Agency Information Collection Activities: Submission for OMB Review; Comment Request, 83-86 [2023-28809]
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Federal Register / Vol. 89, No. 1 / Tuesday, January 2, 2024 / Notices
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HPSAs were revised and published on
March 2, 1989 (54 FR 8735). The criteria
for psychiatric HPSAs were expanded to
mental health HPSAs on January 22,
1992 (57 FR 2473). Currently funded
PHS Act programs use only the primary
medical care, mental health, or dental
HPSA or relevant sub-score designations
such as Maternity Care Target Areas.
HPSA designation offers access to
potential federal assistance. Public or
private nonprofit entities are eligible to
apply for assignment of National Health
Service Corps personnel to provide
primary medical care, mental health, or
dental health services in or to these
HPSAs. National Health Service Corps
health professionals enter into service
agreements to serve in federally
designated HPSAs. Entities with clinical
training sites located in HPSAs are
eligible to receive priority for certain
residency training program grants
administered by HRSA’s BHW. Other
federal programs also utilize HPSA
designations. For example, under
authorities administered by the Centers
for Medicare & Medicaid Services,
certain qualified providers in
geographic area HPSAs are eligible for
increased levels of Medicare
reimbursement.
Content and Format of Lists
The three lists of designated HPSAs
are available on the HRSA Data
Warehouse shortage area topic web page
and include a snapshot of all geographic
areas, population groups, and facilities
that were designated HPSAs as of
December 2, 2023. This notice
incorporates the most recent annual
reviews of designated HPSAs, which
can be located on HRSA’s data.hrsa.gov
website, and supersedes the HPSA lists
published in the Federal Register on
July 3, 2023 (88 FR 42725).
In addition, all Indian Tribes that
meet the definition of such Tribes in the
Indian Health Care Improvement Act of
1976, 25 U.S.C. 1603, are automatically
designated as population groups with
primary medical care and dental health
professional shortages. Further, the
Health Care Safety Net Amendments of
2002 provides eligibility for automatic
facility HPSA designations for all
federally qualified health centers
(FQHC) and rural health clinics that
offer services regardless of ability to
pay. Specifically, these entities include
FQHCs funded under section 330 of the
PHS Act, FQHC Look-Alikes, and Tribal
and urban Indian clinics operating
under the Indian Self-Determination
and Education Act of 1975 (25 U.S.C.
450) or the Indian Health Care
Improvement Act. Many, but not all, of
these entities are included on this
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listing. Since they are automatically
designated by statute, absence from this
list does not exclude them from HPSA
designation; facilities eligible for
automatic designation are included in
the database when they are identified.
Each list of designated HPSAs is
arranged by state. Within each state, the
list is presented by county. If only a
portion (or portions) of a county is (are)
designated, a county is part of a larger
designated service area, or a population
group residing in a county or a facility
located in the county has been
designated, the name of the service area,
population group, or facility involved is
listed under the county name. A county
that has a whole county geographic or
population group HPSA is indicated by
the phrase ‘‘County’’ following the
county name.
Development of the Designation and
Withdrawal Lists
Requests for designation or
withdrawal of a particular geographic
area, population group, or facility as a
HPSA are received continuously by
BHW. Under a Cooperative Agreement
between HRSA and the 54 state and
territorial Primary Care Offices (PCO),
PCOs conduct needs assessments and
submit applications to HRSA to
designate HPSAs. BHW also receives
other requests for designation from
other sources and refers them to PCOs
for review. As part of the HPSA
designation process, interested parties,
including Governors, state Primary Care
Associations, and state professional
associations, are notified of requests so
that they may submit their comments
and recommendations.
BHW reviews each recommendation
for possible addition, continuation,
revision, or withdrawal. Following
review, BHW notifies the appropriate
agency, individuals, and interested
organizations of each designation of a
HPSA, rejection of recommendation for
HPSA designation, revision of a HPSA
designation, and/or advance notice of
pending withdrawals from the HPSA
list. Designations (or revisions of
designations) are effective as of the date
on the notification from BHW and are
updated daily on the HRSA Data
Warehouse website. While this list is a
snapshot of HPSAs at a point in time,
HPSA designations are regularly being
updated so the best source of current
designation status is the HRSA Data
Warehouse website at (https://
data.hrsa.gov/tools/shortage-area).
