Agency Information Collection Activities: Submission for OMB Review; Comment Request, 17172-17173 [2021-06700]
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Federal Register / Vol. 86, No. 61 / Thursday, April 1, 2021 / Notices
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 at (240) 276–0361.
Project: New Survey of Behavioral
Health Workforce Employers, Part of
the Mental and Substance Use Disorder
Practitioner Data Grant Funded by
SAMHSA, Grant Number
H79FG000028
SAMHSA is requesting from the
Office of Management and Budget
(OMB) approval to administer two
surveys being developed as part of the
Mental and Substance Use Disorder
Practitioner Data grant: (1) A one-time
survey to employers of behavioral
health providers and, (2) a one-time
survey of licensed clinical behavioral
health providers. The information
gathered by these surveys will be used
to gain critical new insights into, and to
document, challenges in recruiting and
retaining behavioral health staffing and
to assess the strength of available data
on the clinical behavioral health
workforce actively providing care for
mental health and substance use
disorders.
Employer Survey
The survey includes questions to
assess the following measures: Facility
type (e.g., outpatient facility, inpatient,
residential); type of behavioral health
staff employed (e.g., addiction medicine
specialists, psychiatric Nurse
Practitioners, marriage and family
therapists); services offered (e.g.,
assertive community treatment, partial
hospitalization); roles and training
needs of peer support specialists, case
managers, care managers, and
pharmacists (e.g., certification,
population served, paid status,
reimbursement); professions with
recruitment and retention challenges
(e.g., select from list of professions);
reasons behind the challenges (e.g., low
wages, high case load) and workarounds (e.g., use of locum tenens);
average wait-time for appointments
(e.g., new patient visits); staffing needed
to address gaps in care (e.g., estimated
FTEs needed by profession type); use of
telehealth (e.g., percent of visits);
patient mix (e.g., immigrants, LGBTQ
communities, number of clients); and
form of payment (e.g., percent
commercial, Medicaid, self-pay). The
survey will be administered online
through Qualtrics. The target population
will be the 2,800 member organizations
of the National Council of Behavioral
Health (NCBH). NCBH members are
healthcare organizations and
management entities that offer treatment
and supports to more than ten million
adults and children living with mental
illnesses and addictions.
The primary objectives of the survey
are to:
• Better understand factors associated
with challenges in both recruitment and
retention at behavioral health provider
organizations such as certified
community behavioral health clinics,
community health centers and other
organizations that employ providers
engaged in treating substance use
disorder and mental illness.
• Estimate the workforce needed to
better address gaps in care for mental
health and substance use disorder.
• Obtain new insights on staffing
models for treatment of serious mental
illness, such as assertive community
treatment.
• Collect new data on use of peer
support specialists, care coordinators,
and pharmacists in behavioral health
care.
Provider Survey
The survey will provide important
data to inform understanding regarding
how many licensed clinical behavioral
health specialists (licensed
psychologists, licensed clinical social
workers, licensed marriage and family
therapists, and licensed professional
counselors) are seeing clients for
behavioral health needs and the
populations served. The survey includes
questions to assess the following
measures: demographics (e.g., age, race/
ethnicity, sex); professional and practice
setting (e.g., self-employed, outpatient
mental health clinic, zip code, hours
worked); level of education (e.g.,
Masters in Social Work, Doctorate in
Social Work); types of services provided
(e.g., assertive community treatment);
number of and type clients served (e.g.,
Medicaid, Medicare, veteran,
immigrants); telehealth use (e.g., current
or prior to COVID–19 outbreak); and
career satisfaction and burnout (e.g.,
very satisfied, ‘‘I enjoy my work, I have
no symptoms of burnout’’).
The target population will be a
random sample of 5,000 licensed
clinical behavioral health providers
(licensed psychologists, licensed
clinical social workers, licensed
marriage and family therapists, and
licensed professional counselors) in
states where email addresses are
available with state licensure data.
The primary objectives of the survey
are to:
• Assess whether state licensure data
is a reliable data source for building a
comprehensive database on clinical
behavioral health practitioners who are
actively providing client services that
require licensure.
• These data will also help program
planners and policy makers to better
understand the available supply of
clinical behavioral health providers,
including those seeing Medicaid or
uninsured clients, and variation in types
of services provided by each profession.
