Agency Information Collection Activities: Proposed Collection; Comment Request, 24432-24435 [2023-08337]
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Federal Register / Vol. 88, No. 76 / Thursday, April 20, 2023 / Notices
Place: National Institutes of Health,
National Institute of Diabetes and Digestive
and Kidney Diseases, Democracy II, 6707
Democracy Blvd., Bethesda, MD 20892
(Virtual Meeting).
Contact Person: Jason D. Hoffert, Ph.D.,
Scientific Review Officer, National Institute
of Diabetes and Digestive and Kidney
Diseases, National Institutes of Health,
Bethesda, MD 20892, 301–496–9010,
hoffertj@niddk.nih.gov.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.847, Diabetes,
Endocrinology and Metabolic Research;
93.848, Digestive Diseases and Nutrition
Research; 93.849, Kidney Diseases, Urology
and Hematology Research, National Institutes
of Health, HHS)
Dated: April 14, 2023.
Miguelina Perez,
Program Analyst, Office of Federal Advisory
Committee Policy.
[FR Doc. 2023–08287 Filed 4–19–23; 8:45 am]
BILLING CODE 4140–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
National Institute on Aging; Notice of
Closed Meeting
ddrumheller on DSK120RN23PROD with NOTICES1
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended, notice is hereby given of the
following meeting.
The meeting will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: National Institute on
Aging Special Emphasis Panel; Adipose
Tissue Plasticity Impacts Metabolism with
Aging.
Date: May 24, 2023.
Time: 12:00 p.m. to 5:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Institutes of Health,
National Institute on Aging, Gateway
Building, 7201 Wisconsin Avenue, Bethesda,
MD 20892 (Virtual Meeting).
Contact Person: Joshua Jin-Hyouk Park,
Ph.D., Scientific Review Officer, National
Institutes of Health, National Institute on
Aging, Gateway Building, 7201 Wisconsin
Avenue, Suite 2C212, Bethesda, MD 20892,
(301) 496–6208, joshua.park4@nih.gov.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.866, Aging Research,
National Institutes of Health, HHS)
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Dated: April 14, 2023.
Miguelina Perez,
Program Analyst, Office of Federal Advisory
Committee Policy.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
[FR Doc. 2023–08294 Filed 4–19–23; 8:45 am]
National Institute on Aging; Notice of
Closed Meeting
BILLING CODE 4140–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
National Institute of Diabetes and
Digestive and Kidney Diseases; Notice
of Closed Meeting
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended, notice is hereby given of the
following meeting.
The meeting will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: National Institute of
Diabetes and Digestive and Kidney Diseases
Special Emphasis Panel; FORWARD
UROLOGY P20 APPLICATIONS.
Date: June 27, 2023.
Time: 1:00 p.m. to 4:00 p.m.
Agenda: To review and evaluate grant
applications and/or proposals.
Place: National Institutes of Health,
National Institute of Diabetes and Digestive
and Kidney Diseases, Democracy II, 6707
Democracy Blvd., Bethesda, MD 20892
(Virtual Meeting).
Contact Person: Ryan G. Morris, Ph.D.,
Scientific Review Officer, National Institute
of Diabetes and Digestive and Kidney
Diseases, National Institutes of Health,
Bethesda, MD 20892, 301–594–4721,
ryan.morris@nih.gov.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.847, Diabetes,
Endocrinology and Metabolic Research;
93.848, Digestive Diseases and Nutrition
Research; 93.849, Kidney Diseases, Urology
and Hematology Research, National Institutes
of Health, HHS)
Dated: April 14, 2023.
Miguelina Perez,
Program Analyst, Office of Federal Advisory
Committee Policy.
[FR Doc. 2023–08288 Filed 4–19–23; 8:45 am]
BILLING CODE 4140–01–P
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National Institutes of Health
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended, notice is hereby given of the
following meeting.
The meeting will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: National Institute on
Aging Special Emphasis Panel; AD
bioinformatic drug repositioning.
Date: May 22, 2023.
Time: 12:01 p.m. to 5:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Institutes of Health,
National Institute on Aging Gateway
Building, 7201 Wisconsin Avenue, Bethesda,
MD 20892 (Virtual Meeting)
Contact Person: Maurizio Grimaldi, M.D.,
Ph.D., Scientific Review Branch, National
Institute on Aging, National Institutes of
Health, 7201 Wisconsin Avenue, Suite 2C–
212, Bethesda, MD 20892, 301–496–9374,
grimaldim2@mail.nih.gov.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.866, Aging Research,
National Institutes of Health, HHS)
Dated: April 14, 2023.
Miguelina Perez,
Program Analyst, Office of Federal Advisory
Committee Policy.