In 2024, BHW will publish two
Federal Register notices to inform the
public of the availability of the complete
lists of all geographic areas, population
groups, and facilities designated as
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83
primary medical care, dental health, and
mental health professional shortage
areas. The first notice will be on or
before May 1, 2024, and will list all
designated HPSAs and those that are
proposed for withdrawal HPSAs that
will remain in a designated status until
the second Federal Register notice
which will be scheduled on or before
November 1, 2024. The second Federal
Register notice will withdraw all HPSAs
that were proposed for withdrawl and
do not meet the requirements for
designation. This two-step process
provides greater clarity for jurisdictions
and facilities to prepare for any changes
in HPSA designation.
Carole Johnson,
Administrator.
[FR Doc. 2023–28844 Filed 12–29–23; 8:45 am]
BILLING CODE 4165–15–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) 276–0361.
Project: Survey of Current and Alumni
SAMHSA Fellows of the Minority
Fellowship Program (MFP) (OMB No.
0930–0304)—REVISION
In 1973, in response to a substantial
lack of ethnic and racial minorities in
the mental health professions, the
Center for Minority Health at the
National Institute of Mental Health
established the MFP. Since the MFP’s
transition to SAMHSA in 1992, the
program has continued to facilitate the
entry of graduate students and
psychiatric residents into mental health
careers and has increased the number of
psychology, psychiatry, nursing, and
social work professionals trained to
provide mental health and substance
abuse services to minority groups. The
traditional MFP offers sustained grants
to six national behavioral health
professional associations: the American
Association of Marriage and Family
Therapy (AAMFT), American Nurses
Association (ANA), American
Psychiatric Association (APsychA),
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Federal Register / Vol. 89, No. 1 / Tuesday, January 2, 2024 / Notices
American Psychological Association
(APA), Council on Social Work
Education (CSWE), and National Board
for Certified Counselors (NBCC). In
addition, the NBCC also administers the
MFP for the Association for Addiction
Professionals (NAADAC). A more recent
program, The Interdisciplinary MFP, is
also administered by the American
Psychological Association.
This data collection includes two
survey instruments, the Survey of
Current SAMHSA MFP Fellows and the
Survey of Alumni SAMHSA MFP
Fellows. The two online surveys (with
the option for a hard copy mailed
through the U.S. Postal Service) will be
used with the following stakeholders in
the MFP grant programs:
1. Current SAMHSA MFP Fellows
(n=411)
a. Current MFP fellows (doctoral-level
fellows) and master’s-level fellows
currently receiving support during their
doctoral-level, master’s-level,
psychiatric residency, or certificate
training programs will be asked about
their experiences in the MFP (from
recruitment into the program through
their participation in the various
activities provided by the grantees).
2. MFP Alumni (n=1,280)
a. MFP Alumni who participated in
the MFP during the time the program
was administered by SAMHSA will be
asked about their previous experiences
as fellows in the MFP, their subsequent
involvement and leadership in their
professions, and intentions to stay in the
behavioral health field.
The information gathered by these
two surveys will be used to document
contributions and impacts of current
and former MFP fellows. The current
fellows survey includes questions to
assess the following measures:
background items on training specialty
and demographics, practicum and
internship experiences, professional
development activities (e.g., number of
certifications obtained, types of
professional development/contributions
to the field such as number of
presentations or publications), and
learning opportunities related to MFP
fellows’ preparation to provide
culturally competent mental and
substance use disorder services to
underserved populations. The alumni
fellows survey includes questions to
measure: background items on
specialization and demographics, status
of degree completion, employment
experiences and settings where
providing culturally competent mental
and substance use disorder services to
underserved populations, contributions
to the field, application of MFP learning
opportunities in current employment
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experiences, mentoring and other
support received during the MFP,
satisfaction with their preparation
during MFP for their current
employment or educational placement,
intentions to stay in or leave the
behavioral health field, and suggestions
for improving the MFP.
