Agency Information Collection Activities: Proposed Collection; Comment Request, 92133-92137 [2024-27294]
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Federal Register / Vol. 89, No. 225 / Thursday, November 21, 2024 / Notices
service area rather than specific
addresses of providers.
Response: The purpose of FORHP’s
rural definition is to delineate the land
area of the United States as rural or nonrural. The areas identified as rural by
this definition may include both service
areas and specific provider addresses.
After consideration of the public
comments received, HRSA is
implementing the rugged terrain
inclusion in the definition of rural area
as proposed. FORHP is making this
change consistent with its program
authority to award grants to support
rural health and rural health care
services.
Updated Definition of Rural Area
HRSA is updating FORHP’s rural
definition to include geographic areas
meeting any one of the following
criteria:
(1) Non-metropolitan counties
(2) Outlying metropolitan counties with
no population from an urban area of
50,000 or more people
(3) Census tracts with RUCA codes 4–
10 in metropolitan counties
(4) Census tracts of at least 400 square
miles in area with population density
of 35 or less per square mile with
RUCA codes 2–3 in metropolitan
counties
(5) Census tracts with RRS 5 and RUCA
codes 2–3 that are at least 20 square
miles in area in metropolitan counties
The changes will go into effect as of
November 21, 2024. These changes will
apply to FORHP’s Notices of Funding
Opportunity for FY 2025 and future
years for programs that require funded
activities and services be provided in
rural areas, as defined by HRSA. FORHP
will ensure information about the
updated rural definition is available to
the public on the HRSA website and in
funding opportunities. These changes
reflect FORHP’s desire to accurately
identify rural areas using a data-driven
methodology that relies on established
geographic identifiers and standard,
national-level data sources.
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Impact
Incorporating rugged terrain data into
the definition of rural area using the
adopted method adds 84 census tracts
and approximately 305,000 people to
the 60.8 million people living in
FORHP-designated rural areas. This is
an increase of 0.5 percent in the total
number of people living in rural areas.
Table 1 show the number of newly rural
census tracts by state.
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TABLE 1—NUMBER OF NEWLY RURAL
CENSUS TRACTS BY STATE
Number
of tracts
State
CA ...............................................
OR ..............................................
NC ...............................................
WA ..............................................
TN ...............................................
CO ..............................................
WV ..............................................
MT ...............................................
AK ...............................................
MD ..............................................
24
16
12
9
7
6
6
2
1
1
Total .....................................
84
Note: Table shows the number of newly
rural census tracts with RRS 5 and RUCA
codes 2–3 that are at least 20 square miles in
area in metropolitan counties. Data in this
table are based on 2010 census tract geographies and 2020 metropolitan county delineations. For a complete list of impacted census
tracts see https://www.hrsa.gov/rural-health/
about-us/what-is-rural/data-files.
Carole Johnson,
Administrator.
[FR Doc. 2024–27133 Filed 11–20–24; 8:45 am]
BILLING CODE 4165–15–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
National Human Genome Research
Institute; Notice of Closed Meeting
Pursuant to section 1009 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: Center for Inherited
Disease Research Access Committee.
Date: January 10, 2025.
Time: 11:30 a.m. to 12:30 p.m.
Agenda: To review and evaluate grant
applications.
Address: National Human Genome
Research Institute, National Institutes of
Health, 6700B Rockledge Drive, Room 3172,
Bethesda, MD 20892 (Virtual).
Contact Person: Barbara J. Thomas, Ph.D.,
Scientific Review Officer, Scientific Review
Branch, National Human Genome Research
Institute, National Institutes of Health, 6700B
PO 00000
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92133
Rockledge Drive, Room 3172, Bethesda, MD
20892, (301) 402–8837, barbara.thomas@
nih.gov.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.172, Human Genome
Research, National Institutes of Health, HHS)
Dated: November 15, 2024.
David W. Freeman,
Supervisory Program Analyst, Office of
Federal Advisory Committee Policy.
[FR Doc. 2024–27167 Filed 11–20–24; 8:45 am]
BILLING CODE 4140–01–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 the
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 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 through the use
of automated collection techniques or
other forms of information technology.
Proposed Project: Minority AIDS
Initiative: Substance Use Disorder
Prevention and Treatment Pilot
Program (MAI PT Pilot) Data Collection
Instruments
The Substance Abuse and Mental
Health Services Administration’s
(SAMHSA) Center for Substance Abuse
Prevention (CSAP) and Center for
Substance Abuse Treatment (CSAT) are
requesting approval from the Office of
Management and Budget (OMB) to
monitor the Minority AIDS Initiative:
Substance Use Disorder Prevention and
Treatment Pilot Program (MAI PT Pilot)
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Federal Register / Vol. 89, No. 225 / Thursday, November 21, 2024 / Notices
through administration of a suite of data
collection instruments for grant
compliance and programmatic
performance monitoring. This package
describes the data collection activities
and proposed instruments. Two
instruments will facilitate grant
compliance monitoring, and the third
instrument is designed for program
performance monitoring.
• The MAI PT Pilot—Organizational
Readiness Assessment (MAI–ORA) is a
one-time self-assessment tool intended
to guide MAI PT Pilot grant recipients
to objectively assess their capacity to
provide substance use prevention,
substance use disorder or co-occurring
mental health disorder treatment, and
HIV, viral hepatitis, and sexually
transmitted infection prevention,
screening, testing, and referral services
for racial and ethnic individuals
vulnerable to these conditions. Results
from the MAI–ORA will allow
SAMHSA to determine grantee
readiness and capacity to implement
their grant program, so that SAMHSA
can provide additional support, as
needed, to ensure grant compliance.