[FR Doc. 2023–08293 Filed 4–19–23; 8:45 am]
BILLING CODE 4140–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Substance Abuse and Mental Health
Services Administration (SAMHSA)
Agency Information Collection
Activities: Proposed Collection;
Comment Request
In compliance with section
3506(c)(2)(A) of the Paperwork
Reduction Act of 1995 concerning
opportunity for public comment on
proposed collections of information,
SAMHSA will publish periodic
summaries of proposed projects. To
request more information on the
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proposed projects or to obtain a copy of
the information collection plans, call
the SAMHSA Reports Clearance Officer
on (240) 276–0361.
Comments are invited on: (a) whether
the proposed collections of information
are necessary for the proper
performance of the functions of the
agency, including whether the
information shall have practical utility;
(b) the accuracy of the agency’s estimate
of the burden of the proposed collection
of information; (c) ways to enhance the
quality, utility, and clarity of the
information to be collected; and (d)
ways to minimize the burden of the
collection of information on
respondents, including leveraging
automated data collection techniques or
other forms of information technology.
Proposed Project: Community Mental
Health Services Block Grant and
Substance Use Prevention, Treatment,
and Recovery Services (SUPTRS BG)
FY 2024–2025 Plan and Report
Guidance and Instructions (OMB No.
0930–0168)
SAMHSA is requesting approval from
the Office of Management and Budget
(OMB) of the 2024–2025 Community
Mental Health Services Block Grant
(MHBG) and Substance Use Prevention,
Treatment, and Recovery Services
(SUPTRS BG) (formally known as
Substance Abuse Prevention and
Treatment Block Grant (SABG))
Application Plan and Report Guidance
and Instructions.
Currently, the SUPTRS BG and the
MHBG differ on a number of their
practices (e.g., data collection at
individual or aggregate levels) and
statutory authorities (e.g., method of
calculating MOE, stakeholder input
requirements for planning, set asides for
specific populations or programs, etc.).
Historically, the Centers within
SAMHSA that administer these block
grants have had different approaches to
application requirements and reporting.
To compound this variation, states have
different structures for accepting,
planning, and accounting for the block
grants and the prevention set aside
within the SUPTRS BG. As a result, how
these dollars are spent and what is
known about the services and clients
that receive these funds varies by block
grant and by state.
SAMHSA has conveyed that block
grant funds must be directed toward
four purposes: (1) to fund priority
treatment and support services for
individuals without insurance or who
cycle in and out of health insurance
coverage; (2) to fund those priority
treatment and support services not
covered by Medicaid, Medicare, or
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private insurance offered through the
exchanges and that demonstrate success
in improving outcomes and/or
supporting recovery; (3) to fund
universal, selective and targeted
prevention activities and services; and
(4) to collect performance and outcome
data to determine the ongoing
effectiveness of behavioral health
prevention, treatment and recovery
support services and to plan the
implementation of new services on a
nationwide basis. SAMHSA’s five
priorities (Preventing Overdose;
Enhancing Access to Suicide Prevention
and Crisis Care; Promoting Resilience
and Emotional Health for Children,
Youth and Families; Integrating
Behavioral and Physical Health Care;
and Strengthening the Behavioral
Health Workforce) are highlighted and
states are encouraged to incorporate
them into their systems improvement
efforts.
States will need help to meet future
challenges associated with, the
implementation and management of an
integrated physical health, mental
health, and addiction service system.
SAMHSA has established standards and
expectations that will lead to an
improved system of care for individuals
with or at risk of mental and substance
use disorders. Therefore, this
application package continues to fully
exercise SAMHSA’s existing authority
regarding states’, territories’ and the Red
Lake Band of Chippewa Indians
(subsequently referred to as ‘‘states’’)
use of block grant funds as they fully
integrate behavioral health services into
the broader health care continuum.
Consistent with previous
applications, the FY 2024–2025
application has required sections and
other sections where additional
information is requested. The FY 2024–
2025 application requires states to
submit a face sheet, a table of contents,
a behavioral health assessment and
plan, reports of expenditures and
persons served, an executive summary,
and funding agreements and
certifications. In addition, SAMHSA is
requesting information on key areas that
are critical to the states’ success in
addressing health care equity.
Therefore, as part of this block grant
planning process, states should identify
promising or effective strategies as well
as technical assistance needed to
implement the strategies identified in
their plans for FYs 2024 and 2025.
Pursuant to the mandates and
supplemental funding appropriations
for the MHBG and the SUPTRS BG
found in the Consolidated
Appropriations Act, 2023, Consolidated
Appropriations Act, 2021 [Pub. L. 116–
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24433
260] and the American Rescue Plan Act,
2021 [Pub. L. 117–2], SAMHSA has
made changes to the Block Grant Plan
and Report requirements for FFY 2024
and 2025. These changes are necessary
to ensure that funds are spent in an
appropriate and timely manner.