This request amends the OMB
approval that expired August 31, 2019,
by omitting questions that gathered
information on number of mentors and
total mentored hours; as well as selfreported impacts on current and alumni
fellows such as increased knowledge,
skills, and aptitude. Both the current
and alumni fellows’ surveys are revised
accordingly. For the alumni survey, the
respondent pool has been limited only
to those who have completed the MFP
within the past five years. Additionally,
to further streamline this data collection
SAMHSA has also deleted eleven other
questions that are not critical to
assessing the program’s progress. In
turn, the following questions have been
added to the survey instruments to help
better assess the program’s progress
with meeting stated goals and plan for
future cohorts of fellows:
(1) Specialization
Response choices were modified and
added to align with position titles in
HRSA’s annual behavioral workforce
survey.
My specialization would best prepare
me/prepared me for positions such as
those held by (check more than one if
applicable):
[ ] Adult psychiatrists
[ ] Child and adolescent psychiatrists
[ ] Psychiatric nurse practitioners
[ ] Physician assistants
[ ] Psychologists
[ ] Social workers
[ ] Marriage and family therapists
[ ] Addictions counselors
[ ] Mental health counselors
[ ] School counselors
[ ] Other: Please specify [text box]
(2) Personal Background
Items and response choices were
added or revised to align with how
these are asked in federal national data
collections (e.g., American Community
Survey or NIH’s PhenX Toolkit).
The next set of questions will help
SAMHSA understand the variation in
responses based on characteristics of
MFP fellows.
(5) What is your gender?
[ ] Male
[ ] Female
[ ] Non-binary, . . . .
[ ] Two-Spirit
[ ] TF (Transgender Female)
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[ ] TM (Transgender Male)/
[ ] Other (please specify): [text box] *
[ ] Prefer not to answer
(6) Are you of Hispanic, Latina/Latino,
or Spanish origin? *
[ ] No, not of Hispanic, Latino, or
Spanish origin
[ ] Yes
[ ] Mexican, Mexican Am., Chicano
[ ] Puerto Rican
[ ] Cuban
[ ] Another Hispanic, Latino, or
Spanish origin—for example,
Salvadoran, Dominican, Colombian,
Guatemalan, Spaniard, Ecuadorian,
etc.) [text box]*
[ ] Prefer not to answer
(7) What is your race? For this survey (as
in the U.S. Census), Hispanic origins are
not races. Check all that apply.*
[ ] White—for example, German, Irish,
English, Italian, Lebanese, Egyptian,
etc.
[ ] Black, African, or African
American—for example, African
American, Jamaican, Haitian,
Nigerian, Ethiopian, Somali, etc.
[ ] American Indian or Alaska Native—
Print name of enrolled or principal
tribe(s), for example, Navajo Nation,
Blackfeet Tribe, Mayan, Aztec, Native
Village of Barrow Inupiat Traditional
Government, Nome Eskimo
Community, etc.
[ ] Asian or Asian American
[ ] Chinese
[ ] Filipino
[ ] Asian Indian
[ ] Vietnamese
[ ] Korean
[ ] Japanese
[ ] Other Asian—for example, Pakistani,
Cambodian, Hmong, etc.
[ ] Native Hawaiian, Samoan,
Chamorro, or Other Pacific
Islander—for example, Tongan,
Fijian, Marshallese, etc.
[ ] Some other race—specify race or
origin: [text box]*
[ ] Prefer not to answer
The following items will help us
understand the immigrant status of our
trainees and the extent to which we are
diversifying our trainees to respond to
the growing needs of immigrant
families.
(8) Are you from an immigrant family?
[ ] NO
[ ] YES
[ ] Prefer not to answer
a. Was either of your parents born
outside of the U.S.?
[ ] YES, one parent
[ ] YES, both parents
[ ] NO, neither parent
[ ] Prefer not to answer
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Federal Register / Vol. 89, No. 1 / Tuesday, January 2, 2024 / Notices
b. Was at least one of your grandparents
born outside of the U.S.?
[ ] YES
[ ] NO
[ ] Prefer not to answer
c. Were you born outside of the U.S.?