• The MAI PT Pilot—Programmatic
Progress Report (MAI–PPR) is a template
that grantees will use to report annual
progress and will be used to monitor
grant compliance.
• The MAI PT Pilot—Online
Reporting Tool (MAI–PORT) will be
used to conduct programmatic
performance monitoring. The MAI–
PORT is comprised of two main
sections: (1) Annual Targets Report
section for MAI PT Pilot grant recipients
to report annual federal fiscal year
programmatic goals, and (2) Quarterly
Performance Report for grantees to
report grant activities implemented
during each federal fiscal quarter. In
developing the MAI–PORT Annual
Targets Report and the Quarterly
Performance Report, CSAP/CSAT
sought the ability to elicit programmatic
information that demonstrates impact at
the program aggregate level.
Data collected through the MAI–
PORT are necessary to ensure SAMHSA
and grantees comply with requirements
under the Government Performance and
Results Act Modernization Act of 2010
(GPRA) that requires regular reporting of
performance measures. Additionally,
data collected through these tools will
provide critical information to
SAMHSA’s Government Project Officers
(GPOs) related to grant oversight,
1 2020 Census Illuminates Racial and Ethnic
Composition of the Country.
2 HIV Diagnoses.
3 HIV in the United States by Race/Ethnicity: HIV
Diagnoses.
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including barriers and facilitators that
the grantees have experienced, and an
understanding of the technical
assistance needed to help grantees
implement their programs. The
information also provides a mechanism
to ensure grantees are meeting the
requirements of the grant funding
announcement as outlined in their
notice of grant award. In addition, the
tools reflect CSAP’s and CSAT’s desire
to elicit pertinent program level data
that can be used not only to guide future
programs and practices, but also to
respond to stakeholder, congressional
and agency inquiries.
Background and Purpose
According to the Centers for Disease
Control and Prevention (CDC), the
spread of HIV in the United States is
mainly through anal or vaginal sex or by
sharing drug-use equipment. Although
these risk factors are the same for
everyone, due to a range of social,
economic, and demographic factors,
such as stigma, discrimination, income,
education, and geographic region, some
racial and ethnic groups are more
affected than others. In 2021, CDC
reported that although Black/African
Americans represented 13 percent of the
US population, they accounted for 42
percent (15,305) of the 36,801 new HIV
diagnoses; Latino/Hispanic people
represent 18.7 percent of the US
population but accounted for 29 percent
(10,494) of HIV diagnoses (CDC, 2024;
United States Census Bureau, 2024).1 2
Between 2017 and 2021, American
Indian/Alaska Native (AI/AN), Native
Hawaiian and other Pacific Islander
populations were the only demographic
groups identified by the CDC with an
increase in HIV diagnoses in the United
States (CDC, 2024).3 Of the 31,800 new
HIV infections in 2022, CDC reports that
71% (22,500) were among gay and
bisexual men.4
Viral hepatitis also impacts some
racial and ethnic groups
disproportionally. In 2020, nonHispanic blacks were 1.4 times as likely
to die from viral hepatitis, as compared
to non-Hispanic whites (Office of
Minority Health, 2022). Non-Hispanic
blacks were almost twice as likely to die
from hepatitis C as compared to the
white population, and while having
comparable case rates for hepatitis B in
2020, non-Hispanic blacks were 2.5
times more likely to die from hepatitis
B than non-Hispanic whites (Office of
4 Fast
Facts: HIV and Gay and Bisexual Men.
Abuse and Mental Health Services
Administration. (2023). Strategic Plan: Fiscal Year
2023–2026. Publication No. PEP23–06–00–002.
National Mental Health and Substance Use Policy
5 Substance
PO 00000
Frm 00049
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Minority Health, 2022). Additionally,
the percentage of people aged 12 or
older with past year substance use
disorder (SUD) differed by race and
ethnicity with the highest rates among
American Indian/Alaska Native
populations (24.0 percent), followed by
Black, non-Hispanic populations (18.4
percent) (SAMHSA, 2023).5
The data clearly show the
disproportionate burden faced by
minority racial and ethnic groups and
that these three issues should not be
regarded as separate diseases acting
independently, rather as a syndemic. To
address this, SAMHSA is taking a
syndemic approach to HIV, viral
hepatitis, and substance use disorder
through the MAI PT Pilot program. The
purpose of this program is to provide
substance use prevention, SUD
treatment, HIV, and viral hepatitis
prevention and treatment services for
racial and ethnic medically underserved
individuals vulnerable to a SUD and/or
mental health condition, HIV, viral
hepatitis, and other infectious disease
(e.g., sexually transmitted infection
(STI)). The populations of focus for this
program are individuals who are
particularly vulnerable to or living with
HIV/AIDS, including an emphasis on
gay, bisexual, and other men who have
sex with men, men who have sex with
men and women (MSMW), Black,
Latino, and AI/AN men who have sex
with men (MSM), Asian and Pacific
Islander, Black women, transgender
men and women, youth aged 13–24
years, and People who Inject Drugs
(PWID).