Adjustments were made to pre-existing
tables in the plan and report.
On the SUPTRS BG narrative portion
of the Block Grant Plan document major
changes include the removal of words
and terms with negative connotations
and addition of those that are more
appropriate. Examples include changing
the word ‘‘abuse’’ to ‘‘use’’ and
‘‘Medication Assisted Treatment’’ to
‘‘Medication for Opioid Use Disorder’’
throughout the document. Language is
included regarding the promotion of
recovery for those who are in recovery,
or who are receiving recovery support
services, but who may not have
participated in treatment in any fashion.
The section regarding the Consolidated
Appropriations Act (COVID–19) has
been removed as it is no longer
applicable after FY 2023. Additionally,
there is a new narrative section
outlining the concept of health equity
and how Single State Authorities can
work within their states to promote
equitable promotion and use of
resources. A new section on Harm
Reduction efforts was added to illustrate
that this work will be instrumental in
SUD Prevention and Treatment moving
forward. The SUPTRS BG MOE
requirements, Women’s MOE
requirements, Tuberculosis screening
requirements, and restrictions on
funding sections have been revamped
for a better understanding of program
requirements.
For the planning tables, changes were
made to tables 10, 14, and a slight
change to table 15. Updated information
regarding the requesting of waivers
under table 10, section 11 was added to
reflect relevant sections of the PHS Act.
Considerable updates to the narrative in
question 14 regarding Medication for
Opioid Use disorder reflect not only the
new change in terminology but
advances in the field. Lastly, table 15
‘‘Crisis Services’’ has been listed as
requested for future SUPTRS BG
applications.
On the MHBG report there are
changes with the addition of two new
tables to the population and service
indicators (tables 8c and 8d) and one
new table to the performance indicators
and accomplishments section (table
19d). In addition, original MHBG table
19 has been relabeled 19a, 19a has been
relabeled 19c, 20 has been relabeled
19b. All MHBG tables which collect
gender, sexual orientation, and race
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Federal Register / Vol. 88, No. 76 / Thursday, April 20, 2023 / Notices
information have been updated. In
addition, MHBG tables have been
updated to make age groups consistent
across all applicable MHBG tables. The
additional tables should not require
excessive effort as all data will already
be collected by the states for the
additional funding efforts.
Similarly, modifications to SUPTRS
BG reports were made to allow for the
accurate capture of information for the
FY 2024/FY 2025 reporting period and
SUPTRS BG priorities. A new table, 10b,
was added to assess the number of
persons served by SUPTRS BG funds
who receive recovery support services.
The table also captures client
characteristics, specifically age and
gender. Although SUPTRS BG reporting
will allow for applicable grantees to
continue to report data on COVID–19
expenditures and persons served using
those funds, reporting requirements
were streamlined with the elimination
of table 2b. Additionally, table 3c was
added to capture SUPTRS BG
expenditures on Narcan and Fentanyl
Test Strips. Report tables were also
modified. Table 2 was modified to
include a recovery support activity as
required under the Consolidated
Appropriations Act, 2023. Modifications
to table 12 were also made to request the
number of persons at risk for HIV/AIDS
that were referred for PrEP services.
Lastly, minor modifications were made
to prior tables to clarify information
previously requested. For example,
tables 11a and 11b, were modified to
ensure that age, race, gender identity,
and sexual orientation categories are
consistent between SUPTRS BG and
MHBG.
While the statutory deadlines and
block grant award periods remain
unchanged, SAMHSA encourages states
to turn in their application as early as
possible to allow for a full discussion
and review by SAMHSA. Applications
for the MHBG-only are due no later than
September 1, 2023. The application for
SUPTRS BG-only is due no later than
October 1, 2023. A single application for
MHBG and SUPTRS BG combined is
due no later than September 1, 2023.
Estimates of Annualized Hour Burden
The estimated annualized burden for
the uniform application will increase to
33,493 hours to account for recording of
the additional supplemental funding
efforts (approximately 2 hours per state
agency). Burden estimates are broken
out in the following tables showing
burden separately for Year 1 and Year
2. Year 1 includes the estimates of
burden for the uniform application and
annual reporting. Year 2 includes the
estimates of burden for the
recordkeeping and annual reporting.
The reporting burden remains constant
for both years.
TABLE 1—ESTIMATES OF APPLICATION AND REPORTING BURDEN FOR YEAR 1
Substance use prevention, treatment, and recovery services and community mental health services block grants
Authorizing legislation
MHBG
Implementing
regulation
Number of
respondents
Number of
responses
per year
Number
of hours
per response
Total hours
......................................
......................................
......................................
......................................
......................................