[ ] YES
[ ] NO
[ ] Prefer not to answer
(9) List any language(s), other than
English, in which you have at least
minimum professional speaking
proficiency (i.e., can participate
effectively in most formal and informal
conversations on practical and
professional topics). Check all that
apply.*
(10) Do you have a disability or require
accommodations to perform essential
professional functions? *
[ ] Yes
[ ] No
[ ]Prefer not to answer
(3) Learning Opportunities
Added items or response choices (e.g.,
use of telehealth) to reflect changes in
behavioral practices and service
delivery due to COVID–19 restrictions.
20. During the past MFP year, as part of
your program, please check the types of
learning opportunities you had for each
of the following topics.
(a) Working with individuals from
racially and ethnically diverse
backgrounds?
(Please select all that apply.)
[ ] Opportunities to learn via telehealth
[ ] Observation of clinical encounters inperson
[ ] Observation of clinical encounters via
telehealth
[ ] Clinical experience with the
population(s)
[ ] Education about the CLAS standards
and their impact on the delivery of
care
[ ] English only
[ ] African-other than Amharic (please
specify below)
[ ] Amharic
[ ] Chinese-Mandarin
[ ] Chinese-Other
[ ] French
[ ] German
[ ] Hindi
[ ] Japanese
[ ] Korean
[ ] Kreyol
[ ] Portuguese
[ ] Russian
[ ] Spanish
[ ] Instruction in cultural humility/
competence and its impact on the
delivery of care
[ ] Distance learning (virtual learning,
web-based learning)
[ ] Supervision of the clinical experience
with the population(s)
(4) Intentions to Stay/Leave Behavioral
Health Field (alumni only)
Additional items were added to better
understand how the stress and burnout
being witnessed in the health care
workforce generally and behavioral
health workforce in particular (due to
COVID–19 pandemic) may have
impacted alumni fellows’ intentions to
stay in or leave the field.
The following questions ask about
your intentions to stay in the mental or
behavioral health field. Using the scales
provided, indicate how often you think
about leaving and the likelihood that
you would leave.
(31). Do you consider your current job/
practice/training as in the mental and
behavioral health field?
__ No: Which field are you in? TEXT
BOX (then skip to Q34)
__ Yes (ANSWER INTENTIONS 1 and 2
below)
1–Never
2–A few
times a year
or less
3–Once
a month
or less
4–A few
times a
month
5–Once
a week
6–A few
times a
week
7–Every
day
b
b
b
b
b
b
b
b
b
b
b
b
b
b
32. INTENTIONS–2
1–
Extremely
unlikely
2–Very
unlikely
3–
Somewhat
unlikely
4–Neutral/
unsure
5–
Somewhat
likely
6–Very
likely
7–Extremely
likely
a. How likely is it that you will search for
a job in the same primary role—e.g.,
clinical care, practice, teaching, research, prevention, administration/policy development? .................................
b. How likely is it that you will actually
leave the mental and behavioral health
field next year? .....................................
b
b
b
b
b
b
b
b
b
b
b
b
b
b
(33) If you are considering leaving the
mental and behavioral health field,
what is/are the primary driver(s)?
(34) What changes are needed that
would convince you to stay? [Limit
characters to 450]
31. INTENTIONS–1
a. How often do you think about leaving
your job/training program? ...................
b. How often do you think about leaving
for another job/training program in the
field? .....................................................
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[ ] Other language (please specify): [text
box]
[ ] Prefer not to answer
llllllllllllllllll
llllllllllllllllll
llllllllllllllllll
llllllllllllllllll
Survey
name
Number of
respondents
SAMHSA MFP Current Fellows Survey ..............................
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Burden Estimate
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Responses
per
respondent
411
Fmt 4703
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The total annual burden estimate for
conducting the surveys is shown below:
Total number
of responses
1
E:\FR\FM\02JAN1.SGM
411
02JAN1
Hours per
response
0.42
Total
burden
hours
173
86
Federal Register / Vol. 89, No. 1 / Tuesday, January 2, 2024 / Notices
Survey
name
Number of
respondents
Total number
of responses
Hours per
response
Total
burden
hours
SAMHSA MFP Alumni Survey .............................................
1,280
1
1,280
0.42
538
Totals ............................................................................
1,691 a
........................
1,691
........................
711
a This
is an unduplicated count of total respondents.
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
for Public Comments’’ or by using the
search function.
Alicia Broadus,
Public Health Advisor.