SAMHSA’s MAI PT Pilot is informed
by the key strategies and priority
jurisdictions outlined in the Ending the
HIV Epidemic in the U.S. (EHE)
initiative, Viral Hepatitis National
Strategic Plan and STI National
Strategic Plan. The program also
supports the National HIV/AIDS
Strategy (NHAS) and 2023–2026
SAMHSA Strategic Plan. Recipients will
be expected to take a syndemic
approach to SUD, HIV, viral hepatitis,
and STI by providing SUD prevention
and treatment to racial and ethnic
individuals at risk for or living with
HIV. MAI PT Pilot is authorized under
Sections 509 and 516 of the Public
Health Service Act, as amended.
Annualized Data Collection Burden
Table 1 and Table 2 provides an
overview of the data collection method,
Laboratory. https://www.samhsa.gov/sites/default/
files/samhsa-strategic-plan.pdf.
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Federal Register / Vol. 89, No. 225 / Thursday, November 21, 2024 / Notices
frequency of data collection, and
number of data collections for each data
collection instruments.
TABLE 1—GRANT COMPLIANCE: MAI–ORA AND MAI–PPR
Instrument
Data collection method
Frequency of
data collection
Maximum number of data collections
Attachment
No.
MAI–ORA ...............................
MAI–PPR ................................
Grantees submit into SPARS
Grantees submit into eRA ......
Once .................
Annually ............
Once in Year 1 ...............................................
Annually: 5 times (1 time per year in Years
1–5).
1
2
TABLE 2—PROGRAM PERFORMANCE MONITORING: MAI–PORT
Instrument
Frequency of
data collection
Data collection method
MAI–PORT .............................
Grantees submit into SPARS
Yearly: Annual
Targets Report (ATR).
Quarterly: Quarterly Performance Report
(QPR).
Attachment
No.
Maximum number of data collections
Yearly: 5 times (1 time per year in Years 1–
5).
Quarterly: 20 times (4 times per year in
Years 1–5).
3
The estimated time to complete each
instrument by year is shown in Tables
3 through 8.
TABLE 3—ESTIMATES OF ANNUAL BURDEN FOR MAI PT DATA COLLECTION: YEAR 1
Number of
respondents
Instrument
Responses
per
respondent
Total
number of
responses
Hours per
response
Total
burden
hours
Average
hourly
wage 1
Total
respondent
cost
MAI–ORA ..............................................................................
MAI–PPR ...............................................................................
MAI–PORT/ATR ....................................................................
MAI–PORT/QPR ...................................................................
8
8
8
8
1
1
1
4
8
8
8
32
14
3
1
2
112
24
8
64
$48.35
48.35
48.35
48.35
$5,415.20
1,160.40
386.80
3,094.40
Total ...............................................................................
8
7
56
20
208
48.35
10,056.80
1 Average
hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the Bureau
of Labor Statistics (BLS) found at https://www.bls.gov/oes/current/naics4_999200.htm#11-0000. Accessed on January 15, 2024.
TABLE 4—ESTIMATES OF ANNUAL BURDEN FOR MAI PT DATA COLLECTION: YEAR 2
Number of
respondents
Instrument
Responses
per
respondent
Total
number of
responses
Hours per
response
Total
burden
hours
Average
hourly
wage 1
Total
respondent
cost
MAI–ORA ..............................................................................
MAI–PPR ...............................................................................
MAI–PORT/ATR ....................................................................
MAI–PORT/QPR ...................................................................
8
8
8
8
0
1
1
4
0
8
8
32
14
3
1
2
0
24
8
64
$48.35
48.35
48.35
48.35
$0.00
1,160.40
386.80
3,094.40
Total ...............................................................................
8
6
48
20
96
48.35
4,641.60
1 Average
hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the Bureau
of Labor Statistics (BLS) found at https://www.bls.gov/oes/current/naics4_999200.htm#11-0000. Accessed on January 15, 2024.
TABLE 5—ESTIMATES OF ANNUAL BURDEN FOR MAI PT DATA COLLECTION: YEAR 3
Number of
respondents
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Instrument
Responses
per
respondent
Total
number of
responses
Hours per
response
Total
burden
hours
Average
hourly
wage 1
Total
respondent
cost
MAI–ORA ..............................................................................
MAI–PPR ...............................................................................
MAI–PORT/ATR ....................................................................
MAI–PORT/QPR ...................................................................
8
8
8
8
0
1
1
4
0
8
8
32
14
3
1
2
0
24
8
64
$48.35
48.35
48.35
48.35
$0.00
1,160.40
386.80
3,094.40
Total ...............................................................................
8
6
48
20
96
$48.35
$4,641.60
1 Average
hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the Bureau
of Labor Statistics (BLS) found at https://www.bls.gov/oes/current/naics4_999200.htm#11-0000. Accessed on January 15, 2024.
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92136
Federal Register / Vol. 89, No. 225 / Thursday, November 21, 2024 / Notices
TABLE 6—ESTIMATES OF ANNUAL BURDEN FOR MAI PT DATA COLLECTION: YEAR 4
Number of
respondents
Instrument
Responses
per
respondent
Total
number of
responses
Hours per
response
Total
burden
hours
Average
hourly
wage 1
Total
respondent
cost
MAI–ORA ..............................................................................
MAI–PPR ...............................................................................
MAI–PORT/ATR ....................................................................
MAI–PORT/QPR ...................................................................
8
8
8
8
0
1
1
4
0
8
8
32
14
3
1
2
0
24
8
64
$48.35
48.35
48.35
48.35
$0.00
1,160.40
386.80
3,094.40
Total ...............................................................................