45 CFR 96.122(f) ........
......................................
45 CFR 96.134(d) .......
........................
60
5
60
....................
1
1
1
......................
......................
......................
......................
11,190
......................
......................
......................
......................................
42 U.S.C. 300x–6(a) ...
42 U.S.C. 300x–52(a)
42 U.S.C. 300x–
4(b)(3)B.
......................................
......................................
......................................
......................................
........................
59
........................
59
....................
1
....................
1
......................
......................
......................
......................
11,003
......................
......................
......................
......................................
......................................
......................................
......................................
42 U.S.C. 300x–1(b) ...
42 U.S.C. 300x–1(b)(2)
42 U.S.C. 300x–2(a) ...
......................................
......................................
45 CFR 96.124(c)(1) ...
45 CFR 96.126(f) ........
45 CFR 96.131(f) ........
45 CFR 96.122(g) .......
......................................
......................................
......................................
......................................
......................................
60
60
60
60
59
59
59
........................
20
1
1
1
1
1
1
1
....................
1
......................
......................
......................
120
120
......................
......................
......................
......................
......................
......................
......................
7,230
7,109
......................
......................
3,240
......................
42 U.S.C. 300x–23 ......
42 U.S.C. 300x–25 ......
42 U.S.C. 300x–65 ......
......................................
......................................
......................................
......................................
......................................
42 U.S.C. 300x–2(a)(2)
42 U.S.C. 300x–4(b)(3)
42 U.S.C. 300x–6(b) ...
42 U.S.C. 300x–3 ........
......................................
......................................
45 CFR 96.132(d) .......
45 CFR 96.134(b) .......
......................................
......................................
......................................
......................................
......................................
......................................
45 CFR 96.126(c) ........
45 CFR 96.129(a)(13)
42 CFR Part 54 ...........
5
10
1
7
10
10
10
7
60/59
10
60
1
1
1
1
....................
....................
....................
....................
1
1
1
......................
......................
......................
......................
......................
......................
......................
......................
20
20
20
......................
......................
......................
......................
......................
......................
......................
......................
1,200
200
1,200
......................................
......................................
......................................
........................
....................
......................
42,373
Authorizing legislation
Reporting .....................
MHBG .........................
SUPTRS BG elements
Standard Form and
Content.
42 U.S.C. 300x–32(a).
Annual Report .............
42 U.S.C. 300x–52(a)
42 U.S.C. 300x–30–b ..
42 U.S.C. 300x–
30(d)(2).
Annual Report .............
State Plan (Covers 2
years).
42 U.S.C. 300x–22(b)
42 U.S.C. 300x–23 ......
42 U.S.C. 300x–27 ......
42 U.S.C. 300x–32(b)
MHBG elements ..........
Waivers ........................
42 U.S.C. 300x–
24(b)(5)(B).
42 U.S.C. 300x–28(d)
42 U.S.C. 300x–30(c) ..
42 U.S.C. 300x–31(c) ..
42 U.S.C. 300x–32(c) ..
42 U.S.C. 300x–32(e)
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Recordkeeping ............
Combined Burden
Report.
300x–52(a)—Requirement of Reports and Audits by States—Report.
300x–30(b)—Maintenance of Effort (MOE) Regarding State Expenditures—Exclusion of Certain Funds (SUBG).
300x–30(d)(2)—MOE—Noncompliance—Submission of Information to Secretary (SUBG).
State Plan—SUBG.
300x–22(b)—Allocations for Women.
300x–23—Intravenous Substance Abuse.
300x–27—Priority in Admissions to Treatment.
300x–29—Statewide Assessment of Need.
300x–32(b)—State Plan.
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Federal Register / Vol. 88, No. 76 / Thursday, April 20, 2023 / Notices
State Plan—MHBG.
42 U.S.C. 300x–1(b)—Criteria for Plan.
42 U.S.C. 300x–1(b)(2)—State Plan for Comprehensive Community Mental Health Services for Certain Individuals—Criteria for Plan—Mental Health System Data
and Epidemiology.
42 U.S.C. 300x–2(a)—Certain Agreements—Allocations for Systems Integrated Services for Children.
Waivers—SUBG.
300x–24(b)(5)(B)—Human Immunodeficiency Virus—Requirement regarding Rural Areas.
300x–28(d)—Additional Agreements.
300x–30(c)—MOE.
300x–31(c)—Restrictions on Expenditure of Grant—Waiver Regarding Construction of Facilities.
300x–32(c)—Certain Territories.
300x–32(e)—Waiver amendment for 1922, 1923, 1924 and 1927.
Waivers—MHBG.
300x–2(a)(2)—Allocations for Systems Integrated Services for Children.
300x–6(b)—Waiver for Certain Territories.
Recordkeeping.