[FR Doc. 2023–28809 Filed 12–29–23; 8:45 am]
BILLING CODE 4162–20–P
DEPARTMENT OF THE INTERIOR
Fish and Wildlife Service
[FWS–R7–ES–2023–N092;
FXES111607MMTRP–245–FF07CAMM00;
OMB Control Number 1018–0066]
Fish and Wildlife Service,
Interior.
ACTION: Notice of information collection;
request for comment.
AGENCY:
In accordance with the
Paperwork Reduction Act of 1995, we,
the U.S. Fish and Wildlife Service
(Service), are proposing to renew an
information collection without change.
DATES: Interested persons are invited to
submit comments on or before February
1, 2024.
ADDRESSES: Written comments and
recommendations for the proposed
information collection should be
submitted within 30 days of publication
of this notice at https://
www.reginfo.gov/public/do/PRAMain.
Find this particular information
collection by selecting ‘‘Currently under
Review—Open for Public Comments’’ or
by using the search function. Please
provide a copy of your comments to the
Service Information Collection
Clearance Officer, U.S. Fish and
Wildlife Service, MS: PRB (JAO/3W),
SUMMARY:
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15:59 Dec 29, 2023
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5275 Leesburg Pike, Falls Church, VA
22041–3803 (mail); or by email to Info_
Coll@fws.gov. Please reference ‘‘1018–
0066’’ in the subject line of your
comments.
To
request additional information about
this ICR, contact Madonna L. Baucum,
Service Information Collection
Clearance Officer, by email at Info_
Coll@fws.gov, or by telephone at (703)
358–2503. Individuals in the United
States who are deaf, deafblind, hard of
hearing, or have a speech disability may
dial 711 (TTY, TDD, or TeleBraille) to
access telecommunications relay
services. Individuals outside the United
States should use the relay services
offered within their country to make
international calls to the point-ofcontact in the United States.
FOR FURTHER INFORMATION CONTACT:
In
accordance with the Paperwork
Reduction Act of 1995 (PRA, 44 U.S.C.
3501 et seq.) and 5 CFR 1320.8(d)(1), we
provide the general public and other
Federal agencies with an opportunity to
comment on new, proposed, revised,
and continuing collections of
information. This helps us assess the
impact of our information collection
requirements and minimize the public’s
reporting burden. It also helps the
public understand our information
collection requirements and provide the
requested data in the desired format.
On July 26, 2023, we published in the
Federal Register (88 FR 48260) a notice
of our intent to request that OMB
approve this information collection. In
that notice, we solicited comments for
60 days, ending on September 25, 2023.
In an effort to increase public awareness
of, and participation in, our public
commenting processes associated with
information collection requests, the
Service also published the Federal
Register notice on Regulations.gov
(Docket No. FWS–R7–ES–2023–0097) to
provide the public with an additional
method to submit comments (in
addition to the typical U.S. mail
submission methods). We received one
anonymous comment in response to that
notice which did not address the
information collection requirements. No
response to that comment is required.
SUPPLEMENTARY INFORMATION:
Agency Information Collection
Activities; Submission to the Office of
Management and Budget; Marine
Mammal Marking, Tagging, and
Reporting Certificates, and
Registration of Certain Dead Marine
Mammal Hard Parts
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Responses
per
respondent
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Fmt 4703
Sfmt 4703
As part of our continuing effort to
reduce paperwork and respondent
burdens, we are again soliciting
comments from the public and other
Federal agencies on the proposed ICR
that is described below. We are
especially interested in public comment
addressing the following:
(1) Whether or not the collection of
information is necessary for the proper
performance of the functions of the
agency, including whether or not the
information will have practical utility;
(2) The accuracy of our estimate of the
burden for this collection of
information, including the validity of
the methodology and assumptions used;
(3) Ways to enhance the quality,
utility, and clarity of the information to
be collected; and
(4) How might the agency minimize
the burden of the collection of
information on those who are to
respond, including through the use of
appropriate automated, electronic,
mechanical, or other technological
collection techniques or other forms of
information technology, e.g., permitting
electronic submission of response.