8
6
48
20
96
48.35
4,641.60
1 Average
hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the Bureau
of Labor Statistics (BLS) found at https://www.bls.gov/oes/current/naics4_999200.htm#11-0000. Accessed on January 15, 2024.
TABLE 7—ESTIMATES OF ANNUAL BURDEN FOR MAI PT DATA COLLECTION: YEAR 5
Number of
respondents
Instrument
Responses
per
respondent
Total
number of
responses
Hours per
response
Total
burden
hours
Average
hourly
wage 1
Total
respondent
cost
MAI–ORA ..............................................................................
MAI–PPR ...............................................................................
MAI–PORT/ATR ....................................................................
MAI–PORT/QPR ...................................................................
8
8
8
8
0
1
1
4
0
8
8
32
14
3
1
2
0
24
8
64
$48.35
48.35
48.35
48.35
$0.00
1,160.40
386.80
3,094.40
Total ...............................................................................
8
6
48
20
96
48.35
4,641.60
1 Average
hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the Bureau
of Labor Statistics (BLS) found at https://www.bls.gov/oes/current/naics4_999200.htm#11-0000. Accessed on January 15, 2024.
TABLE 8—ESTIMATES OF ANNUAL BURDEN FOR MAI PT DATA COLLECTION: ALL YEARS
Number of
respondents
Instrument
Responses
per
respondent
Total
number of
responses
Hours per
response
Total
burden
hours
Average
hourly
wage 1
Total
respondent
cost
MAI–ORA ..............................................................................
MAI–PPR ...............................................................................
MAI–PORT/ATR ....................................................................
MAI–PORT/QPR ...................................................................
8
8
8
8
1
5
5
20
8
40
40
160
14
3
1
2
112
120
40
320
$48.35
48.35
48.35
48.35
$5,415.20
5,802.00
1,934.00
15,472.00
Total ...............................................................................
8
31
248
20
592
48.35
28,623.20
1 Average
hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the Bureau
of Labor Statistics (BLS) found at https://www.bls.gov/oes/current/naics4_999200.htm#11-0000. Accessed on January 15, 2024.
No comments were received during
the 60-Day Federal Register comment
period. However, the instruments have
been revised to reflect comments
received from the cognitive testing.
Changes include:
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MAI PT Pilot Organizational Readiness
Assessment (MAI–ORA)
• Added/revised instructions
throughout to clarify meaning.
• Added list of definitions in
appendix.
• Combined:
Æ service delivery and leveraging
resources sections and
Æ four narrative sections and moved
to the end of the instrument.
• Simplified/reformatted tables to
improve flow and reduce grantee
burden.
• Revised measures to clarify
meaning, eliminate compound
constructs, and reduce social
desirability bias.
• Renumbered measures.
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MAI PT Pilot—Programmatic Progress
Report (MAI–PPR)
• Corrected typographical error in
Public Burden Statement: Changed
annual burden estimate from 24 hours
to 3 hours.
• Added:
Æ general instructions in the
beginning,
Æ instructions in Section 1 table, and
Æ additional instructions and
examples throughout.
• Omitted:
Æ bottom three signature rows in
Section 1 table and
Æ budget section.
MAI PT Pilot Online Reporting Tool
(MAI–PORT)
• Added/updated instructions for
clarification.
• Added:
Æ skip patterns to reduce grantee
burden,
Æ two questions regarding content
focus and level of implementation of
planned prevention strategy, and
Æ items to QPR regarding details of
inactive strategies.
• Updated:
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Æ Race/ethnicity measures in ATR
and QPR to be compliant with OMB’s
Statistical Policy Directive No. 15.
Æ SOGI measures in ATR and QPR.
Æ Appendix A: Added/revised
definitions and
Æ Appendix B: Revised title from ‘‘list
of EBPs’’ to ‘‘List of Prevention
Strategies,’’ and added additional
prevention strategies.
• Standardized language (e.g., direct/
individual-based, indirect/population
based, unduplicated count).
• Reordered reached/served items of
ATR and QPR so that ‘‘reached’’ is listed
first.
• Eliminated demographics for
‘‘reached’’ in ATR and QPR.
• Grantees are now asked to report
whether interventions are EBPP in ATR
(added new status ‘‘community-defined
evidence practice’’ and ‘‘other’’ criteria
response options).
Written comments and
recommendations concerning the
proposed information collection should
be sent by December 23, 2024 to the
SAMHSA Desk Officer at the Office of
Information and Regulatory Affairs,
Office of Management and Budget
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Federal Register / Vol. 89, No. 225 / Thursday, November 21, 2024 / Notices
(OMB). To ensure timely receipt of
comments, and to avoid potential delays
in OMB’s receipt and processing of mail
sent through the U.S. Postal Service,
commenters are encouraged to submit
their comments to OMB via email to:
OIRA_Submission@omb.eop.gov.
Although commenters are encouraged to
send their comments via email,
commenters may also fax their
comments to: 202–395–7285.
Commenters may also mail them to:
Office of Management and Budget,
Office of Information and Regulatory
Affairs, New Executive Office Building,
Room 10102, Washington, DC 20503.
Krishna Palipudi,
Social Science Analyst.