300x–23—Waiting list.
300x–25—Group Homes for Persons in Recovery from Substance Use Disorders.
300x–65—Charitable Choice.
TABLE 2—ESTIMATES OF APPLICATION AND REPORTING BURDEN FOR YEAR 2
Number of
responses
per year
Number of
respondents
Number of
hours per
response
Total hours
Reporting:
SUBG ...............................................................................................................
MHBG ..............................................................................................................
Recordkeeping .................................................................................................
60
59
60/59
1
1
1
187
187
40
11,220
11,033
2,360
Combined Burden .....................................................................................
........................
........................
........................
24,613
The total annualized burden for the application and reporting is 33,493 hours (42,373 + 24,613 = 66,986/2 years = 33,493).
Link for the application: https://
www.samhsa.gov/grants/block-grants.
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 information
collection by selecting ‘‘Currently under
30-day Review—Open for Public
Comments’’ or by using the search
function.
Alicia Broadus,
Public Health Advisor.
[FR Doc. 2023–08337 Filed 4–19–23; 8:45 am]
BILLING CODE 4162–20–P
DEPARTMENT OF HOMELAND
SECURITY
Notice of the Renewal of the Critical
Infrastructure Partnership Advisory
Council Charter
Cybersecurity and
Infrastructure Security Agency (CISA),
DHS.
ACTION: Notice of availability; renewal of
the Critical Infrastructure Partnership
Advisory Council Charter.
ddrumheller on DSK120RN23PROD with NOTICES1
AGENCY:
On November 29, 2022, the
Secretary of the Department of
Homeland Security (DHS) approved the
renewal of the Critical Infrastructure
Partnership Advisory Council (CIPAC)
Charter. Through this notice, the
Department is making the renewed
CIPAC Charter publicly available and
SUMMARY:
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highlighting updated information and
guidelines that have been included in
the renewed charter.
FOR FURTHER INFORMATION CONTACT:
Amy J. Campbell, 202–372–7014,
amy.campbell@cisa.dhs.gov.
SUPPLEMENTARY INFORMATION: DHS
established the CIPAC on March 24,
2006.1 (71 FR 14930). The Secretary has
exempted the CIPAC from the
requirements of the Federal Advisory
Committee Act (FACA), 5 U.S.C. chapter
10, pursuant to his authority under 6
U.S.C. 451. The CIPAC facilitates
interactions between government
officials and representatives of owners
and/or operators for each of the critical
infrastructure sectors established by
Presidential Policy Directive 21 and
identified in the current National
Infrastructure Protection Plan. Please
visit https://www.cisa.gov/criticalinfrastructure-partnership-advisorycouncil for more information on CIPAC,
activities supported by CIPAC, CIPAC
Membership Roster, and Council
information.
On November 29, 2022, the Secretary
of Homeland Security renewed the
CIPAC Charter for an additional two
years. The renewed CIPAC Charter
supersedes the CIPAC Charter dated
November 30, 2020, and is available on
1 The CIPAC was established consistent with 6
U.S.C. 121 and 6 U.S.C. 451(a). Pursuant to the
Cybersecurity and Infrastructure Security Agency
Act of 2018, the National Protection and Programs
Directorate (NPPD) was re-designated as CISA and
the authorities related to the CIPAC under 6 U.S.C.
121 were transferred to 6 U.S.C. 652.
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the CIPAC website at https://
www.cisa.gov/critical-infrastructurepartnership-advisory-council. The
renewed CIPAC Charter includes new
and clarifying information and
guidelines concerning: (1) annual
training requirements related to ethics
standards and information sharing; (2)
activities to ensure council membership
is able to accomplish mission goals and
objectives of the sector; and (3) a
provision related to the sharing of
classified information.
Dated: April 14, 2023.
Amy J. Campbell,
Designated Federal Official, Critical
Infrastructure Partnership Advisory Council,
Cybersecurity and Infrastructure Security
Agency, Department of Homeland Security.
[FR Doc. 2023–08302 Filed 4–19–23; 8:45 am]
BILLING CODE 9110–9P–P
DEPARTMENT OF HOMELAND
SECURITY
[Docket No. CISA–2022–0018]
Request To Revise and Extend the
Chemical Security Assessment Tool
(CSAT) Information Collection Under
the Paperwork Reduction Act
Cybersecurity and
Infrastructure Security Agency, DHS.
ACTION: 30-Day notice and request for
comments.
