Agency Information Collection Activities: Proposed Collection; Comment Request, 66424-66427 [2024-18192]
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Federal Register / Vol. 89, No. 158 / Thursday, August 15, 2024 / Notices
under previous NSDUH ICRs (OMB No.
0930–0110).
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. 2024–18250 Filed 8–14–24; 8:45 am]
BILLING CODE P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Substance Abuse and Mental Health
Services Administration (SAMHSA)
Agency Information Collection
Activities: Proposed Collection;
Comment Request
khammond on DSKJM1Z7X2PROD with NOTICES
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
proposed projects or to obtain a copy of
the information collection plans, call
the SAMHSA Reports Clearance Officer
at (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: Revision to the
Community Mental Health Services
Block Grant and Substance Use
Prevention, Treatment, and Recovery
Services Block Grant FY 2026–2027
Plan and Report Guide (OMB No. 0930–
0168)
SAMHSA is requesting approval from
the Office of Management and Budget
(OMB) for a revision of the 2026–2027
Community Mental Health Services
Block Grant (MHBG) and Substance Use
VerDate Sep<11>2014
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Jkt 262001
Prevention, Treatment, and Recovery
Services Block Grant (SUPTRS)
Application Plan and Report Guide.
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 indicated
prevention activities and services that
align with SAMHSA’s six prevention
strategies; 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.
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, U.S. territories, freely
associated states, 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 2026–2027
application has required sections and
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Sfmt 4703
other sections where additional
information is requested. The FY 2026–
2027 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 2026 and 2027.
SAMHSA has made changes to the
Block Grant Plan and Report
requirements for FFY 2026 and 2027.
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.
Proposed revisions for substance use
disorder treatment services in the FY
26–27 SUPTRS BG Plan and Report
include revisions related to removal of
stigmatizing language, with the deletion
of the term ’abuse’, and replacement
with the term ‘use’, per the
Consolidated Appropriations Act, 2023.
The Plan and Report also include the
universal adoption of ’Recovery Support
Services’ as a stand-alone category for
SUPTRS BG Plan and Report tables.
These changes affect Plan Tables 1, 2b,
4b, and 6b, and Report Tables 1, 2, 4,
6, 7.
Editorial and minor stylistic changes
have been made to tables and language.
Footnotes have been revised that define
the COVID–19 and ARP Supplemental
Funding expenditure periods, including
the addition of explicit instructions on
the second No Cost Extension (NCE) for
the COVID–19 funding, and the
expiration date for the ARP funding.
Finally, the SUPTRS BG Report Table
11c has been revised to reflect the
Number of Persons Admitted to
Treatment by Sexual Orientation and
Race/Ethnicity, in a reporting format
that is compatible with the format and
content of the comparable CMHS table
for the MHBG.
Proposed revisions for prevention
services in the FY 26–27 SUPTRS BG
Plan include those revisions that are
related to a more intentional use of
language, with strengthened statements
with the addition of statistics, and
added language to reinforce the
interrelatedness between mental health
and substance use. There is also
reinforcement of SUPTRS BG primary
prevention set-aside funds to support
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Federal Register / Vol. 89, No. 158 / Thursday, August 15, 2024 / Notices
universal, selective, and/or indicated
substance use prevention strategies.
Updated tables ensure consistency in
Tables 5a–5c for both Plans and Reports,
and updated language for substances in
Table 5c. The term ‘abstinence’ has been
removed from the Prevention National
Outcome Measures (NOMs) to better
reflect current terminology. Report
Tables 31 and 32 have been combined
into a new Report Table 31, which
reduces burden for grantees and
removes redundant, obsolete reporting
requirements. Gender categories in
Table 31 have been updated to align
with CSAT gender categories.
On the MHBG portion of the Plan, the
changes are the addition of one
planning table—MHBG Plan Table 4a:
State Agency Planned Budget for MHBG
and the addition of a new section to the
Environmental Factors and Plan
section—Uniform Reporting System and
Mental Client-Level Data (MH–CLD)/
Mental Health Treatment Episode Data
Set (MH–TEDS). Minor revisions were
made for clarification to other sections.
On the MHBG report, the only
changes are the addition of one new
table (Table 4B) and the addition of data
definitions in the appendix. The
additional tables should not require
excessive effort as all data will already
be collected by the states for the
additional funding efforts.
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, 2025. The application for
SUPTRS BG-only is due no later than
October 1, 2025. A single application for
MHBG and SUPTRS BG combined is
due no later than September 1, 2025.