[FR Doc. 2024–27294 Filed 11–20–24; 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: 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: Training and Technical
Assistance (TTA) Program Monitoring
The Substance Abuse and Mental
Health Administration (SAMHSA) will
monitor program performance of its
Training and Technical Assistance
(TTA) programs. The TTAs disseminate
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Responses
per
respondent
Number of
respondents
Type of respondent
individual that participated in the event
(Attachment 2). The instrument asks the
participants to report on general
demographic information (gender, race,
sexual orientation, level of education,
primary profession), principal
employment setting, employment zip
code, satisfaction with the event, if they
expect the event to benefit them
professionally, if they expect the event
to change their practice and if they
would recommend the event to a
colleague.
3. TTA Follow-up Form: The Followup Form will be administered 60-days
after all events that last a minimum of
three (3) hours. The form will be
administered to a minimum of 25% of
participants who consent to participate
in the follow-up process. The includes
13 questions (Attachment 3). The
instrument asks the participants to
report if the information provided at the
event benefited their professional
development, will change their practice,
if they will use the information in their
future work, if information will be
shared with colleagues, how the event
supported their work responsibilities,
how the TTA can improve the events,
and what other topics participants
would like to see TTAs address and in
what format.
The information collected on the
three TTA forms will assist SAMHSA in
documenting the numbers and types of
participants in TTA events, describing
the extent to which participants report
improvement in their professional
development, and which method is
most effective in disseminating
knowledge to various audiences. This
type of information is crucial to support
SAMHSA in complying with GPRA
reporting requirements and will inform
future development of knowledge
dissemination activities.
The chart below summarizes the
annualized burden for this project.
current behavioral health services
research from the National Institute on
Drug Abuse, National Institute on
Alcohol Abuse and Alcoholism,
National Institute of Mental Health,
National Institute of Justice, and other
sources, as well as other SAMHSA
programs. To accomplish this, the TTA
programs develop and update state-ofthe-art, research-based curricula and
professional development training.
The TTA programs hold a variety of
events: technical assistance, meetings,
trainings, and presentations. A TTA
technical assistance event is defined as
a jointly planned consultation generally
involving a series of contacts between
the TTA and an outside organization/
institution during which the TTA
provides expertise and gives direction
toward resolving a problem or
improving conditions. Technical
assistance events can be categorized into
universal, targeted, and intensive. Other
TTA events such as meetings, training,
presentations, strategic planning and
learning collaboratives are utilized to
support technical assistance. These
events are TTA-sponsored or cosponsored events in which a group of
people representing one or more
agencies other than the TTAs work
cooperatively on a project, problem,
and/or policy. SAMHSA intends to use
three (3) instruments for program
monitoring of TTA events as well as
ongoing quality improvement, which
are described below.
1. TTA Event Description Form (EDF):
The EDF collects event information. The
form includes 10 questions of TTA
faculty/staff relating to the event focus
and format. It allows the TTAs and
SAMHSA to track the number of events
held (See Attachment 1).
2. TTA Post Event Form: The Post
Event Form will be administered
immediately following the event. The
form includes 16 questions of each
Total
responses
Hours per
response
Hourly
wage
cost
Total annual
burden hours
Total hour cost
TTA Faculty/Staff:
TTA Event Description Form .................
Meeting and Presentations Respondents.
TTA Post-Event Form ............................
TTA Follow-up Form ..............................
113
48
5,424
.16
867.84
$28.89
$25,071.90
300,057
13,566
1
1
300,057
13,566
.16
.16
48,009.00
2,170.56
28.89
28.89
1,386,983.48
62,707.48
Total ................................................
313,736
........................
319,047
........................
51,047.40
........................
1,474,762.86
Summary Table
Number of
respondents
Instruments
TTA Event Description Form .......................................................................................................
TTA Post Event Form ..................................................................................................................
VerDate Sep<11>2014
18:02 Nov 20, 2024
Jkt 265001
PO 00000
Frm 00052
Fmt 4703
Sfmt 4703
113
300,057
E:\FR\FM\21NON1.SGM
21NON1
Responses
per
respondents
48
1
Annual burden
hours
867.84
48,009.00
]]>Agencies
[Federal Register Volume 89, Number 225 (Thursday, November 21, 2024)]
[Notices]
[Pages 92133-92137]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-27294]
-----------------------------------------------------------------------
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 the 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 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 through the use of automated collection techniques or other
forms of information technology.
Proposed Project: Minority AIDS Initiative: Substance Use Disorder
Prevention and Treatment Pilot Program (MAI PT Pilot) Data Collection
Instruments
The Substance Abuse and Mental Health Services Administration's
(SAMHSA) Center for Substance Abuse Prevention (CSAP) and Center for
Substance Abuse Treatment (CSAT) are requesting approval from the
Office of Management and Budget (OMB) to monitor the Minority AIDS
Initiative: Substance Use Disorder Prevention and Treatment Pilot
Program (MAI PT Pilot)
[[Page 92134]]
through administration of a suite of data collection instruments for
grant compliance and programmatic performance monitoring. This package
describes the data collection activities and proposed instruments. Two
instruments will facilitate grant compliance monitoring, and the third
instrument is designed for program performance monitoring.
The MAI PT Pilot--Organizational Readiness Assessment
(MAI-ORA) is a one-time self-assessment tool intended to guide MAI PT
Pilot grant recipients to objectively assess their capacity to provide
substance use prevention, substance use disorder or co-occurring mental
health disorder treatment, and HIV, viral hepatitis, and sexually
transmitted infection prevention, screening, testing, and referral
services for racial and ethnic individuals vulnerable to these
conditions. Results from the MAI-ORA will allow SAMHSA to determine
grantee readiness and capacity to implement their grant program, so
that SAMHSA can provide additional support, as needed, to ensure grant
compliance.
