Agency Information Collection Activities: Submission for OMB Review; Comment Request, 12979-12981 [2017-04488]

Download as PDF 12979 Federal Register / Vol. 82, No. 44 / Wednesday, March 8, 2017 / Notices Number of respondents Purpose of submission Responses/ respondent Burden hours Total burden hours Notification of Intent for Qualifying Other Practitioner to Use Schedule III, IV, or V Opioid Drugs for the Maintenance and Detoxification Treatment of Opiate Addiction by a ‘‘Qualifying Other Practitioner’’ under 21 USC § 823(g)(2)—Physician Assistants ............................................................... 590 1 .066 39 Total .......................................................................................................... 1,406 ........................ ........................ 93 Send comments to Summer King, SAMHSA Reports Clearance Officer, 5600 Fishers Lane, Room 15E57–B, Rockville, Maryland 20857, OR email a copy to summer.king@samhsa.hhs.gov. Written comments should be received by May 8, 2017. Summer King, Statistician. [FR Doc. 2017–04499 Filed 3–7–17; 8:45 am] BILLING CODE 4162–20–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. mstockstill on DSK3G9T082PROD with NOTICES Project: Children’s Mental Health Initiative National Evaluation—NEW The Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Mental Health Services (CMHS) is requesting approval from the Office of Management and Budget (OMB) for the new collection of data for the Children’s Mental Health Initiative (CMHI) National Evaluation. Evaluation Plan and Data Collection Activities. The purpose of the Children’s Mental Health Initiative (CMHI) National Evaluation is to assess the success of the CMHI grants in expanding and sustaining the reach of SOC values, principles, and practices. These include maximizing system-level coordination and planning, offering a comprehensive array of services, and prioritizing family and youth involvement. In order to obtain a clear picture of CMHI grant activities, this longitudinal, multi-level evaluation will measure activities and performance of VerDate Sep<11>2014 17:34 Mar 07, 2017 Jkt 241001 grantees essential to building and sustaining effective Systems of Care (SOC)’s. Data collection activities will occur through four evaluation components. Each component includes data collection activities and analyses involving similar topics. Each component has one or more instruments that will be used to address various aspects. The four components with their corresponding data collection activities are as follows: (1) The Implementation Assessment is designed using a strategic framework that provides five analytic dimensions: (1) Policies, (2) services/supports, (3) financing, (4) training/workforce, and (5) strategic communications. These dimensions cut across the State System, Local System and Service Delivery levels and together link to a range of proximal and distal outcomes. The evaluation will identify and assess the mechanisms and strategies employed to implement and expand systems of care, and explore the impact on system performance and child and family outcomes. Evaluation activities are framed by the five strategic areas to examine whether specific mechanisms and strategies lead to proximal and distal outcomes. System of care principles are woven throughout the framework at both the State and Local levels. Data collection activities include: (A) Key Partner Interviews with highlevel administrators, youth and family representatives, and child agencies to organize qualitative data collection into these five areas and to allow within and across grantee evaluation of the implementation and impact of activities in these areas; and (B) the System of Care Expansion and Sustainability Survey (SOCESS), a self-report survey administered to representatives from grantee organizations, family and youth organizations, child-serving sectors, advocacy organizations for diverse populations, provider organizations, and financial officers, among others. The SOCESS is designed to capture selfreport implementation data in the five analytic dimensions adopted by the 2015 CMHI National Evaluation. (2) The Network and Geographic Analysis Component will use Network PO 00000 Frm 00055 Fmt 4703 Sfmt 4703 Analysis Surveys to determine the depth and breadth of the SOC collaboration across agencies and organization. Geographic Information Systems (GIS) will measure the geographic coverage and spread of the SOC, including reaching underserved areas and populations. At the child/youth and family level, Census block groups (derived from home addresses) will be used to depict the geographic spread of populations served by SOCs. (3) The Financial Component involves the review of implementation grantees’ progress in developing financial sustainability and expansion plans. The Financial Mapping Interview and Financing Plan Survey and Interviews will be conducted with financial administrators of Medicaid Agencies, Mental Health Authorities, mental health provider trade associations, and family organizations. The Financial Plan Interview will focus on how the financial planning process supported