Agency Information Collection Activities: Submission for OMB Review; Comment Request, 41492-41493 [2021-16406]

Download as PDF 41492 Federal Register / Vol. 86, No. 145 / Monday, August 2, 2021 / Notices entered and stored in SAMSHA’s Performance Accountability and Reporting System, which is a real-time, performance management system that captures information on the substance abuse treatment and mental health services delivered in the United States. Continued approval of this information collection will allow SAMHSA to continue to meet Government Performance and Results Modernization Act of 2010 reporting requirements that quantify the effects and accomplishments of its discretionary grant programs, which are consistent with OMB guidance. SAMHSA will use the data for annual reporting required by GPRA and comparing baseline with discharge and follow-up data. GPRA requires that SAMHSA’s fiscal year report include actual results of performance monitoring for the three preceding fiscal years. The additional information collected through this process will allow SAMHSA to: (1) Report results of these performance outcomes; (2) maintain consistency with SAMHSAspecific performance domains, and (3) assess the accountability and performance of its discretionary grant programs including a focus on health equity. In revising the CSAT–GPRA tool, CSAT sought to improve functionality while also eliciting programmatic information that demonstrates impact at the client level. In this way, data from the revised GPRA tool can be used to assess resource allocation and to delineate who we serve, how we serve them, and how the program impacts clients from entry to discharge. The tool reflects CSAT’s desire to elicit pertinent client and program level data that can be used to not only guide future programs and practice, but to also respond to stakeholder, congressional and agency enquiries. TABLE 1—ESTIMATES OF ANNUALIZED HOUR BURDEN SAMHSA tool Responses per respondent Number of respondents Baseline Interview Includes SBIRT Brief TX, Referral to TX, and Program-specific questions .................. Follow-Up Interview with Program-specific questions 2 ................ Discharge Interview with Program-specific questions 3 ................ SBIRT Program— Screening Only ......... SBIRT Program—Brief Intervention Only Baseline .................... SBIRT Program—Brief Intervention Only Follow-Up 2 .................... SBIRT Program—Brief Intervention Only Discharge 3 .................... CSAT Total ........... Total number of responses Burden hours per response Total burden hours Hourly wage 1 Total hour cost 179,668 1 179,668 0.6 107,801 $24.78 $2,671,309 143,734 1 143,734 0.6 86,240 24.78 2,137,027 93,427 1 93,427 0.6 56,056 24.78 1,389,068 594,192 1 594,192 0.13 77,245 24.78 1,914,131 111,411 1 111,411 0.2 22,282 24.78 552,148 89,129 1 89,129 0.2 17,826 24.78 441,728 57,934 1 57,934 0.2 11,587 24.78 287,126 1,269,495 ........................ 1,269,495 ........................ 379,037 ........................ 9,392,537 1 The hourly wage estimate is $21.23 based on the Occupational Employment and Wages, Mean Hourly Wage Rate for 21–1011 Substance Abuse and Behavioral Disorder Counselors = $24.78/hr. as of May 11, 2021. (http://www.bls.gov/oes/current/oes211011.htm. Accessed on May 11, 2021.) 2 It is estimated that 80% of baseline clients will complete this interview. 3 It is estimated that 52% of baseline clients will complete this interview. Note: Numbers may not add to the totals due to rounding and some individual participants completing more than one form. khammond on DSKJM1Z7X2PROD with NOTICES Send comments to Carlos D. Graham, SAMHSA Reports Clearance Officer, 5600 Fishers Lane, Room 15E57–A, Rockville, Maryland 20857, OR email a copy to Carlos.Graham@ samhsa.hhs.gov. Written comments should be received by October 1, 2021. Carlos Graham, Social Science Analyst. [FR Doc. 2021–16405 Filed 7–30–21; 8:45 am] BILLING CODE 4162–20–P VerDate Sep<11>2014 17:21 Jul 30, 2021 Jkt 253001 DEPARTMENT OF HEALTH AND HUMAN SERVICES documents, call the SAMHSA Reports Clearance Officer on (240) 276–0361. Substance Abuse and Mental Health Services Administration Project: Revision of Mental Health Client/Participant Outcome Measures and Infrastructure, Prevention, and Mental Health Promotion Indicators (OMB No. 0930–0285) 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 PO 00000 Frm 00060 Fmt 4703 Sfmt 4703 SAMHSA is requesting approval for revisions to the previously approved instruments and data collection activities for the Government Performance and Results Act (GPRA) Center Mental Health Services (CMHS) (OMB No. 0930–0285) that expires on February 28, 2022. E:\FR\FM\02AUN1.SGM 02AUN1 41493 Federal Register / Vol. 86, No. 145 / Monday, August 2, 2021 / Notices To be fully accountable for the spending of federal funds, SAMHSA requires all programs to collect and report data to ensure that program goals and objectives are met. Data is collected and used to monitor and improve performance of each program and ensure appropriate and thoughtful spending of federal funds. SAMHSA requests the following revisions to the National Outcome Measures (NOMS) Mental Health Client/ Participant Outcome measures: (1) Merge the CMHS NOMS Child Clientlevel Measures for Discretionary Programs data collection instrument with the current CMHS NOMS Adult Client-level Measures for Discretionary Programs data collection instrument; (2) delete questions for data not being utilized for program monitoring