Comments that you submit in
response to this notice are a matter of
public record. Before including your
address, phone number, email address,
or other personal identifying
information in your comment, you
should be aware that your entire
comment—including your personal
identifying information—may be made
publicly available at any time. While
you can ask us in your comment to
withhold your personal identifying
information from public review, we
cannot guarantee that we will be able to
do so.
Abstract: Under section 101(b) of the
Marine Mammal Protection Act of 1972,
as amended (MMPA; 16 U.S.C. 1361–
1407), Alaska Natives residing in Alaska
and dwelling on the coast of the North
Pacific or Arctic Oceans may harvest
polar bears, northern sea otters, and
Pacific walruses for subsistence or
handicraft purposes. Section 109(i) of
the MMPA authorizes the Secretary of
the Interior to prescribe marking,
tagging, and reporting regulations
applicable to the Alaska Native
subsistence and handicraft take.
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]]>Agencies
[Federal Register Volume 89, Number 1 (Tuesday, January 2, 2024)]
[Notices]
[Pages 83-86]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-28809]
-----------------------------------------------------------------------
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: Survey of Current and Alumni SAMHSA Fellows of the Minority
Fellowship Program (MFP) (OMB No. 0930-0304)--REVISION
In 1973, in response to a substantial lack of ethnic and racial
minorities in the mental health professions, the Center for Minority
Health at the National Institute of Mental Health established the MFP.
Since the MFP's transition to SAMHSA in 1992, the program has continued
to facilitate the entry of graduate students and psychiatric residents
into mental health careers and has increased the number of psychology,
psychiatry, nursing, and social work professionals trained to provide
mental health and substance abuse services to minority groups. The
traditional MFP offers sustained grants to six national behavioral
health professional associations: the American Association of Marriage
and Family Therapy (AAMFT), American Nurses Association (ANA), American
Psychiatric Association (APsychA),
[[Page 84]]
American Psychological Association (APA), Council on Social Work
Education (CSWE), and National Board for Certified Counselors (NBCC).
In addition, the NBCC also administers the MFP for the Association for
Addiction Professionals (NAADAC). A more recent program, The
Interdisciplinary MFP, is also administered by the American
Psychological Association.
This data collection includes two survey instruments, the Survey of
Current SAMHSA MFP Fellows and the Survey of Alumni SAMHSA MFP Fellows.
The two online surveys (with the option for a hard copy mailed through
the U.S. Postal Service) will be used with the following stakeholders
in the MFP grant programs:
1. Current SAMHSA MFP Fellows (n=411)
a. Current MFP fellows (doctoral-level fellows) and master's-level
fellows currently receiving support during their doctoral-level,
master's-level, psychiatric residency, or certificate training programs
will be asked about their experiences in the MFP (from recruitment into
the program through their participation in the various activities
provided by the grantees).
2. MFP Alumni (n=1,280)
a. MFP Alumni who participated in the MFP during the time the
program was administered by SAMHSA will be asked about their previous
experiences as fellows in the MFP, their subsequent involvement and
leadership in their professions, and intentions to stay in the
behavioral health field.
The information gathered by these two surveys will be used to
document contributions and impacts of current and former MFP fellows.
The current fellows survey includes questions to assess the following
measures: background items on training specialty and demographics,
practicum and internship experiences, professional development
activities (e.g., number of certifications obtained, types of
professional development/contributions to the field such as number of
presentations or publications), and learning opportunities related to
MFP fellows' preparation to provide culturally competent mental and
substance use disorder services to underserved populations. The alumni
fellows survey includes questions to measure: background items on
specialization and demographics, status of degree completion,
employment experiences and settings where providing culturally
competent mental and substance use disorder services to underserved
populations, contributions to the field, application of MFP learning
opportunities in current employment experiences, mentoring and other
support received during the MFP, satisfaction with their preparation
during MFP for their current employment or educational placement,
intentions to stay in or leave the behavioral health field, and
suggestions for improving the MFP.
This request amends the OMB approval that expired August 31, 2019,
by omitting questions that gathered information on number of mentors
and total mentored hours; as well as self-reported impacts on current
and alumni fellows such as increased knowledge, skills, and aptitude.
Both the current and alumni fellows' surveys are revised accordingly.
For the alumni survey, the respondent pool has been limited only to
those who have completed the MFP within the past five years.
