregiver--Follow-Up
(CIQ-RS-F).
Caregiver Strain Questionnaire (CGSQ)..... Caregiver................... 6,561 5 0.17 5,478 1,096
Child Behavior Checklist 1\1/2\-5 (CBCL Caregiver................... 6,561 5 0.33 10,924 2,185
1\1/2\-5).
Child Behavior Checklist 6-18 (CBCL 6-18).
Education Questionnaire, Revision 2 (EQ- Caregiver................... 6,561 5 0.33 10,924 2,185
R2).
Living Situations Questionnaire (LSQ)..... Caregiver................... 6,561 5 0.08 2,723 545
Behavioral and Emotional Rating Scale-- Caregiver................... 5,389 5 0.17 4,500 900
Second Edition, Parent Rating Scale (BERS-
2C).
Columbia Impairment Scale (CIS)........... Caregiver................... 6,281 5 0.08 2,607 521
Parenting Stress Index (PSI).............. Caregiver................... 2,151 5 0.08 896 179
Devereux Early Childhood Assessment for Caregiver................... 1,576 5 0.08 657 131
Infants (DECA 1-18M).
Devereux Early Childhood Assessment for
Toddlers (DECA 18-36M).
Devereux Early Childhood Assessment (DECA
2-5Y).
Preschool Behavioral and Emotional Rating Caregiver................... 1,576 5 0.10 788 158
(PreBERS).
Delinquency Survey, Revised (DS-R)........ Youth....................... 3,986 5 0.13 2,657 531
Behavioral and Emotional Rating Scale-- Youth....................... 3,986 5 0.17 3,328 666
Second Edition, Youth Rating Scale (BERS-
2Y).
Gain Quick-R: Substance Problem Scale Youth....................... 3,986 5 0.08 1,654 331
(GAIN).
Substance Use Survey, Revised (SUS-R)..... Youth....................... 3,986 5 0.10 1,993 399
Revised Children's Manifest Anxiety Scale, Youth....................... 3,986 5 0.07 1,329 266
Second Edition (RCMAS-2).
Reynolds Adolescent Depression Scale, Youth....................... 3,986 5 0.05 997 199
Second Edition (RADS-2).
Youth Information Questionnaire, Revised-- Youth....................... 3,986 1 0.25 997 199
Intake (YIQ-R-I).
[[Page 34963]]
Youth Information Questionnaire, Revised-- Youth....................... 3,986 4 0.25 3,986 797
Follow-Up (YIQ-R-F).
--------------------------------------------------------------------------------------------------------------------------------------------------------
Service Experience Study
--------------------------------------------------------------------------------------------------------------------------------------------------------
Multi-Sector Service Contacts, Revised: Caregiver................... 6,561 1 0.25 1,640 328
Caregiver--Intake (MSSC-RC-I).
Multi-Sector Service Contacts, Revised: Staff as Caregiver..........
Staff as Caregiver--Intake (MSSC-RS-I).
Multi-Sector Service Contacts, Revised: Caregiver................... 6,561 4 0.25 6,561 1,312
Caregiver--Follow-Up (MSSC-RC-F).
Multi-Sector Service Contacts, Revised: Staff as Caregiver..........
Staff as Caregiver--Follow-Up (MSSC-RS-F).
Cultural Competence and Service Provision Caregiver................... 6,561 4 0.13 3,499 700
Questionnaire, Revised (CCSP-R).
Youth Services Survey for Families (YSS-F) Caregiver................... 6,561 4 0.12 3,071 614
Youth Services Survey (YSS)............... Youth....................... 3,986 4 0.08 1,323 265
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Comparison and Sector Study: Juvenile Justice
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Court Representative Questionnaire (CRQ).. Court representatives....... 202 5 0.50 505 101
Electronic Data Transfer of Juvenile Key site personnel.......... 202 5 0.03 34 7
Justice Records.
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Comparison and Sector Study: Education
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Teacher Questionnaire (TQ)................ Teacher..................... 202 5 0.50 505 101
School Administrator Questionnaire (SAQ).. School administrators....... 202 5 0.50 505 101
Electronic Data Transfer of Education Key site personnel.......... 202 5 0.03 34 7
Records.
Education Sector Caregiver Questionnaire Caregiver................... 202 5 0.08 81 16
(ESCQ).
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Comparison and Sector Study: Child Welfare
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Electronic Data Transfer of Child Welfare Key site personnel.......... 202 5 0.03 34 7
Records.
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Services and Costs Study
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Flex Funds Data Dictionary/Tool........... Local programming staff 1,565 3 0.03 155 31
compiling/entering
administrative data on
children/youth.
Services and Costs Data Dictionary/Data Local evaluator, staff at 6,561 100 0.05 32,805 6,561
Entry Application. partner agencies, and
programming staff compiling/
entering service and cost
records on children/youth.
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Number of Average
Respondent Number of responses/ burden/ Total average
respondents respondent response annual burden
----------------------------------------------------------------------------------------------------------------
Caregiver....................................... 6,561 0.9 2.2 12,838
Youth........................................... 3,986 0.9 1.1 3,653
[[Page 34964]]
Provider/Administrator.......................... 1,081 12.9 0.5 7,564
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Total....................................... 11,628 .............. .............. 24,055
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Written comments and recommendations concerning the proposed
information collection should be sent by July 12, 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 Affairs, New Executive
Office Building, Room 10102, Washington, DC 20503.
Summer King,
Statistician.
[FR Doc. 2012-14200 Filed 6-11-12; 8:45 am]
BILLING CODE 4162-20-P