Estimates of Annualized Hour Burden
The estimated annualized burden for
the uniform application will remain
33,493 hours since most revisions have
been made for clarification and the
combining of tables will not change the
burden. 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
Authorizing
legislation
SUPTRS BG
Authorizing
legislation
MHBG
Implementing
regulation
Number of
responses per
year
Number of
respondents
Number of
hours per
response
Total hours
Substance Use Prevention, Treatment, and Recovery Services (SUPTRS BG) and Community Mental Health Services (MHBG) Block
Grant
Reporting: ..........
SUPTRS BG ......
MHBG ................
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 ...
...........................
...........................
...........................
SUPTRS BG elements.
MHBG elements
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).
...........................
...........................
khammond on DSKJM1Z7X2PROD with NOTICES
...........................
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).
VerDate Sep<11>2014
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...........................
...........................
........................
........................
........................
........................
...........................
...........................
........................
........................
........................
........................
...........................
...........................
...........................
45 CFR
96.122(f).
...........................
........................
60
........................
1
........................
........................
11,190
........................
5
1
........................
........................
45 CFR
96.134(d).
...........................
...........................
60
1
........................
........................
........................
59
........................
1
........................
........................
11,003
........................
...........................
........................
........................
........................
........................
...........................
59
1
........................
........................
...........................
........................
........................
........................
........................
45 CFR
96.124(c)(1).
45 CFR
96.126(f).
45 CFR
96.131(f).
45 CFR
96.122(g).
...........................
60
1
........................
........................
60
1
........................
........................
60
1
........................
........................
60
1
120
7,230
59
1
120
7,109
...........................
59
1
........................
........................
...........................
59
1
........................
........................
...........................
...........................
........................
20
........................
1
........................
........................
3,240
........................
45 CFR
96.132(d).
45 CFR
96.134(b).
...........................
5
1
........................
........................
10
1
........................
........................
1
1
........................
........................
...........................
...........................
...........................
42 USC § 300x–
6(a).
42 U.S.C. 300x–
52(a).
42 U.S.C. 300x–
4(b)(3)B.
...........................
...........................
...........................
...........................
...........................
42 U.S.C. 300x–
1(b).
42 U.S.C. 300x–
1(b)(2).
42 U.S.C. 300x–
2(a).
...........................
...........................
...........................
...........................
...........................
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Federal Register / Vol. 89, No. 158 / Thursday, August 15, 2024 / Notices
TABLE 1—ESTIMATES OF APPLICATION AND REPORTING BURDEN FOR YEAR 1—Continued
Authorizing
legislation
SUPTRS BG
Authorizing
legislation
MHBG
Implementing
regulation
42 U.S.C. 300x–
32(c).
...........................
...........................
...........................
7
42 U.S.C. 300x–
32(e).
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.
...........................
...........................
...........................
...........................
...........................
Recordkeeping ...
Combined
Burden.
42 U.S.C. 300x–
23.
42 U.S.C. 300x–
25.
42 U.S.C 300x–
65.
...........................
Number of
hours per
response
Total hours
1
........................
........................
10
........................
........................
........................
...........................
10
........................
........................
........................
...........................
10
........................
........................
........................
...........................
7
........................
........................
........................
60/59
1
20
1,200
10
1
20
200
60
1
20
1,200
........................
........................
........................
42,373
...........................
45 CFR
96.126(c).
45 CFR
96.129(a)(13).
42 CFR Part 54
...........................
...........................
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 (SUPTRS BG)
300x–30(d)(2)—MOE—
Noncompliance—Submission of
Information to Secretary (SUPTRS
BG)
State Plan—SUPTRS BG
300x–22(b)—Allocations for Women
300x–23—Intravenous Substance Abuse
300x–27—Priority in Admissions to
Treatment
300x–29—Statewide Assessment of
Need
Number of
responses per
year
Number of
respondents
300x–32(b)—State Plan
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—SUPTRS BG
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
khammond on DSKJM1Z7X2PROD with NOTICES
Number of
respondent
Number of
responses
per year
Number of
hours per
response
Total hours
Reporting:
SUPTRS BG .............................................................................................
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
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hours (42,373 + 24,613 = 66,986/2 years
= 33,493).
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Link for the application: https://
www.samhsa.gov/grants/block-grants.