Additionally, to further streamline this data collection SAMHSA has
also deleted eleven other questions that are not critical to assessing
the program's progress. In turn, the following questions have been
added to the survey instruments to help better assess the program's
progress with meeting stated goals and plan for future cohorts of
fellows:
(1) Specialization
Response choices were modified and added to align with position
titles in HRSA's annual behavioral workforce survey.
My specialization would best prepare me/prepared me for positions
such as those held by (check more than one if applicable):
[ ] Adult psychiatrists
[ ] Child and adolescent psychiatrists
[ ] Psychiatric nurse practitioners
[ ] Physician assistants
[ ] Psychologists
[ ] Social workers
[ ] Marriage and family therapists
[ ] Addictions counselors
[ ] Mental health counselors
[ ] School counselors
[ ] Other: Please specify [text box]
(2) Personal Background
Items and response choices were added or revised to align with how
these are asked in federal national data collections (e.g., American
Community Survey or NIH's PhenX Toolkit).
The next set of questions will help SAMHSA understand the variation
in responses based on characteristics of MFP fellows.
(5) What is your gender?
[ ] Male
[ ] Female
[ ] Non-binary, . . . .
[ ] Two-Spirit
[ ] TF (Transgender Female)
[ ] TM (Transgender Male)/
[ ] Other (please specify): [text box] *
[ ] Prefer not to answer
(6) Are you of Hispanic, Latina/Latino, or Spanish origin? *
[ ] No, not of Hispanic, Latino, or Spanish origin
[ ] Yes
[ ] Mexican, Mexican Am., Chicano
[ ] Puerto Rican
[ ] Cuban
[ ] Another Hispanic, Latino, or Spanish origin--for example,
Salvadoran, Dominican, Colombian, Guatemalan, Spaniard, Ecuadorian,
etc.) [text box]*
[ ] Prefer not to answer
(7) What is your race? For this survey (as in the U.S. Census),
Hispanic origins are not races. Check all that apply.*
[ ] White--for example, German, Irish, English, Italian, Lebanese,
Egyptian, etc.
[ ] Black, African, or African American--for example, African American,
Jamaican, Haitian, Nigerian, Ethiopian, Somali, etc.
[ ] American Indian or Alaska Native--Print name of enrolled or
principal tribe(s), for example, Navajo Nation, Blackfeet Tribe, Mayan,
Aztec, Native Village of Barrow Inupiat Traditional Government, Nome
Eskimo Community, etc.
[ ] Asian or Asian American
[ ] Chinese
[ ] Filipino
[ ] Asian Indian
[ ] Vietnamese
[ ] Korean
[ ] Japanese
[ ] Other Asian--for example, Pakistani, Cambodian, Hmong, etc.
[ ] Native Hawaiian, Samoan, Chamorro, or Other Pacific Islander--
for example, Tongan, Fijian, Marshallese, etc.
[ ] Some other race--specify race or origin: [text box]*
[ ] Prefer not to answer
The following items will help us understand the immigrant status of
our trainees and the extent to which we are diversifying our trainees
to respond to the growing needs of immigrant families.
(8) Are you from an immigrant family?
[ ] NO
[ ] YES
[ ] Prefer not to answer
a. Was either of your parents born outside of the U.S.?
[ ] YES, one parent
[ ] YES, both parents
[ ] NO, neither parent
[ ] Prefer not to answer
[[Page 85]]
b. Was at least one of your grandparents born outside of the U.S.?
[ ] YES
[ ] NO
[ ] Prefer not to answer
c. Were you born outside of the U.S.?
[ ] YES
[ ] NO
[ ] Prefer not to answer
(9) List any language(s), other than English, in which you have at
least minimum professional speaking proficiency (i.e., can participate
effectively in most formal and informal conversations on practical and
professional topics). Check all that apply.*
[ ] English only
[ ] African-other than Amharic (please specify below)
[ ] Amharic
[ ] Chinese-Mandarin
[ ] Chinese-Other
[ ] French
[ ] German
[ ] Hindi
[ ] Japanese
[ ] Korean
[ ] Kreyol
[ ] Portuguese
[ ] Russian
[ ] Spanish
[ ] Other language (please specify): [text box]
[ ] Prefer not to answer
(10) Do you have a disability or require accommodations to perform
essential professional functions? *
[ ] Yes
[ ] No
[ ]Prefer not to answer
(3) Learning Opportunities
Added items or response choices (e.g., use of telehealth) to
reflect changes in behavioral practices and service delivery due to
COVID-19 restrictions.