and quality improvement; (3) reduce grantee burden by shifting questions for a fivepoint psychometric response scale to ‘‘Yes’’, ‘‘No’’, ‘‘No response’’, or ‘‘Not applicable’’ responses; (4) modify IDC– 10 diagnoses to expand the F40–48, F60–63, and F90–99 codes to allow for more specificity. Also, add ICD–10 ‘‘Z’’ codes to allow for a focus on social determinants of health that may affect the diagnosis, course, prognosis, or treatment of a client/consumer mental disorder; (6) shift reporting NOMS data to baseline assessment, 3-month or 6month reassessment, and a final clinical discharge assessment; (7) reduce the number of physical health indictors and reporting frequency from quarterly to three points in time (baseline, 3- or 6- month reassessment, clinical discharge) to further reduce grantee burden. SAMHSA also requests the following revisions to the Infrastructure, Prevention, and Mental Health Promotion indicators: (1) Delete ten indicators not used by any SAMSHA programs (A3, A6, F1, F2, F3, O2, T4, WD1, WD3, and WD4); (2) revise two indicators to provide more clarity (A1 and A5); and (3) add ten indicators to reflect program developments during the past three years (R2, S2, S3, T5, T6, T7, T8, TR2, TR3, and TR4). These changes will lessen grantee burden with data collection and improve capacity to report qualitative performance and quantitative outcomes for all discretionary grant programs, including: Demographic characteristics of clients served; clinical characteristics of clients served before, during, and after receipt of services; numbers of clients served; and characteristics of services and activities provided to clients. Currently, the information collected from this instrument is entered and stored on SAMHSA’s Performance Accountability and Reporting System (SPARS), which is a real-time, performance management system that captures information on mental health and substance abuse treatment services delivered in the United States. Continued approval of this information collection will allow SAMHSA to continue to meet Government Performance and Results Modernization Act of 2010 (GPRMA) reporting requirements that quantify the effects and accomplishments of its discretionary grant programs, which are consistent with OMB guidance. SAMHSA will use the data collected for annual reporting required by GPRMA, to describe and understand changes in outcomes from baseline to follow-up to discharge. SAMHSA and its Centers will use the data for annual reporting comparing baseline with discharge and follow-up data. SAMHSA’s report for each fiscal year will include actual results of performance monitoring for the three preceding fiscal years. Information collected through this request will allow SAMHSA to report on the results of these performance outcomes as well as be consistent with SAMHSA-specific performance domains, and to assess the accountability and performance of its discretionary and formula grant programs. The additional information collected through this request will allow SAMHSA to improve its ability to assess the impact of its programs on key outcomes of interest and to gather vital diagnostic information about clients served by discretionary grant programs. The requested changes will result in a reduction of total burden hours. Currently, there are 104,168 total burden hours in the OMB-approved inventory. SAMHSA is requesting a reduction to 68,673 hours or an estimated decrease of 35,494 burden hours. The proposed estimate of time to collect data and complete the instruments is shown in Table 1. TABLE 1—ESTIMATES OF ANNUALIZED HOUR BURDEN Number of respondents khammond on DSKJM1Z7X2PROD with NOTICES SAMHSA tool Responses per respondent Total responses Hours per response Total hour burden Client-level baseline interview ............................................................................. Client-level 3- or 6-month reassessment interview ............................................ Client-level clinical discharge interview .............................................................. Section H Physical Health Data Baseline ........................................................... Section H Program Specific Data: Baseline, 3- or 6-month reassessment, and clinical discharge ............................................................................................. 40,280 40,280 6,668 39,231 1 1 1 1 40,280 40,280 6,668 39,231 0.33 0.33 0.33 .10 30,901 30,901 2,200 3,923 14,800 2 29,600 .08 2,368 Subtotal ........................................................................................................ Infrastructure development, prevention, and mental health promotion quarterly record abstraction ............................................................................................ 141,259 .......................... 154,059 ........................ 68,673 942 4 3,768 2.0 7,536 Total ............................................................................................................. 142,201 .......................... 157,827 ........................ 104,168 Send comments to Carlos Graham, SAMHSA Reports Clearance Officer, 5600 Fisher Lane, Room 15E57A, Rockville, MD 20852 OR email him a copy at carlos.graham@samhsa.hhs.gov. Written comments should be received by October 1, 2021. Carlos Graham, Social Science Analyst. [FR Doc. 2021–16406 Filed 7–30–21; 8:45 am] BILLING CODE 4162–20–P VerDate Sep<11>2014 17:21 Jul 30, 2021 Jkt 253001 PO 00000 Frm 00061 Fmt 4703 Sfmt 4703 E:\FR\FM\02AUN1.SGM 02AUN1