or hindered attainment of sustainable financing. The Benchmarking Analysis will compare relative rates of access, utilization, and costs for children’s mental health services using the Benchmarking Tool and administrative data requested from financial administrators and personnel working with Medicaid Agency and Mental Health Authority reporting and payment systems. (4) The Child and Family Outcome Component will collect longitudinal data on child clinical and functional outcomes, family outcomes, and child and family background. Data will be collected at intake, 6-months, and 12months post service entry (as long as the child/youth is still receiving services). Data will also be collected at discharge if the child/youth leaves services before the 12-month data collection point. Data will be collected using the following scales for youth age five and older: (A) a shortened version of the Caregiver Strain Questionnaire, (B) the Columbia Impairment Scale, (C) the Pediatric Symptom Checklist-17, and (D) background information gathered through SAMHSA National Outcomes Measures (NOMS). Data for youth age 0– 4 will be collected using the: (A) Baby Pediatric Symptom Checklist; (B) Brief E:\FR\FM\08MRN1.SGM 08MRN1 12980 Federal Register / Vol. 82, No. 44 / Wednesday, March 8, 2017 / Notices Infant and Toddler Emotional Assessment; (C) Pre-School Pediatric Symptom Checklist and (D) background information from the NOMS. Estimated Burden. Data will be collected from 69 grantee sites. Data collection for this evaluation will be conducted over a 4-year period. The average annual respondent burden 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 for all categories of respondents combined. Table 1 shows the estimated annual burden estimate by instrument and respondent. Burden is summarized in Table 2. TABLE 1—ESTIMATED ANNUAL BURDEN Instrument/data collection activity Number of respondents Respondent Responses per respondent Total number of responses Hours per response Total annual burden hours Implementation Assessment Key Partner Interviews ................ SOCESS ...................................... Project Director .................................. Family Organization Representative Youth Organization Representative MH Agency Director Core Agency Partners b Quality Monitor Project Director .................................. Family Organization Representative Youth Organization Representative Core Agency Partners Practitioners 84 54 54 54 162 54 84 108 108 432 690 2 2 2 2 2 2 4 4 4 4 4 168 108 108 108 324 108 336 432 432 1,728 2,760 1.5 1.5 1.5 1.5 0.75 0.33 0.5 0.5 0.5 0.5 0.5 252 162 162 162 243 36 168 216 216 864 1,380 2 1,380 0.5 690 108 2 216 0.75 162 108 2 216 0.5 108 9 12 2 2 18 24 0.75 40 14 960 54 3 162 0.6 97 4,136 1,685 4,136 970 4,136 2,859 2,655 2,859 2,655 1 1 3 3 3 3 3 3 3 4,136 1,685 12,408 2,910 12,408 8,577 7,965 8,577 7,965 0.05 0.05 0.15 0.15 0.15 0.08 0.08 0.05 0.05 207 84 1,861 437 1,861 686 637 429 398 Network Analysis Survey Network Analysis Survey ............. Key Agency Partners ......................... 690 Financial Mapping and Benchmark Components Financial Mapping Interview ........ Benchmark Tool .......................... Financial Plan Interviews ............. Financial administrators at: Medicaid Agencies & MH Authorities. Financial administrators at: Trade associations & Family organizations Tribal Financial Administrators Payment personnel at Medicaid Agencies & MH Authorities. Financial Planning Directors .............. Child and Family Outcome Component Administrative Measures ............. Client Functioning ........................ Caregiver Strain Questionnaire ... Columbia Impairment Scale ........ Pediatric Symptom Checklist-17 Caregivers of clients Clients age 11–26 Caregivers of clients Clients age 11–26 d Caregivers of clients Caregivers of clients Clients age 11–26 d Caregivers of clients Clients age 11–26 d age 0–17 c ........ age 0–17 c ........ age 0–17 c ........ age 5–17 e ....... age 5–17 e ....... New Tools in 2015 Caregivers of children and youth 0 to 5 years of age f. Caregivers of children and youth for ages 1 month to 18 months f. Caregivers of children and youth for ages 18 months to 66 months f. 1,277 3 3,831 0.08 306 638 3 1,914 0.05 96 639 3 1,917 0.05 96 Total Annual Burden: All .......................................... mstockstill on DSK3G9T082PROD with NOTICES Brief Infant and Toddler Emotional Assessment (BITSEA). Baby Pediatric Symptom Checklist (BPSC). Preschool Pediatric Symptom Checklist (PPSC). All g ..................................................... 12,107 .................... 36,354 .................. 