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15AUN1
Federal Register / Vol. 89, No. 158 / Thursday, August 15, 2024 / Notices
Send comments to SAMHSA Reports
Clearance Officer, 5600 Fisher Lane,
Room 15E45, Rockville, MD 20852 OR
email him a copy at samhsapra@
samhsa.hhs.gov. Written comments
should be received by October 15, 2024.
Alicia Broadus,
Public Health Advisor.
[FR Doc. 2024–18192 Filed 8–14–24; 8:45 am]
BILLING CODE 4162–20–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Substance Abuse and Mental Health
Services Administration
Agency Information Collection
Activities: 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, the
Substance Abuse and Mental Health
Services Administration (SAMHSA)
will publish periodic summaries of
proposed projects. To request more
information on the 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 through the use
of automated collection techniques or
other forms of information technology.
khammond on DSKJM1Z7X2PROD with NOTICES
Proposed Project: SAMHSA Certified
Community Behavioral Health Clinic—
Expansion (CCBHC–E) Grant Program
Evaluation (OMB No. 0930–XXXX)—
New Collection
In FY 2022, SAMHSA awarded two
new cohorts of its CCBHC-Expansion
program, one for clinics interested in
becoming CCBHCs that need planning
and support to come into compliance
with CCBHC Certification Criteria, and
another for established CCBHCs seeking
to expand, improve, and advance their
services. The purpose of the CCBHC–E
grants is to address problems of access,
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Jkt 262001
coordination, and quality of behavioral
health care by establishing a standard
definition and criteria for organizations
certified as CCBHCs to ensure that all
service recipients have access to a
common set of comprehensive,
coordinated services, with the ultimate
goal of decreasing disparities in care
and outcomes across communities.
SAMHSA is requesting clearance for
eleven data collection instruments and
forms related to the implementation and
impact studies to be conducted as part
of an evaluation of these cohorts. Data
collected in this evaluation will help
SAMHSA assess the degree to which
activities at the clinic level and systems
level affect the development,
implementation, and sustainment of
CCBHCs consistent with the
certification criteria and the impacts of
model adoption on client outcomes.
1. SAMHSA has developed a grantee
web survey that will be administered
twice to all 298 grant project directors,
once during a first option year and again
during a third option year. The survey
consists of 76 questions the first time it
is administered and 68 questions the
second time it is administered. The
survey includes mostly binary or
multiple-choice response options and a
limited number of open-ended
questions. The survey will enable
respondents to complete the data
collection instrument at a location and
time of their choice, and its built-in
editing checks and programmed skips
will reduce response errors. SAMHSA
estimates the web survey will take no
more than 45 minutes to complete and
expects a 100 percent response rate, for
a total of 298 completed grantee surveys
at each time of administration. Grantees
will provide valuable insights into their
experience with the CCBHC model; if
they are not conducted, SAMHSA will
not have adequate information to
evaluate the extent to which Planning,
Development, and Implementation (PDI)
grantees come into full compliance with
the certification criteria and
Improvement and Advancement (IA)
grantees sustain the model in a manner
that is consistent with the CCBHC
certification criteria.
2. SAMHSA has developed a protocol
for annual interviews with all 26 grantee
Government Project Officers (GPOs)
during three option years. Interviews
will last approximately one hour and
focus on the types of support grantees
need to successfully implement the
model in the future and identify specific
components of the certification criteria
that were challenging for grantees to
implement. SAMHSA will offer to
conduct individual interviews or meet
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66427
with groups of GPOs during regularly
scheduled meetings. GPOs will provide
valuable insights into CCBHC model
implementation and factors that
facilitate or impede implementation; if
they are not conducted, SAMHSA will
not glean essential insights into
contextual factors that affect
implementation of the CCBHC model,
including adaptations grantees make to
the model to align with their local
service delivery system, grantee
characteristics that might contribute to
successful implementation, and the
types of support grantees need to
successfully implement the model in
the future and the specific components
of the certification criteria that were
challenging for grantees to implement.
3. SAMHSA has developed a protocol
for interviews with representatives from
50 organizations that support adults,
youth, and family members with lived
experience over the course of the first
three option years. Interviews will last
approximately one hour. State
consumer, youth, and family member
organizations will provide valuable
insights into their own involvement in
the planning and development of the
model in respective states, and the
perspectives of adults and youth who
received CCBHC services and their
families on various aspects of the
CCBHC model; if they are not
conducted, SAMHSA will not
adequately understand how these
organizations contributed to the
planning and development of the
model, how CCBHCs tailored services to
the diverse needs of communities, and
how people with lived experience might
refine the model to fill gaps in care.