The MAI PT Pilot--Programmatic Progress Report (MAI-PPR)
is a template that grantees will use to report annual progress and will
be used to monitor grant compliance.
The MAI PT Pilot--Online Reporting Tool (MAI-PORT) will be
used to conduct programmatic performance monitoring. The MAI-PORT is
comprised of two main sections: (1) Annual Targets Report section for
MAI PT Pilot grant recipients to report annual federal fiscal year
programmatic goals, and (2) Quarterly Performance Report for grantees
to report grant activities implemented during each federal fiscal
quarter. In developing the MAI-PORT Annual Targets Report and the
Quarterly Performance Report, CSAP/CSAT sought the ability to elicit
programmatic information that demonstrates impact at the program
aggregate level.
Data collected through the MAI-PORT are necessary to ensure SAMHSA
and grantees comply with requirements under the Government Performance
and Results Act Modernization Act of 2010 (GPRA) that requires regular
reporting of performance measures. Additionally, data collected through
these tools will provide critical information to SAMHSA's Government
Project Officers (GPOs) related to grant oversight, including barriers
and facilitators that the grantees have experienced, and an
understanding of the technical assistance needed to help grantees
implement their programs. The information also provides a mechanism to
ensure grantees are meeting the requirements of the grant funding
announcement as outlined in their notice of grant award. In addition,
the tools reflect CSAP's and CSAT's desire to elicit pertinent program
level data that can be used not only to guide future programs and
practices, but also to respond to stakeholder, congressional and agency
inquiries.
Background and Purpose
According to the Centers for Disease Control and Prevention (CDC),
the spread of HIV in the United States is mainly through anal or
vaginal sex or by sharing drug-use equipment. Although these risk
factors are the same for everyone, due to a range of social, economic,
and demographic factors, such as stigma, discrimination, income,
education, and geographic region, some racial and ethnic groups are
more affected than others. In 2021, CDC reported that although Black/
African Americans represented 13 percent of the US population, they
accounted for 42 percent (15,305) of the 36,801 new HIV diagnoses;
Latino/Hispanic people represent 18.7 percent of the US population but
accounted for 29 percent (10,494) of HIV diagnoses (CDC, 2024; United
States Census Bureau, 2024).1 2 Between 2017 and 2021,
American Indian/Alaska Native (AI/AN), Native Hawaiian and other
Pacific Islander populations were the only demographic groups
identified by the CDC with an increase in HIV diagnoses in the United
States (CDC, 2024).\3\ Of the 31,800 new HIV infections in 2022, CDC
reports that 71% (22,500) were among gay and bisexual men.\4\
---------------------------------------------------------------------------
\1\ 2020 Census Illuminates Racial and Ethnic Composition of the
Country.
\2\ HIV Diagnoses.
\3\ HIV in the United States by Race/Ethnicity: HIV Diagnoses.
\4\ Fast Facts: HIV and Gay and Bisexual Men.
---------------------------------------------------------------------------
Viral hepatitis also impacts some racial and ethnic groups
disproportionally. In 2020, non-Hispanic blacks were 1.4 times as
likely to die from viral hepatitis, as compared to non-Hispanic whites
(Office of Minority Health, 2022). Non-Hispanic blacks were almost
twice as likely to die from hepatitis C as compared to the white
population, and while having comparable case rates for hepatitis B in
2020, non-Hispanic blacks were 2.5 times more likely to die from
hepatitis B than non-Hispanic whites (Office of Minority Health, 2022).
Additionally, the percentage of people aged 12 or older with past year
substance use disorder (SUD) differed by race and ethnicity with the
highest rates among American Indian/Alaska Native populations (24.0
percent), followed by Black, non-Hispanic populations (18.4 percent)
(SAMHSA, 2023).\5\
---------------------------------------------------------------------------
\5\ Substance Abuse and Mental Health Services Administration.
(2023). Strategic Plan: Fiscal Year 2023-2026. Publication No.
PEP23-06-00-002. National Mental Health and Substance Use Policy
Laboratory. https://www.samhsa.gov/sites/default/files/samhsa-strategic-plan.pdf.
---------------------------------------------------------------------------
The data clearly show the disproportionate burden faced by minority
racial and ethnic groups and that these three issues should not be
regarded as separate diseases acting independently, rather as a
syndemic. To address this, SAMHSA is taking a syndemic approach to HIV,
viral hepatitis, and substance use disorder through the MAI PT Pilot
program. The purpose of this program is to provide substance use
prevention, SUD treatment, HIV, and viral hepatitis prevention and
treatment services for racial and ethnic medically underserved
individuals vulnerable to a SUD and/or mental health condition, HIV,
viral hepatitis, and other infectious disease (e.g., sexually
transmitted infection (STI)). The populations of focus for this program
are individuals who are particularly vulnerable to or living with HIV/
AIDS, including an emphasis on gay, bisexual, and other men who have
sex with men, men who have sex with men and women (MSMW), Black,
Latino, and AI/AN men who have sex with men (MSM), Asian and Pacific
Islander, Black women, transgender men and women, youth aged 13-24
years, and People who Inject Drugs (PWID).