EXHIBIT 1—TOTAL ESTIMATED ANNUALIZED BURDEN BY INSTRUMENT
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Type of participant
activity
Number of
participants
Responses
per participant
Total
responses
Hours per
response
Total burden
hours
Wage
rate
Total hour
cost
Employer Survey ..........
Provider Survey ...........
2,800
5,000
1
1
2,800
5,000
.25
.25
700
1,250
$21.79
21.79
$15,253
27,237.50
Total ......................
7,800
........................
7,800
........................
1,950
........................
42,490.50
Written comments and
recommendations for the proposed
information collection should be sent
VerDate Sep<11>2014
19:02 Mar 31, 2021
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within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this particular
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information collection by selecting
‘‘Currently under 30-day Review—Open
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Federal Register / Vol. 86, No. 61 / Thursday, April 1, 2021 / Notices
Pursuant to this authority, FEMA
enters into a standard Financial
Assistance/Subsidy Arrangement
(Arrangement) with private sector
property insurers, also known as Write
Your Own (WYO) companies, to sell
NFIP flood insurance policies under
their own names and adjust and pay
claims arising under the Standard Flood
Insurance Policy (SFIP). Each
Arrangement entered into by a WYO
company must be in the form and
substance of the standard Arrangement,
a copy of which is published in the
Federal Register annually, at least 6
months prior to becoming effective. See
44 CFR 62.23(a). To learn more about
FEMA’s WYO Program, please visit
https://nfipservices.floodsmart.gov/
write-your-own-program.
for Public Comments’’ or by using the
search function.
Jennifer Wilson,
Budget Analyst.
[FR Doc. 2021–06700 Filed 3–31–21; 8:45 am]
BILLING CODE P
DEPARTMENT OF HOMELAND
SECURITY
Federal Emergency Management
Agency
[Docket ID FEMA–2021–0007]
National Flood Insurance Program
(NFIP); Assistance to Private Sector
Property Insurers, Notice of FY 2022
Arrangement
Federal Emergency
Management Agency, Department of
Homeland Security.
ACTION: Notice.
AGENCY:
II. Notice of Availability
The Federal Emergency
Management Agency announces the
Fiscal Year 2022 Financial Assistance/
Subsidy Arrangement for private
property insurers interested in
participating in the National Flood
Insurance Program’s Write Your Own
Program.
DATES: Interested insurers must submit
intent to subscribe or re-subscribe to the
Arrangement by June 30, 2021.
FOR FURTHER INFORMATION CONTACT:
Sarah Devaney Ice, Federal Insurance
and Mitigation Administration, FEMA,
400 C St. SW, Washington, DC 20472
(mail); (202) 320–5577 (phone); or
sarah.devaney-ice@fema.dhs.gov
(email).
SUPPLEMENTARY INFORMATION:
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SUMMARY:
I. Background
The National Flood Insurance Act of
1968 (NFIA) (42 U.S.C. 4001 et seq.)
authorizes the Administrator of the
Federal Emergency Management Agency
(FEMA) to establish and carry out a
National Flood Insurance Program
(NFIP) to enable interested persons to
purchase flood insurance. See 42 U.S.C.
4011(a). Under the NFIA, FEMA may
use insurance companies and other
insurers, insurance agents and brokers,
and insurance adjustment organizations
as fiscal agents of the United States to
help it carry out the NFIP. See 42 U.S.C.
4071. To this end, FEMA may ‘‘enter
into any contracts, agreements, or other
appropriate arrangements’’ with private
insurance companies to use their
facilities and services in administering
the NFIP on such terms and conditions
as they agree upon. See 42 U.S.C.
4081(a).
VerDate Sep<11>2014
19:02 Mar 31, 2021
Jkt 253001
Insurers interested in participating in
the WYO Program for Fiscal Year 2022
must contact Sarah Devaney Ice at
sarah.devaney-ice@fema.dhs.gov by
June 30, 2021.
Prior participation in the WYO
Program does not guarantee FEMA will
approve continued participation. FEMA
will evaluate requests to participate in
light of publicly available information,
industry performance data, and other
criteria listed in 44 CFR 62.24 and the
FY 2022 Arrangement, copied below.