12,990 a Based on the average hourly wages for Community and Social Service Specialists, All Other (21–1099; $22.47) and Social Workers (21– 1020; $29.83) from the May 2015 National Industry-Specific Occupational Employment and Wage Estimates, 621330—Offices of Mental Health Practitioners; the Federal minimum wage of $7.25; and an estimated average hourly wage of $11.60 for a family of four living 25% below poverty level. b Core agency partners include (1) representatives from MH, child welfare, and juvenile justice and (2) CMHI quality monitors. c Assumes 81% of clients will be age 0 to 17. d Assumes 52% of clients will be age 11 to 26. e Assumes 56% of clients will be age 5 to 17. f Assumes 25% of clients will be age 0 to 5, with 12.5% of clients age 0 to 2.5, and 12.5% age 2.6 to 5). g Sums shown indicate unduplicated respondents and responses per respondent. VerDate Sep<11>2014 17:34 Mar 07, 2017 Jkt 241001 PO 00000 Frm 00056 Fmt 4703 Sfmt 4703 E:\FR\FM\08MRN1.SGM 08MRN1 12981 Federal Register / Vol. 82, No. 44 / Wednesday, March 8, 2017 / Notices TABLE 2—TOTAL ESTIMATED ANNUAL BURDEN Average annual burden (hours) Total number of responses Number of respondents Instrument/data collection activity Key Partner Interview .................................................................................................................. SOCESS ...................................................................................................................................... Network Analysis Survey ............................................................................................................. Financial Mapping Interview ........................................................................................................ Benchmark Tool ........................................................................................................................... Financial Planning ....................................................................................................................... Child and family instruments ....................................................................................................... 462 1,422 690 225 12 54 9,242 924 5,688 1,380 450 24 162 27,726 339 948 230 95 320 32 2,366 Total ...................................................................................................................................... 12,107 36,354 4,330 Written comments and recommendations concerning the proposed information collection should be sent by April 7, 2017 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. 2017–04488 Filed 3–7–17; 8:45 am] BILLING CODE 4162–20–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 Project: SAMHSA SOAR Web-Based Data Form (OMB No. 0930–0329)— REVISION In 2009 the Substance Abuse and Mental Health Services Administration (SAMHSA) of the U.S. Department of Health and Human Services created a Technical Assistance Center to assist in the implementation of the SSI/SSDI Outreach Access and Recovery (SOAR) effort in all states. The primary objective of SOAR is to improve the allowance rate for Social Security Administration (SSA) disability benefits for people who are experiencing or at risk of homelessness, and who have serious mental illnesses. During the SOAR training, the importance of keeping track of SSI/SSDI applications through the process is stressed. In response to requests from states implementing SOAR, the Technical Assistance Center under SAMHSA’s direction developed a webbased data form that case managers can use to track the progress of submitted applications, including decisions received from SSA either on initial application or on appeal. This password-protected web-based data form is hosted on the SOAR Web site (https://soartrack.prainc.com). Use of this form is completely voluntary. Number of respondents Form name mstockstill on DSK3G9T082PROD with NOTICES (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. Responses per respondent Total responses In addition, data from Part I of the web-based form can be compiled into reports on decision results and the use of SOAR core components, such as the SSA–1696 Appointment of Representative, which allows SSA to communicate directly with the case manager assisting with the application. These reports will be reviewed by agency directors, SOAR state-level leads, and the national SOAR Technical Assistance Center to quantify the success of the effort overall and to identify areas where additional technical assistance is needed. There are no proposed changes to Part I of this form. The proposed additions to create a new Part II of this form include qualitative (open-ended) questions on annual SOAR accomplishments, identified challenges and collaborations. There are 8 new questions that represent new initiatives, challenges, funding sources, steering committees and training. There is also an additional open-ended question on collaborations with 8 potentially applicable areas (e.g. Veterans, justice-involved persons, hospitals) that could require a response. The addition of Part II is for annual reporting by state and local leads only. The estimated response burden is as follows: Hours per response Total hour burden Hourly wage cost Total hour cost ($) SOAR Data Form (Part I) .......................... Annual Report Questions (Part II) ............. 700 75 3 1 2,100 75 .25 1 525 37.50 $20 20 $10,500 750 Total .................................................... 775 .................... 2,175 .................... 562.50 .................. 11,250 VerDate Sep<11>2014 17:34 Mar 07, 2017 Jkt 241001 PO 00000 Frm 00057 Fmt 4703 Sfmt 4703 E:\FR\FM\08MRN1.SGM 08MRN1