SAMHSA's MAI PT Pilot is informed by the key strategies and
priority jurisdictions outlined in the Ending the HIV Epidemic in the
U.S. (EHE) initiative, Viral Hepatitis National Strategic Plan and STI
National Strategic Plan. The program also supports the National HIV/
AIDS Strategy (NHAS) and 2023-2026 SAMHSA Strategic Plan. Recipients
will be expected to take a syndemic approach to SUD, HIV, viral
hepatitis, and STI by providing SUD prevention and treatment to racial
and ethnic individuals at risk for or living with HIV. MAI PT Pilot is
authorized under Sections 509 and 516 of the Public Health Service Act,
as amended.
Annualized Data Collection Burden
Table 1 and Table 2 provides an overview of the data collection
method,
[[Page 92135]]
frequency of data collection, and number of data collections for each
data collection instruments.
Table 1--Grant Compliance: MAI-ORA and MAI-PPR
----------------------------------------------------------------------------------------------------------------
Data collection Frequency of data Maximum number of Attachment
Instrument method collection data collections No.
----------------------------------------------------------------------------------------------------------------
MAI-ORA......................... Grantees submit Once.................... Once in Year 1.... 1
into SPARS.
MAI-PPR......................... Grantees submit Annually................ Annually: 5 times 2
into eRA. (1 time per year
in Years 1-5).
----------------------------------------------------------------------------------------------------------------
Table 2--Program Performance Monitoring: MAI-PORT
----------------------------------------------------------------------------------------------------------------
Data collection Frequency of data Maximum number of Attachment
Instrument method collection data collections No.
----------------------------------------------------------------------------------------------------------------
MAI-PORT........................ Grantees submit Yearly: Annual Targets Yearly: 5 times (1 3
into SPARS. Report (ATR). time per year in
Quarterly: Quarterly Years 1-5).
Performance Report Quarterly: 20
(QPR). times (4 times
per year in Years
1-5).
----------------------------------------------------------------------------------------------------------------
The estimated time to complete each instrument by year is shown in
Tables 3 through 8.
Table 3--Estimates of Annual Burden for MAI PT Data Collection: Year 1
--------------------------------------------------------------------------------------------------------------------------------------------------------
Total Total Average Total
Instrument Number of Responses per number of Hours per burden hourly wage respondent
respondents respondent responses response hours \1\ cost
--------------------------------------------------------------------------------------------------------------------------------------------------------
MAI-ORA................................................... 8 1 8 14 112 $48.35 $5,415.20
MAI-PPR................................................... 8 1 8 3 24 48.35 1,160.40
MAI-PORT/ATR.............................................. 8 1 8 1 8 48.35 386.80
MAI-PORT/QPR.............................................. 8 4 32 2 64 48.35 3,094.40
---------------------------------------------------------------------------------------------
Total................................................. 8 7 56 20 208 48.35 10,056.80
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ Average hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the
Bureau of Labor Statistics (BLS) found at https://www.bls.gov/oes/current/naics4_999200.htm#11-0000. Accessed on January 15, 2024.
Table 4--Estimates of Annual Burden for MAI PT Data Collection: Year 2
--------------------------------------------------------------------------------------------------------------------------------------------------------
Total Total Average Total
Instrument Number of Responses per number of Hours per burden hourly wage respondent
respondents respondent responses response hours \1\ cost
--------------------------------------------------------------------------------------------------------------------------------------------------------
MAI-ORA................................................... 8 0 0 14 0 $48.35 $0.00
MAI-PPR................................................... 8 1 8 3 24 48.35 1,160.40
MAI-PORT/ATR.............................................. 8 1 8 1 8 48.35 386.80
MAI-PORT/QPR.............................................. 8 4 32 2 64 48.35 3,094.40
---------------------------------------------------------------------------------------------
Total................................................. 8 6 48 20 96 48.35 4,641.60
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ Average hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the
Bureau of Labor Statistics (BLS) found at https://www.bls.gov/oes/current/naics4_999200.htm#11-0000. Accessed on January 15, 2024.
Table 5--Estimates of Annual Burden for MAI PT Data Collection: Year 3
--------------------------------------------------------------------------------------------------------------------------------------------------------
Total Total Average Total
Instrument Number of Responses per number of Hours per burden hourly wage respondent
respondents respondent responses response hours \1\ cost
--------------------------------------------------------------------------------------------------------------------------------------------------------
MAI-ORA................................................... 8 0 0 14 0 $48.35 $0.00
MAI-PPR................................................... 8 1 8 3 24 48.35 1,160.40
MAI-PORT/ATR.............................................. 8 1 8 1 8 48.35 386.80
MAI-PORT/QPR.............................................. 8 4 32 2 64 48.35 3,094.40
---------------------------------------------------------------------------------------------
Total................................................. 8 6 48 20 96 $48.35 $4,641.60
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ Average hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the
Bureau of Labor Statistics (BLS) found at https://www.bls.gov/oes/current/naics4_999200.htm#11-0000. Accessed on January 15, 2024.