4. SAMHSA has developed a protocol
for interviews with a sample of 120
grantee project directors during option
years 1 and 3 (i.e., approximately 60
interviews in each year). Interviews will
last approximately one hour. Grantees
will provide valuable insights into
CCBHC model implementation nuances
that cannot be captured via the grantee
survey alone; if they are not conducted,
SAMHSA will not adequately
understand how grantees initially plan
to use funding to develop or improve
CCBHC program-specific activities in
response to the community needs
assessment, and successes and
challenges expanding services and
increasing access to care, and how they
eventually progress toward meeting the
goals of Continuous Quality
Improvement (CQI) efforts and plans for
sustainability.
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]]>Agencies
[Federal Register Volume 89, Number 158 (Thursday, August 15, 2024)]
[Notices]
[Pages 66424-66427]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-18192]
-----------------------------------------------------------------------
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 proposed projects
or to obtain a copy of the information collection plans, call the
SAMHSA Reports Clearance Officer at (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: Revision to the Community Mental Health Services
Block Grant and Substance Use Prevention, Treatment, and Recovery
Services Block Grant FY 2026-2027 Plan and Report Guide (OMB No. 0930-
0168)
SAMHSA is requesting approval from the Office of Management and
Budget (OMB) for a revision of the 2026-2027 Community Mental Health
Services Block Grant (MHBG) and Substance Use Prevention, Treatment,
and Recovery Services Block Grant (SUPTRS) Application Plan and Report
Guide.
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 indicated prevention activities and services that align with
SAMHSA's six prevention strategies; 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.
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, U.S. territories, freely
associated states, 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 2026-2027 application
has required sections and other sections where additional information
is requested. The FY 2026-2027 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 2026 and
2027.
SAMHSA has made changes to the Block Grant Plan and Report
requirements for FFY 2026 and 2027. 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.
Proposed revisions for substance use disorder treatment services in
the FY 26-27 SUPTRS BG Plan and Report include revisions related to
removal of stigmatizing language, with the deletion of the term
'abuse', and replacement with the term `use', per the Consolidated
Appropriations Act, 2023. The Plan and Report also include the
universal adoption of 'Recovery Support Services' as a stand-alone
category for SUPTRS BG Plan and Report tables. These changes affect
Plan Tables 1, 2b, 4b, and 6b, and Report Tables 1, 2, 4, 6, 7.
Editorial and minor stylistic changes have been made to tables and
language. Footnotes have been revised that define the COVID-19 and ARP
Supplemental Funding expenditure periods, including the addition of
explicit instructions on the second No Cost Extension (NCE) for the
COVID-19 funding, and the expiration date for the ARP funding. Finally,
the SUPTRS BG Report Table 11c has been revised to reflect the Number
of Persons Admitted to Treatment by Sexual Orientation and Race/
Ethnicity, in a reporting format that is compatible with the format and
content of the comparable CMHS table for the MHBG.
Proposed revisions for prevention services in the FY 26-27 SUPTRS
BG Plan include those revisions that are related to a more intentional
use of language, with strengthened statements with the addition of
statistics, and added language to reinforce the interrelatedness
between mental health and substance use. There is also reinforcement of
SUPTRS BG primary prevention set-aside funds to support
[[Page 66425]]
universal, selective, and/or indicated substance use prevention
strategies.
Updated tables ensure consistency in Tables 5a-5c for both Plans
and Reports, and updated language for substances in Table 5c. The term
`abstinence' has been removed from the Prevention National Outcome
Measures (NOMs) to better reflect current terminology. Report Tables 31
and 32 have been combined into a new Report Table 31, which reduces
burden for grantees and removes redundant, obsolete reporting
requirements. Gender categories in Table 31 have been updated to align
with CSAT gender categories.
On the MHBG portion of the Plan, the changes are the addition of
one planning table--MHBG Plan Table 4a: State Agency Planned Budget for
MHBG and the addition of a new section to the Environmental Factors and
Plan section--Uniform Reporting System and Mental Client-Level Data
(MH-CLD)/Mental Health Treatment Episode Data Set (MH-TEDS). Minor
revisions were made for clarification to other sections.
On the MHBG report, the only changes are the addition of one new
table (Table 4B) and the addition of data definitions in the appendix.