Agencies

[Federal Register Volume 82, Number 44 (Wednesday, March 8, 2017)]
[Notices]
[Pages 12979-12981]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-04488]


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

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: Children's Mental Health Initiative National Evaluation--NEW

    The Substance Abuse and Mental Health Services Administration 
(SAMHSA), Center for Mental Health Services (CMHS) is requesting 
approval from the Office of Management and Budget (OMB) for the new 
collection of data for the Children's Mental Health Initiative (CMHI) 
National Evaluation.
    Evaluation Plan and Data Collection Activities. The purpose of the 
Children's Mental Health Initiative (CMHI) National Evaluation is to 
assess the success of the CMHI grants in expanding and sustaining the 
reach of SOC values, principles, and practices. These include 
maximizing system-level coordination and planning, offering a 
comprehensive array of services, and prioritizing family and youth 
involvement. In order to obtain a clear picture of CMHI grant 
activities, this longitudinal, multi-level evaluation will measure 
activities and performance of grantees essential to building and 
sustaining effective Systems of Care (SOC)'s.
    Data collection activities will occur through four evaluation 
components. Each component includes data collection activities and 
analyses involving similar topics. Each component has one or more 
instruments that will be used to address various aspects. The four 
components with their corresponding data collection activities are as 
follows:
    (1) The Implementation Assessment is designed using a strategic 
framework that provides five analytic dimensions: (1) Policies, (2) 
services/supports, (3) financing, (4) training/workforce, and (5) 
strategic communications. These dimensions cut across the State System, 
Local System and Service Delivery levels and together link to a range 
of proximal and distal outcomes. The evaluation will identify and 
assess the mechanisms and strategies employed to implement and expand 
systems of care, and explore the impact on system performance and child 
and family outcomes. Evaluation activities are framed by the five 
strategic areas to examine whether specific mechanisms and strategies 
lead to proximal and distal outcomes. System of care principles are 
woven throughout the framework at both the State and Local levels. Data 
collection activities include: (A) Key Partner Interviews with high-
level administrators, youth and family representatives, and child 
agencies to organize qualitative data collection into these five areas 
and to allow within and across grantee evaluation of the implementation 
and impact of activities in these areas; and (B) the System of Care 
Expansion and Sustainability Survey (SOCESS), a self-report survey 
administered to representatives from grantee organizations, family and 
youth organizations, child-serving sectors, advocacy organizations for 
diverse populations, provider organizations, and financial officers, 
among others. The SOCESS is designed to capture self-report 
implementation data in the five analytic dimensions adopted by the 2015 
CMHI National Evaluation.
    (2) The Network and Geographic Analysis Component will use Network 
Analysis Surveys to determine the depth and breadth of the SOC 
collaboration across agencies and organization. Geographic Information 
Systems (GIS) will measure the geographic coverage and spread of the 
SOC, including reaching underserved areas and populations. At the 
child/youth and family level, Census block groups (derived from home 
addresses) will be used to depict the geographic spread of populations 
served by SOCs.
    (3) The Financial Component involves the review of implementation 
grantees' progress in developing financial sustainability and expansion 
plans. The Financial Mapping Interview and Financing Plan Survey and 
Interviews will be conducted with financial administrators of Medicaid 
Agencies, Mental Health Authorities, mental health provider trade 
associations, and family organizations. The Financial Plan Interview 
will focus on how the financial planning process supported or hindered 
attainment of sustainable financing. The Benchmarking Analysis will 
compare relative rates of access, utilization, and costs for children's 
mental health services using the Benchmarking Tool and administrative 
data requested from financial administrators and personnel working with 
Medicaid Agency and Mental Health Authority reporting and payment 
systems.
    (4) The Child and Family Outcome Component will collect 
longitudinal data on child clinical and functional outcomes, family 
outcomes, and child and family background. Data will be collected at 
intake, 6-months, and 12-months post service entry (as long as the 
child/youth is still receiving services). Data will also be collected 
at discharge if the child/youth leaves services before the 12-month 
data collection point. Data will be collected using the following 
scales for youth age five and older: (A) a shortened version of the 
Caregiver Strain Questionnaire, (B) the Columbia Impairment Scale, (C) 
the Pediatric Symptom Checklist-17, and (D) background information 
gathered through SAMHSA National Outcomes Measures (NOMS). Data for 
youth age 0-4 will be collected using the: (A) Baby Pediatric Symptom 
Checklist; (B) Brief