FEMA encourages private insurance
companies to supplement this
information with customer satisfaction
surveys, industry awards or recognition,
or other objective performance data. In
addition, private insurance companies
should work with their vendors and
subcontractors involved in servicing
and delivering their insurance lines to
ensure FEMA receives the information
necessary to effectively evaluate the
criteria set forth in its regulations.
FEMA will send a copy of the offer for
the FY 2022 Arrangement, together with
related materials and submission
instructions, to all private insurance
companies successfully evaluated by the
NFIP. If FEMA, after conducting its
evaluation, chooses not to renew a
Company’s participation, FEMA, at its
option, may require the continued
performance of all or selected elements
of the FY 2021 Arrangement for a period
required for orderly transfer or cessation
of the business and settlement of
accounts, not to exceed 18 months. See
FY 2021 Arrangement, Article V.C. All
evaluations, whether successful or
unsuccessful, will inform both an
overall assessment of the WYO Program
and any potential changes FEMA may
consider regarding the Arrangement in
future fiscal years.
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17173
Any private insurance company with
questions may contact FEMA at: Sarah
Devaney Ice, Federal Insurance and
Mitigation Administration, FEMA, 400
C St. SW, Washington, DC 20472 (mail);
(202) 320–5577 (phone); or
sarah.devaney-ice@fema.dhs.gov
(email).
III. Fiscal Year 2022 Arrangement
Pursuant to 44 CFR 62.23(a), FEMA
must publish the Arrangement at least
six months prior to the Arrangement
becoming effective. The FY 2022
Arrangement provided below is
substantially similar to the previous
year’s Arrangement, but includes the
following substantive changes:
1. Reframed Article I from a list of
nonbinding recitations to generally
applicable, binding provisions. Some
recitations were incorporated into other
articles that align with the recitation’s
subject-matter.
2. Removed references to ‘‘certified
mail’’ to allow parties greater flexibility
to use other communication methods.
3. In Article II.D.1 (Cancellation by
FEMA), added two additional reasons
that FEMA may cancel the
Arrangement. First, FEMA has grounds
to cancel the Arrangement if a company
fails to maintain compliance with WYO
company participation criteria at 44
CFR 62.24, such as the requirement for
WYO companies to be state licensed
property insurance companies. Second,
FEMA will be able to terminate the
Arrangement for conduct ‘‘so serious or
compelling a nature that it affects the
Company’s present responsibility.’’
4. In Article III.A.4 (Operations Plan),
WYO companies will be required to
submit a Customer Service Plan.
5. In Article III.A.4.e, FEMA is
providing additional guidance on the
expected contents of the previously
required Catastrophic Claims Handling
Plan.
6. In Article III.A.4.h, FEMA is
replacing the requirement for WYO
companies to submit a Technology Plan
with the requirement to submit a
System Security Plan based on either
the National Institute of Standards and
Technology (NIST) Special Publication
(SP) 800–171 ‘‘Protecting Controlled
Unclassified Information in Nonfederal
Information Systems and
Organizations,’’ Revision 2, https://
csrc.nist.gov/publications/detail/sp/800171/rev-2/final, ISO/IEC 27001, https://
www.iso.org/isoiec-27001-informationsecurity.html, or another comparable
standard.
7. In Article III.B (Time Standards),
clarified that not all tasks subject to time
standards requiring mailing a document
and other clarifying changes.
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]]>Agencies
[Federal Register Volume 86, Number 61 (Thursday, April 1, 2021)]
[Notices]
[Pages 17172-17173]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-06700]
[[Page 17172]]
-----------------------------------------------------------------------
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 at (240) 276-0361.
Project: New Survey of Behavioral Health Workforce Employers, Part of
the Mental and Substance Use Disorder Practitioner Data Grant Funded by
SAMHSA, Grant Number H79FG000028
SAMHSA is requesting from the Office of Management and Budget (OMB)
approval to administer two surveys being developed as part of the
Mental and Substance Use Disorder Practitioner Data grant: (1) A one-
time survey to employers of behavioral health providers and, (2) a one-
time survey of licensed clinical behavioral health providers. The
information gathered by these surveys will be used to gain critical new
insights into, and to document, challenges in recruiting and retaining
behavioral health staffing and to assess the strength of available data
on the clinical behavioral health workforce actively providing care for
mental health and substance use disorders.