The additional tables should not require excessive effort as all data
will already be collected by the states for the additional funding
efforts.
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, 2025.
The application for SUPTRS BG-only is due no later than October 1,
2025. A single application for MHBG and SUPTRS BG combined is due no
later than September 1, 2025.
Estimates of Annualized Hour Burden
The estimated annualized burden for the uniform application will
remain 33,493 hours since most revisions have been made for
clarification and the combining of tables will not change the burden.
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
--------------------------------------------------------------------------------------------------------------------------------------------------------
Authorizing Number of Number of
legislation Authorizing Implementing Number of responses per hours per Total hours
SUPTRS BG legislation MHBG regulation respondents year response
--------------------------------------------------------------------------------------------------------------------------------------------------------
Substance Use Prevention, Treatment, and Recovery Services (SUPTRS BG) and Community Mental Health Services (MHBG) Block Grant
--------------------------------------------------------------------------------------------------------------------------------------------------------
Reporting:..................... Standard Form and ................. ................. .............. .............. .............. ..............
Content.
42 U.S.C. 300x- ................. ................. .............. .............. .............. ..............
32(a).
SUPTRS BG...................... Annual Report.... ................. ................. .............. .............. .............. 11,190
42 U.S.C. 300x- ................. 45 CFR 96.122(f). 60 1 .............. ..............
52(a).
42 U.S.C. 300x-30- ................. ................. 5 1 .............. ..............
b.
42 U.S.C. 300x- ................. 45 CFR 96.134(d). 60 1 .............. ..............
30(d)(2).
MHBG........................... Annual Report.... ................. ................. .............. .............. .............. 11,003
................. 42 USC Sec. ................. 59 1 .............. ..............
300x-6(a).
................. 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- ................. 45 CFR 60 1 .............. ..............
22(b). 96.124(c)(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- ................. 45 CFR 96.122(g). 60 1 120 7,230
32(b).
MHBG elements.................. ................. 42 U.S.C. 300x- ................. 59 1 120 7,109
1(b).
................. 42 U.S.C. 300x- ................. 59 1 .............. ..............
1(b)(2).
................. 42 U.S.C. 300x- ................. 59 1 .............. ..............
2(a).
Waivers.......... ................. ................. .............. .............. .............. 3,240
42 U.S.C. 300x- ................. ................. 20 1 .............. ..............
24(b)(5)(B).
42 U.S.C. 300x- ................. 45 CFR 96.132(d). 5 1 .............. ..............
28(d).
42 U.S.C. 300x- ................. 45 CFR 96.134(b). 10 1 .............. ..............
30(c).
42 U.S.C. 300x- ................. ................. 1 1 .............. ..............
31(c).
[[Page 66426]]
42 U.S.C. 300x- ................. ................. 7 1 .............. ..............
32(c).
................. 42 U.S.C. 300x- ................. 10 .............. .............. ..............
32(e).
................. 42 U.S.C. 300x- ................. 10 .............. .............. ..............
2(a)(2).
................. 42 U.S.C 300x- ................. 10 .............. .............. ..............
4(b)(3).
................. 42 U.S.C 300x- ................. 7 .............. .............. ..............
6(b).
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 10 1 20 200
96.129(a)(13).
42 U.S.C 300x-65. ................. 42 CFR Part 54... 60 1 20 1,200
---------------------------------------------------------------
Combined Burden............ ................. ................. ................. .............. .............. .............. 42,373
--------------------------------------------------------------------------------------------------------------------------------------------------------
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 (SUPTRS BG)
300x-30(d)(2)--MOE--Noncompliance--Submission of Information to
Secretary (SUPTRS BG)
State Plan--SUPTRS BG
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
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--SUPTRS BG
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 Number of
Number of responses per hours per Total hours
respondent year response
----------------------------------------------------------------------------------------------------------------
Reporting:
SUPTRS BG................................... 60 1 187 11,220
MHBG........................................ 59 1 187 11,033
Recordkeeping................................... 60/59 1 40 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.
[[Page 66427]]
Send comments to SAMHSA Reports Clearance Officer, 5600 Fisher
Lane, Room 15E45, Rockville, MD 20852 OR email him a copy at
[email protected]. Written comments should be received by
October 15, 2024.
Alicia Broadus,
Public Health Advisor.
[FR Doc. 2024-18192 Filed 8-14-24; 8:45 am]
BILLING CODE 4162-20-P