Agencies

[Federal Register Volume 86, Number 145 (Monday, August 2, 2021)]
[Notices]
[Pages 41492-41493]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-16406]


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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) 276-0361.

Project: Revision of Mental Health Client/Participant Outcome Measures 
and Infrastructure, Prevention, and Mental Health Promotion Indicators 
(OMB No. 0930-0285)

    SAMHSA is requesting approval for revisions to the previously 
approved instruments and data collection activities for the Government 
Performance and Results Act (GPRA) Center Mental Health Services (CMHS) 
(OMB No. 0930-0285) that expires on February 28, 2022.

[[Page 41493]]

    To be fully accountable for the spending of federal funds, SAMHSA 
requires all programs to collect and report data to ensure that program 
goals and objectives are met. Data is collected and used to monitor and 
improve performance of each program and ensure appropriate and 
thoughtful spending of federal funds.
    SAMHSA requests the following revisions to the National Outcome 
Measures (NOMS) Mental Health Client/Participant Outcome measures: (1) 
Merge the CMHS NOMS Child Client-level Measures for Discretionary 
Programs data collection instrument with the current CMHS NOMS Adult 
Client-level Measures for Discretionary Programs data collection 
instrument; (2) delete questions for data not being utilized for 
program monitoring and quality improvement; (3) reduce grantee burden 
by shifting questions for a five-point psychometric response scale to 
``Yes'', ``No'', ``No response'', or ``Not applicable'' responses; (4) 
modify IDC-10 diagnoses to expand the F40-48, F60-63, and F90-99 codes 
to allow for more specificity. Also, add ICD-10 ``Z'' codes to allow 
for a focus on social determinants of health that may affect the 
diagnosis, course, prognosis, or treatment of a client/consumer mental 
disorder; (6) shift reporting NOMS data to baseline assessment, 3-month 
or 6-month reassessment, and a final clinical discharge assessment; (7) 
reduce the number of physical health indictors and reporting frequency 
from quarterly to three points in time (baseline, 3- or 6-month 
reassessment, clinical discharge) to further reduce grantee burden.
    SAMHSA also requests the following revisions to the Infrastructure, 
Prevention, and Mental Health Promotion indicators: (1) Delete ten 
indicators not used by any SAMSHA programs (A3, A6, F1, F2, F3, O2, T4, 
WD1, WD3, and WD4); (2) revise two indicators to provide more clarity 
(A1 and A5); and (3) add ten indicators to reflect program developments 
during the past three years (R2, S2, S3, T5, T6, T7, T8, TR2, TR3, and 
TR4).
    These changes will lessen grantee burden with data collection and 
improve capacity to report qualitative performance and quantitative 
outcomes for all discretionary grant programs, including: Demographic 
characteristics of clients served; clinical characteristics of clients 
served before, during, and after receipt of services; numbers of 
clients served; and characteristics of services and activities provided 
to clients.
    Currently, the information collected from this instrument is 
entered and stored on SAMHSA's Performance Accountability and Reporting 
System (SPARS), which is a real-time, performance management system 
that captures information on mental health and substance abuse 
treatment services delivered in the United States. Continued approval 
of this information collection will allow SAMHSA to continue to meet 
Government Performance and Results Modernization Act of 2010 (GPRMA) 
reporting requirements that quantify the effects and accomplishments of 
