Agency Information Collection Activities: Submission for OMB Review; Comment Request, 34961-34964 [2012-14200]

Download as PDF 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] srobinson on DSK4SPTVN1PROD with NOTICES BILLING CODE 4162–20–P VerDate Mar<15>2010 22:42 Jun 11, 2012 Jkt 226001 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). VerDate Mar<15>2010 22:42 Jun 11, 2012 Caregiver ............. Staff as Caregiver. Caregiver ............. Staff as Caregiver. Jkt 226001 PO 00000 Frm 00030 Fmt 4703 Sfmt 4703 E:\FR\FM\12JNN1.SGM 12JNN1 34963 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 ................................................................................................................ VerDate Mar<15>2010 22:42 Jun 11, 2012 Jkt 226001 PO 00000 Frm 00031 Fmt 4703 Sfmt 4703 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 12JNN1

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
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                      Comparison and Sector Study: Juvenile Justice
--------------------------------------------------------------------------------------------------------------------------------------------------------
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.
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                         Comparison and Sector Study: Education
--------------------------------------------------------------------------------------------------------------------------------------------------------
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).
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                       Comparison and Sector Study: Child Welfare
--------------------------------------------------------------------------------------------------------------------------------------------------------
Electronic Data Transfer of Child Welfare   Key site personnel..........             202               5            0.03              34               7
 Records.
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                Services and Costs Study
--------------------------------------------------------------------------------------------------------------------------------------------------------
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.
--------------------------------------------------------------------------------------------------------------------------------------------------------


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