Employer Survey
The survey includes questions to assess the following measures:
Facility type (e.g., outpatient facility, inpatient, residential); type
of behavioral health staff employed (e.g., addiction medicine
specialists, psychiatric Nurse Practitioners, marriage and family
therapists); services offered (e.g., assertive community treatment,
partial hospitalization); roles and training needs of peer support
specialists, case managers, care managers, and pharmacists (e.g.,
certification, population served, paid status, reimbursement);
professions with recruitment and retention challenges (e.g., select
from list of professions); reasons behind the challenges (e.g., low
wages, high case load) and work-arounds (e.g., use of locum tenens);
average wait-time for appointments (e.g., new patient visits); staffing
needed to address gaps in care (e.g., estimated FTEs needed by
profession type); use of telehealth (e.g., percent of visits); patient
mix (e.g., immigrants, LGBTQ communities, number of clients); and form
of payment (e.g., percent commercial, Medicaid, self-pay). The survey
will be administered online through Qualtrics. The target population
will be the 2,800 member organizations of the National Council of
Behavioral Health (NCBH). NCBH members are healthcare organizations and
management entities that offer treatment and supports to more than ten
million adults and children living with mental illnesses and
addictions.
The primary objectives of the survey are to:
Better understand factors associated with challenges in
both recruitment and retention at behavioral health provider
organizations such as certified community behavioral health clinics,
community health centers and other organizations that employ providers
engaged in treating substance use disorder and mental illness.
Estimate the workforce needed to better address gaps in
care for mental health and substance use disorder.
Obtain new insights on staffing models for treatment of
serious mental illness, such as assertive community treatment.
Collect new data on use of peer support specialists, care
coordinators, and pharmacists in behavioral health care.
Provider Survey
The survey will provide important data to inform understanding
regarding how many licensed clinical behavioral health specialists
(licensed psychologists, licensed clinical social workers, licensed
marriage and family therapists, and licensed professional counselors)
are seeing clients for behavioral health needs and the populations
served. The survey includes questions to assess the following measures:
demographics (e.g., age, race/ethnicity, sex); professional and
practice setting (e.g., self-employed, outpatient mental health clinic,
zip code, hours worked); level of education (e.g., Masters in Social
Work, Doctorate in Social Work); types of services provided (e.g.,
assertive community treatment); number of and type clients served
(e.g., Medicaid, Medicare, veteran, immigrants); telehealth use (e.g.,
current or prior to COVID-19 outbreak); and career satisfaction and
burnout (e.g., very satisfied, ``I enjoy my work, I have no symptoms of
burnout'').
The target population will be a random sample of 5,000 licensed
clinical behavioral health providers (licensed psychologists, licensed
clinical social workers, licensed marriage and family therapists, and
licensed professional counselors) in states where email addresses are
available with state licensure data.
The primary objectives of the survey are to:
Assess whether state licensure data is a reliable data
source for building a comprehensive database on clinical behavioral
health practitioners who are actively providing client services that
require licensure.
These data will also help program planners and policy
makers to better understand the available supply of clinical behavioral
health providers, including those seeing Medicaid or uninsured clients,
and variation in types of services provided by each profession.
Exhibit 1--Total Estimated Annualized Burden by Instrument
--------------------------------------------------------------------------------------------------------------------------------------------------------
Number of Responses per Total Hours per Total burden Total hour
Type of participant activity participants participant responses response hours Wage rate cost
--------------------------------------------------------------------------------------------------------------------------------------------------------
Employer Survey......................... 2,800 1 2,800 .25 700 $21.79 $15,253
Provider Survey......................... 5,000 1 5,000 .25 1,250 21.79 27,237.50
---------------------------------------------------------------------------------------------------------------
Total............................... 7,800 .............. 7,800 .............. 1,950 .............. 42,490.50
--------------------------------------------------------------------------------------------------------------------------------------------------------
Written comments and recommendations for the proposed information
collection should be sent within 30 days of publication of this notice
to www.reginfo.gov/public/do/PRAMain. Find this particular information
collection by selecting ``Currently under 30-day Review--Open
[[Page 17173]]
for Public Comments'' or by using the search function.
Jennifer Wilson,
Budget Analyst.
[FR Doc. 2021-06700 Filed 3-31-21; 8:45 am]
BILLING CODE P