its discretionary grant programs, which are consistent with OMB 
guidance.
    SAMHSA will use the data collected for annual reporting required by 
GPRMA, to describe and understand changes in outcomes from baseline to 
follow-up to discharge. SAMHSA and its Centers will use the data for 
annual reporting comparing baseline with discharge and follow-up data. 
SAMHSA's report for each fiscal year will include actual results of 
performance monitoring for the three preceding fiscal years. 
Information collected through this request will allow SAMHSA to report 
on the results of these performance outcomes as well as be consistent 
with SAMHSA-specific performance domains, and to assess the 
accountability and performance of its discretionary and formula grant 
programs. The additional information collected through this request 
will allow SAMHSA to improve its ability to assess the impact of its 
programs on key outcomes of interest and to gather vital diagnostic 
information about clients served by discretionary grant programs.
    The requested changes will result in a reduction of total burden 
hours. Currently, there are 104,168 total burden hours in the OMB-
approved inventory. SAMHSA is requesting a reduction to 68,673 hours or 
an estimated decrease of 35,494 burden hours. The proposed estimate of 
time to collect data and complete the instruments is shown in Table 1.

                                  Table 1--Estimates of Annualized Hour Burden
----------------------------------------------------------------------------------------------------------------
                                    Number of     Responses per        Total         Hours per      Total hour
          SAMHSA tool              respondents      respondent       responses       response         burden
----------------------------------------------------------------------------------------------------------------
Client-level baseline interview          40,280                1          40,280            0.33          30,901
Client-level 3- or 6-month               40,280                1          40,280            0.33          30,901
 reassessment interview........
Client-level clinical discharge           6,668                1           6,668            0.33           2,200
 interview.....................
Section H Physical Health Data           39,231                1          39,231             .10           3,923
 Baseline......................
Section H Program Specific               14,800                2          29,600             .08           2,368
 Data: Baseline, 3- or 6-month
 reassessment, and clinical
 discharge.....................
                                --------------------------------------------------------------------------------
    Subtotal...................         141,259  ...............         154,059  ..............          68,673
Infrastructure development,                 942                4           3,768             2.0           7,536
 prevention, and mental health
 promotion quarterly record
 abstraction...................
                                --------------------------------------------------------------------------------
    Total......................         142,201  ...............         157,827  ..............         104,168
----------------------------------------------------------------------------------------------------------------

    Send comments to Carlos Graham, SAMHSA Reports Clearance Officer, 
5600 Fisher Lane, Room 15E57A, Rockville, MD 20852 OR email him a copy 
at [email protected]. Written comments should be received by 
October 1, 2021.

Carlos Graham,
Social Science Analyst.
[FR Doc. 2021-16406 Filed 7-30-21; 8:45 am]
BILLING CODE 4162-20-P