[[Page 12980]]

Infant and Toddler Emotional Assessment; (C) Pre-School Pediatric 
Symptom Checklist and (D) background information from the NOMS.
    Estimated Burden. Data will be collected from 69 grantee sites. 
Data collection for this evaluation will be conducted over a 4-year 
period. The average annual respondent burden 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 for all categories of 
respondents combined. Table 1 shows the estimated annual burden 
estimate by instrument and respondent. Burden is summarized in Table 2.

                                        Table 1--Estimated Annual Burden
----------------------------------------------------------------------------------------------------------------
                                                                                                         Total
  Instrument/data collection                        Number of    Responses      Total      Hours per    annual
           activity                 Respondent     respondents      per       number of    response     burden
                                                                 respondent   responses                  hours
----------------------------------------------------------------------------------------------------------------
                                            Implementation Assessment
----------------------------------------------------------------------------------------------------------------
Key Partner Interviews........  Project Director.           84            2          168         1.5         252
                                Family                      54            2          108         1.5         162
                                 Organization
                                 Representative
                                Youth                       54            2          108         1.5         162
                                 Organization
                                 Representative
                                MH Agency                   54            2          108         1.5         162
                                 Director
                                Core Agency                162            2          324        0.75         243
                                 Partners \b\
                                Quality Monitor             54            2          108        0.33          36
SOCESS........................  Project Director.           84            4          336         0.5         168
                                Family                     108            4          432         0.5         216
                                 Organization
                                 Representative
                                Youth                      108            4          432         0.5         216
                                 Organization
                                 Representative
                                Core Agency                432            4        1,728         0.5         864
                                 Partners
                                Practitioners              690            4        2,760         0.5       1,380
----------------------------------------------------------------------------------------------------------------
                                             Network Analysis Survey
----------------------------------------------------------------------------------------------------------------
Network Analysis Survey.......  Key Agency                 690            2        1,380         0.5         690
                                 Partners.
----------------------------------------------------------------------------------------------------------------
                                   Financial Mapping and Benchmark Components
----------------------------------------------------------------------------------------------------------------
Financial Mapping Interview...  Financial                  108            2          216        0.75         162
                                 administrators
                                 at: Medicaid
                                 Agencies & MH
                                 Authorities.
                                Financial                  108            2          216         0.5         108
                                 administrators
                                 at: Trade
                                 associations &
                                 Family
                                 organizations
                                Tribal Financial             9            2           18        0.75          14
                                 Administrators
Benchmark Tool................  Payment personnel           12            2           24          40         960
                                 at Medicaid
                                 Agencies & MH
                                 Authorities.
Financial Plan Interviews.....  Financial                   54            3          162         0.6          97
                                 Planning
                                 Directors.
----------------------------------------------------------------------------------------------------------------
                                       Child and Family Outcome Component
----------------------------------------------------------------------------------------------------------------
Administrative Measures.......  Caregivers of            4,136            1        4,136        0.05         207
                                 clients age 0-17