AGENCY:
The Infrastructure Security
Division (ISD) within the Cybersecurity
and Infrastructure Security Agency
SUMMARY:
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]]>Agencies
[Federal Register Volume 88, Number 76 (Thursday, April 20, 2023)]
[Notices]
[Pages 24432-24435]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-08337]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration (SAMHSA)
Agency Information Collection Activities: Proposed Collection;
Comment Request
In compliance with section 3506(c)(2)(A) of the Paperwork Reduction
Act of 1995 concerning opportunity for public comment on proposed
collections of information, SAMHSA will publish periodic summaries of
proposed projects. To request more information on the
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proposed projects or to obtain a copy of the information collection
plans, call the SAMHSA Reports Clearance Officer on (240) 276-0361.
Comments are invited on: (a) whether the proposed collections of
information are necessary for the proper performance of the functions
of the agency, including whether the information shall have practical
utility; (b) the accuracy of the agency's estimate of the burden of the
proposed collection of information; (c) ways to enhance the quality,
utility, and clarity of the information to be collected; and (d) ways
to minimize the burden of the collection of information on respondents,
including leveraging automated data collection techniques or other
forms of information technology.
Proposed Project: Community Mental Health Services Block Grant and
Substance Use Prevention, Treatment, and Recovery Services (SUPTRS BG)
FY 2024-2025 Plan and Report Guidance and Instructions (OMB No. 0930-
0168)
SAMHSA is requesting approval from the Office of Management and
Budget (OMB) of the 2024-2025 Community Mental Health Services Block
Grant (MHBG) and Substance Use Prevention, Treatment, and Recovery
Services (SUPTRS BG) (formally known as Substance Abuse Prevention and
Treatment Block Grant (SABG)) Application Plan and Report Guidance and
Instructions.
Currently, the SUPTRS BG and the MHBG differ on a number of their
practices (e.g., data collection at individual or aggregate levels) and
statutory authorities (e.g., method of calculating MOE, stakeholder
input requirements for planning, set asides for specific populations or
programs, etc.). Historically, the Centers within SAMHSA that
administer these block grants have had different approaches to
application requirements and reporting. To compound this variation,
states have different structures for accepting, planning, and
accounting for the block grants and the prevention set aside within the
SUPTRS BG. As a result, how these dollars are spent and what is known
about the services and clients that receive these funds varies by block
grant and by state.
SAMHSA has conveyed that block grant funds must be directed toward
four purposes: (1) to fund priority treatment and support services for
individuals without insurance or who cycle in and out of health
insurance coverage; (2) to fund those priority treatment and support
services not covered by Medicaid, Medicare, or private insurance
offered through the exchanges and that demonstrate success in improving
outcomes and/or supporting recovery; (3) to fund universal, selective
and targeted prevention activities and services; and (4) to collect
performance and outcome data to determine the ongoing effectiveness of
behavioral health prevention, treatment and recovery support services
and to plan the implementation of new services on a nationwide basis.
SAMHSA's five priorities (Preventing Overdose; Enhancing Access to
Suicide Prevention and Crisis Care; Promoting Resilience and Emotional
Health for Children, Youth and Families; Integrating Behavioral and
Physical Health Care; and Strengthening the Behavioral Health
Workforce) are highlighted and states are encouraged to incorporate
them into their systems improvement efforts.
States will need help to meet future challenges associated with,
the implementation and management of an integrated physical health,
mental health, and addiction service system. SAMHSA has established
standards and expectations that will lead to an improved system of care
for individuals with or at risk of mental and substance use disorders.
Therefore, this application package continues to fully exercise
SAMHSA's existing authority regarding states', territories' and the Red
Lake Band of Chippewa Indians (subsequently referred to as ``states'')
use of block grant funds as they fully integrate behavioral health
services into the broader health care continuum.
Consistent with previous applications, the FY 2024-2025 application
has required sections and other sections where additional information
is requested. The FY 2024-2025 application requires states to submit a
face sheet, a table of contents, a behavioral health assessment and
plan, reports of expenditures and persons served, an executive summary,
and funding agreements and certifications. In addition, SAMHSA is
requesting information on key areas that are critical to the states'
success in addressing health care equity. Therefore, as part of this
block grant planning process, states should identify promising or
effective strategies as well as technical assistance needed to
implement the strategies identified in their plans for FYs 2024 and
2025.
Pursuant to the mandates and supplemental funding appropriations
for the MHBG and the SUPTRS BG found in the Consolidated Appropriations
Act, 2023, Consolidated Appropriations Act, 2021 [Pub. L. 116-260] and
the American Rescue Plan Act, 2021 [Pub. L. 117-2], SAMHSA has made
changes to the Block Grant Plan and Report requirements for FFY 2024
and 2025. These changes are necessary to ensure that funds are spent in
an appropriate and timely manner. Adjustments were made to pre-existing
tables in the plan and report.