[[Page 92136]]
Table 6--Estimates of Annual Burden for MAI PT Data Collection: Year 4
--------------------------------------------------------------------------------------------------------------------------------------------------------
Total Total Average Total
Instrument Number of Responses per number of Hours per burden hourly wage respondent
respondents respondent responses response hours \1\ cost
--------------------------------------------------------------------------------------------------------------------------------------------------------
MAI-ORA................................................... 8 0 0 14 0 $48.35 $0.00
MAI-PPR................................................... 8 1 8 3 24 48.35 1,160.40
MAI-PORT/ATR.............................................. 8 1 8 1 8 48.35 386.80
MAI-PORT/QPR.............................................. 8 4 32 2 64 48.35 3,094.40
---------------------------------------------------------------------------------------------
Total................................................. 8 6 48 20 96 48.35 4,641.60
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ Average hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the
Bureau of Labor Statistics (BLS) found at https://www.bls.gov/oes/current/naics4_999200.htm#11-0000. Accessed on January 15, 2024.
Table 7--Estimates of Annual Burden for MAI PT Data Collection: Year 5
--------------------------------------------------------------------------------------------------------------------------------------------------------
Total Total Average Total
Instrument Number of Responses per number of Hours per burden hourly wage respondent
respondents respondent responses response hours \1\ cost
--------------------------------------------------------------------------------------------------------------------------------------------------------
MAI-ORA................................................... 8 0 0 14 0 $48.35 $0.00
MAI-PPR................................................... 8 1 8 3 24 48.35 1,160.40
MAI-PORT/ATR.............................................. 8 1 8 1 8 48.35 386.80
MAI-PORT/QPR.............................................. 8 4 32 2 64 48.35 3,094.40
---------------------------------------------------------------------------------------------
Total................................................. 8 6 48 20 96 48.35 4,641.60
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ Average hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the
Bureau of Labor Statistics (BLS) found at https://www.bls.gov/oes/current/naics4_999200.htm#11-0000. Accessed on January 15, 2024.
Table 8--Estimates of Annual Burden for MAI PT Data Collection: All Years
--------------------------------------------------------------------------------------------------------------------------------------------------------
Total Total Average Total
Instrument Number of Responses per number of Hours per burden hourly wage respondent
respondents respondent responses response hours \1\ cost
--------------------------------------------------------------------------------------------------------------------------------------------------------
MAI-ORA................................................... 8 1 8 14 112 $48.35 $5,415.20
MAI-PPR................................................... 8 5 40 3 120 48.35 5,802.00
MAI-PORT/ATR.............................................. 8 5 40 1 40 48.35 1,934.00
MAI-PORT/QPR.............................................. 8 20 160 2 320 48.35 15,472.00
---------------------------------------------------------------------------------------------
Total................................................. 8 31 248 20 592 48.35 28,623.20
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ Average hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the
Bureau of Labor Statistics (BLS) found at https://www.bls.gov/oes/current/naics4_999200.htm#11-0000. Accessed on January 15, 2024.
No comments were received during the 60-Day Federal Register
comment period. However, the instruments have been revised to reflect
comments received from the cognitive testing. Changes include:
MAI PT Pilot Organizational Readiness Assessment (MAI-ORA)
Added/revised instructions throughout to clarify meaning.
Added list of definitions in appendix.
Combined:
[cir] service delivery and leveraging resources sections and
[cir] four narrative sections and moved to the end of the
instrument.
Simplified/reformatted tables to improve flow and reduce
grantee burden.
Revised measures to clarify meaning, eliminate compound
constructs, and reduce social desirability bias.
Renumbered measures.
MAI PT Pilot--Programmatic Progress Report (MAI-PPR)
Corrected typographical error in Public Burden Statement:
Changed annual burden estimate from 24 hours to 3 hours.
Added:
[cir] general instructions in the beginning,
[cir] instructions in Section 1 table, and
[cir] additional instructions and examples throughout.
Omitted:
[cir] bottom three signature rows in Section 1 table and
[cir] budget section.
MAI PT Pilot Online Reporting Tool (MAI-PORT)
Added/updated instructions for clarification.
Added:
[cir] skip patterns to reduce grantee burden,
[cir] two questions regarding content focus and level of
implementation of planned prevention strategy, and
[cir] items to QPR regarding details of inactive strategies.
Updated:
[cir] Race/ethnicity measures in ATR and QPR to be compliant with
OMB's Statistical Policy Directive No. 15.
[cir] SOGI measures in ATR and QPR.
[cir] Appendix A: Added/revised definitions and
[cir] Appendix B: Revised title from ``list of EBPs'' to ``List of
Prevention Strategies,'' and added additional prevention strategies.
Standardized language (e.g., direct/individual-based,
indirect/population based, unduplicated count).
Reordered reached/served items of ATR and QPR so that
``reached'' is listed first.
Eliminated demographics for ``reached'' in ATR and QPR.
Grantees are now asked to report whether interventions are
EBPP in ATR (added new status ``community-defined evidence practice''
and ``other'' criteria response options).
Written comments and recommendations concerning the proposed
information collection should be sent by December 23, 2024 to the
SAMHSA Desk Officer at the Office of Information and Regulatory
Affairs, Office of Management and Budget
[[Page 92137]]
(OMB). To ensure timely receipt of comments, and to avoid potential
delays in OMB's receipt and processing of mail sent through the U.S.
Postal Service, commenters are encouraged to submit their comments to
OMB via email to: [email protected]. Although commenters are
encouraged to send their comments via email, commenters may also fax
their comments to: 202-395-7285. Commenters may also mail them to:
Office of Management and Budget, Office of Information and Regulatory
Affairs, New Executive Office Building, Room 10102, Washington, DC
20503.
Krishna Palipudi,
Social Science Analyst.
[FR Doc. 2024-27294 Filed 11-20-24; 8:45 am]
BILLING CODE 4162-20-P