                                 \c\.
                                Clients age 11-26        1,685            1        1,685        0.05          84
Client Functioning............  Caregivers of            4,136            3       12,408        0.15       1,861
                                 clients age 0-17
                                 \c\.
                                Clients age 11-26          970            3        2,910        0.15         437
                                 \d\
Caregiver Strain Questionnaire  Caregivers of            4,136            3       12,408        0.15       1,861
                                 clients age 0-17
                                 \c\.
Columbia Impairment Scale.....  Caregivers of            2,859            3        8,577        0.08         686
                                 clients age 5-17
                                 \e\.
                                Clients age 11-26        2,655            3        7,965        0.08         637
                                 \d\
Pediatric Symptom Checklist-17  Caregivers of            2,859            3        8,577        0.05         429
                                 clients age 5-17
                                 \e\.
                                Clients age 11-26        2,655            3        7,965        0.05         398
                                 \d\
----------------------------------------------------------------------------------------------------------------
                                                New Tools in 2015
----------------------------------------------------------------------------------------------------------------
Brief Infant and Toddler        Caregivers of            1,277            3        3,831        0.08         306
 Emotional Assessment (BITSEA).  children and
                                 youth 0 to 5
                                 years of age \f\.
Baby Pediatric Symptom          Caregivers of              638            3        1,914        0.05          96
 Checklist (BPSC).               children and
                                 youth for ages 1
                                 month to 18
                                 months \f\.
Preschool Pediatric Symptom     Caregivers of              639            3        1,917        0.05          96
 Checklist (PPSC).               children and
                                 youth for ages
                                 18 months to 66
                                 months \f\.
                                                  --------------------------------------------------------------
Total Annual Burden:
    All.......................  All \g\..........       12,107  ...........       36,354  ..........      12,990
----------------------------------------------------------------------------------------------------------------
\a\ Based on the average hourly wages for Community and Social Service Specialists, All Other (21-1099; $22.47)
  and Social Workers (21-1020; $29.83) from the May 2015 National Industry-Specific Occupational Employment and
  Wage Estimates, 621330--Offices of Mental Health Practitioners; the Federal minimum wage of $7.25; and an
  estimated average hourly wage of $11.60 for a family of four living 25% below poverty level.
\b\ Core agency partners include (1) representatives from MH, child welfare, and juvenile justice and (2) CMHI
  quality monitors.
\c\ Assumes 81% of clients will be age 0 to 17.
\d\ Assumes 52% of clients will be age 11 to 26.
\e\ Assumes 56% of clients will be age 5 to 17.
\f\ Assumes 25% of clients will be age 0 to 5, with 12.5% of clients age 0 to 2.5, and 12.5% age 2.6 to 5).
\g\ Sums shown indicate unduplicated respondents and responses per respondent.


[[Page 12981]]


                                     Table 2--Total Estimated Annual Burden
----------------------------------------------------------------------------------------------------------------
                                                                     Number of     Total number   Average annual
               Instrument/data collection activity                  respondents    of responses   burden (hours)
----------------------------------------------------------------------------------------------------------------
Key Partner Interview...........................................             462             924             339
SOCESS..........................................................           1,422           5,688             948
Network Analysis Survey.........................................             690           1,380             230
Financial Mapping Interview.....................................             225             450              95
Benchmark Tool..................................................              12              24             320
Financial Planning..............................................              54             162              32
Child and family instruments....................................           9,242          27,726           2,366
                                                                 -----------------------------------------------
    Total.......................................................          12,107          36,354           4,330
----------------------------------------------------------------------------------------------------------------

    Written comments and recommendations concerning the proposed 
information collection should be sent by April 7, 2017 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. 2017-04488 Filed 3-7-17; 8:45 am]
BILLING CODE 4162-20-P