On the SUPTRS BG narrative portion of the Block Grant Plan document
major changes include the removal of words and terms with negative
connotations and addition of those that are more appropriate. Examples
include changing the word ``abuse'' to ``use'' and ``Medication
Assisted Treatment'' to ``Medication for Opioid Use Disorder''
throughout the document. Language is included regarding the promotion
of recovery for those who are in recovery, or who are receiving
recovery support services, but who may not have participated in
treatment in any fashion. The section regarding the Consolidated
Appropriations Act (COVID-19) has been removed as it is no longer
applicable after FY 2023. Additionally, there is a new narrative
section outlining the concept of health equity and how Single State
Authorities can work within their states to promote equitable promotion
and use of resources. A new section on Harm Reduction efforts was added
to illustrate that this work will be instrumental in SUD Prevention and
Treatment moving forward. The SUPTRS BG MOE requirements, Women's MOE
requirements, Tuberculosis screening requirements, and restrictions on
funding sections have been revamped for a better understanding of
program requirements.
For the planning tables, changes were made to tables 10, 14, and a
slight change to table 15. Updated information regarding the requesting
of waivers under table 10, section 11 was added to reflect relevant
sections of the PHS Act. Considerable updates to the narrative in
question 14 regarding Medication for Opioid Use disorder reflect not
only the new change in terminology but advances in the field. Lastly,
table 15 ``Crisis Services'' has been listed as requested for future
SUPTRS BG applications.
On the MHBG report there are changes with the addition of two new
tables to the population and service indicators (tables 8c and 8d) and
one new table to the performance indicators and accomplishments section
(table 19d). In addition, original MHBG table 19 has been relabeled
19a, 19a has been relabeled 19c, 20 has been relabeled 19b. All MHBG
tables which collect gender, sexual orientation, and race
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information have been updated. In addition, MHBG tables have been
updated to make age groups consistent across all applicable MHBG
tables. The additional tables should not require excessive effort as
all data will already be collected by the states for the additional
funding efforts.
Similarly, modifications to SUPTRS BG reports were made to allow
for the accurate capture of information for the FY 2024/FY 2025
reporting period and SUPTRS BG priorities. A new table, 10b, was added
to assess the number of persons served by SUPTRS BG funds who receive
recovery support services. The table also captures client
characteristics, specifically age and gender. Although SUPTRS BG
reporting will allow for applicable grantees to continue to report data
on COVID-19 expenditures and persons served using those funds,
reporting requirements were streamlined with the elimination of table
2b. Additionally, table 3c was added to capture SUPTRS BG expenditures
on Narcan and Fentanyl Test Strips. Report tables were also modified.
Table 2 was modified to include a recovery support activity as required
under the Consolidated Appropriations Act, 2023. Modifications to table
12 were also made to request the number of persons at risk for HIV/AIDS
that were referred for PrEP services. Lastly, minor modifications were
made to prior tables to clarify information previously requested. For
example, tables 11a and 11b, were modified to ensure that age, race,
gender identity, and sexual orientation categories are consistent
between SUPTRS BG and MHBG.
While the statutory deadlines and block grant award periods remain
unchanged, SAMHSA encourages states to turn in their application as
early as possible to allow for a full discussion and review by SAMHSA.
Applications for the MHBG-only are due no later than September 1, 2023.
The application for SUPTRS BG-only is due no later than October 1,
2023. A single application for MHBG and SUPTRS BG combined is due no
later than September 1, 2023.
Estimates of Annualized Hour Burden
The estimated annualized burden for the uniform application will
increase to 33,493 hours to account for recording of the additional
supplemental funding efforts (approximately 2 hours per state agency).
Burden estimates are broken out in the following tables showing burden
separately for Year 1 and Year 2. Year 1 includes the estimates of
burden for the uniform application and annual reporting. Year 2
includes the estimates of burden for the recordkeeping and annual
reporting. The reporting burden remains constant for both years.
Table 1--Estimates of Application and Reporting Burden for Year 1
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Substance use prevention, treatment, and recovery services and community mental health services block grants
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Number of Number of
Authorizing Authorizing Implementing Number of responses hours per Total hours
legislation legislation MHBG regulation respondents per year response
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Reporting.................... Standard Form and
Content.
42 U.S.C. 300x-32(a)
Annual Report....... .................... .................... .............. ........... ............ 11,190
42 U.S.C. 300x-52(a) .................... 45 CFR 96.122(f).... 60 1 ............ ............
42 U.S.C. 300x-30-b. .................... .................... 5 1 ............ ............
42 U.S.C. 300x- .................... 45 CFR 96.134(d).... 60 1 ............ ............
30(d)(2).
MHBG......................... Annual Report....... .................... .................... .............. ........... ............ 11,003
42 U.S.C. 300x-6(a). .................... 59 1 ............ ............
42 U.S.C. 300x-52(a) .................... .............. ........... ............ ............
42 U.S.C. 300x- .................... 59 1 ............ ............
4(b)(3)B.