20. During the past MFP year, as part of your program, please check the
types of learning opportunities you had for each of the following
topics.
(a) Working with individuals from racially and ethnically diverse
backgrounds?
(Please select all that apply.)
[ ] Opportunities to learn via telehealth
[ ] Observation of clinical encounters in-person
[ ] Observation of clinical encounters via telehealth
[ ] Clinical experience with the population(s)
[ ] Education about the CLAS standards and their impact on the delivery
of care
[ ] Instruction in cultural humility/competence and its impact on the
delivery of care
[ ] Distance learning (virtual learning, web-based learning)
[ ] Supervision of the clinical experience with the population(s)
(4) Intentions to Stay/Leave Behavioral Health Field (alumni only)
Additional items were added to better understand how the stress and
burnout being witnessed in the health care workforce generally and
behavioral health workforce in particular (due to COVID-19 pandemic)
may have impacted alumni fellows' intentions to stay in or leave the
field.
The following questions ask about your intentions to stay in the
mental or behavioral health field. Using the scales provided, indicate
how often you think about leaving and the likelihood that you would
leave.
(31). Do you consider your current job/practice/training as in the
mental and behavioral health field?
__ No: Which field are you in? TEXT BOX (then skip to Q34)
__ Yes (ANSWER INTENTIONS 1 and 2 below)
--------------------------------------------------------------------------------------------------------------------------------------------------------
2-A few 3-Once a 4-A few 6-A few
31. INTENTIONS-1 1-Never times a year month or times a 5-Once a times a 7-Every day
or less less month week week
--------------------------------------------------------------------------------------------------------------------------------------------------------
a. How often do you think about leaving your job/ [squ] [squ] [squ] [squ] [squ] [squ] [squ]
training program?....................................
b. How often do you think about leaving for another [squ] [squ] [squ] [squ] [squ] [squ] [squ]
job/training program in the field?...................
--------------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------------
1- Extremely 2-Very 3- Somewhat 4-Neutral/ 5- Somewhat 6-Very 7-Extremely
32. INTENTIONS-2 unlikely unlikely unlikely unsure likely likely likely
--------------------------------------------------------------------------------------------------------------------------------------------------------
a. How likely is it that you will search for a job in [squ] [squ] [squ] [squ] [squ] [squ] [squ]
the same primary role--e.g., clinical care, practice,
teaching, research, prevention, administration/policy
development?.........................................
b. How likely is it that you will actually leave the [squ] [squ] [squ] [squ] [squ] [squ] [squ]
mental and behavioral health field next year?........
--------------------------------------------------------------------------------------------------------------------------------------------------------
(33) If you are considering leaving the mental and behavioral health
field, what is/are the primary driver(s)?
-----------------------------------------------------------------------
-----------------------------------------------------------------------
(34) What changes are needed that would convince you to stay? [Limit
characters to 450]
-----------------------------------------------------------------------
-----------------------------------------------------------------------
Burden Estimate
The total annual burden estimate for conducting the surveys is
shown below:
----------------------------------------------------------------------------------------------------------------
Number of Responses per Total number Hours per Total burden
Survey name respondents respondent of responses response hours
----------------------------------------------------------------------------------------------------------------
SAMHSA MFP Current Fellows 411 1 411 0.42 173
Survey.........................
[[Page 86]]
SAMHSA MFP Alumni Survey........ 1,280 1 1,280 0.42 538
-------------------------------------------------------------------------------
Totals...................... 1,691 \a\ .............. 1,691 .............. 711
----------------------------------------------------------------------------------------------------------------
\a\ This is an unduplicated count of total respondents.
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 for
Public Comments'' or by using the search function.
Alicia Broadus,
Public Health Advisor.
[FR Doc. 2023-28809 Filed 12-29-23; 8:45 am]
BILLING CODE 4162-20-P