State Plan (Covers 2
years).
SUPTRS BG elements........... 42 U.S.C. 300x-22(b) .................... 45 CFR 96.124(c)(1). 60 1 ............ ............
42 U.S.C. 300x-23... .................... 45 CFR 96.126(f).... 60 1 ............ ............
42 U.S.C. 300x-27... .................... 45 CFR 96.131(f).... 60 1 ............ ............
42 U.S.C. 300x-32(b) .................... 45 CFR 96.122(g).... 60 1 120 7,230
MHBG elements................ 42 U.S.C. 300x-1(b). .................... 59 1 120 7,109
42 U.S.C. 300x- .................... 59 1 ............ ............
1(b)(2).
42 U.S.C. 300x-2(a). .................... 59 1 ............ ............
Waivers............. .................... .................... .............. ........... ............ 3,240
42 U.S.C. 300x- .................... .................... 20 1 ............ ............
24(b)(5)(B).
42 U.S.C. 300x-28(d) .................... 45 CFR 96.132(d).... 5 1 ............ ............
42 U.S.C. 300x-30(c) .................... 45 CFR 96.134(b).... 10 1 ............ ............
42 U.S.C. 300x-31(c) .................... .................... 1 1 ............ ............
42 U.S.C. 300x-32(c) .................... .................... 7 1 ............ ............
42 U.S.C. 300x-32(e) .................... .................... 10 ........... ............ ............
42 U.S.C. 300x- .................... 10 ........... ............ ............
2(a)(2).
42 U.S.C. 300x- .................... 10 ........... ............ ............
4(b)(3).
42 U.S.C. 300x-6(b). .................... 7 ........... ............ ............
Recordkeeping................ 42 U.S.C. 300x-23... 42 U.S.C. 300x-3.... 45 CFR 96.126(c).... 60/59 1 20 1,200
42 U.S.C. 300x-25... .................... 45 CFR 96.129(a)(13) 10 1 20 200
42 U.S.C. 300x-65... .................... 42 CFR Part 54...... 60 1 20 1,200
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Combined Burden.......... .................... .................... .................... .............. ........... ............ 42,373
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Report.
300x-52(a)--Requirement of Reports and Audits by States--Report.
300x-30(b)--Maintenance of Effort (MOE) Regarding State Expenditures--Exclusion of Certain Funds (SUBG).
300x-30(d)(2)--MOE--Noncompliance--Submission of Information to Secretary (SUBG).
State Plan--SUBG.
300x-22(b)--Allocations for Women.
300x-23--Intravenous Substance Abuse.
300x-27--Priority in Admissions to Treatment.
300x-29--Statewide Assessment of Need.
300x-32(b)--State Plan.
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State Plan--MHBG.
42 U.S.C. 300x-1(b)--Criteria for Plan.
42 U.S.C. 300x-1(b)(2)--State Plan for Comprehensive Community Mental Health Services for Certain Individuals--Criteria for Plan--Mental Health System
Data and Epidemiology.
42 U.S.C. 300x-2(a)--Certain Agreements--Allocations for Systems Integrated Services for Children.
Waivers--SUBG.
300x-24(b)(5)(B)--Human Immunodeficiency Virus--Requirement regarding Rural Areas.
300x-28(d)--Additional Agreements.
300x-30(c)--MOE.
300x-31(c)--Restrictions on Expenditure of Grant--Waiver Regarding Construction of Facilities.
300x-32(c)--Certain Territories.
300x-32(e)--Waiver amendment for 1922, 1923, 1924 and 1927.
Waivers--MHBG.
300x-2(a)(2)--Allocations for Systems Integrated Services for Children.
300x-6(b)--Waiver for Certain Territories.
Recordkeeping.
300x-23--Waiting list.
300x-25--Group Homes for Persons in Recovery from Substance Use Disorders.
300x-65--Charitable Choice.
Table 2--Estimates of Application and Reporting Burden for Year 2
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Number of Number of
Number of responses per hours per Total hours
respondents year response
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Reporting:
SUBG............................................ 60 1 187 11,220
MHBG............................................ 59 1 187 11,033
Recordkeeping................................... 60/59 1 40 2,360
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Combined Burden............................. .............. .............. .............. 24,613
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The total annualized burden for the application and reporting is 33,493 hours (42,373 + 24,613 = 66,986/2 years
= 33,493).
Link for the application: https://www.samhsa.gov/grants/block-grants.
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 information collection
by selecting ``Currently under 30-day Review--Open for Public
Comments'' or by using the search function.
Alicia Broadus,
Public Health Advisor.
[FR Doc. 2023-08337 Filed 4-19-23; 8:45 am]
BILLING CODE 4162-20-P
