80_FR_69906 80 FR 69689 - Agency Information Collection Activities: Proposed Collection; Comment Request

80 FR 69689 - Agency Information Collection Activities: Proposed Collection; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration

Federal Register Volume 80, Issue 217 (November 10, 2015)

Page Range69689-69692
FR Document2015-28558

Federal Register, Volume 80 Issue 217 (Tuesday, November 10, 2015)
[Federal Register Volume 80, Number 217 (Tuesday, November 10, 2015)]
[Notices]
[Pages 69689-69692]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-28558]


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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) 276-1243.
    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: Now Is the Time (NITT)--Healthy Transitions (HT) 
Evaluation--New

    SAMHSA is conducting a national evaluation of the Now is the Time 
(NITT) initiative, which includes separate programs--NITT Project AWARE 
(Advancing Wellness and Resilience in Education)--State Educational 
Agency (SEA), Healthy Transitions (HT), and two Minority Fellowship 
Programs (Youth and Addiction Counselors). These programs are united by 
their focus on capacity building, system change, and workforce 
development.
    NITT-HT, which is the focus of this data collection, represents a 
response to the fourth component of President Obama's NITT Initiative: 
Increasing access to mental health services. The purpose of the NITT-HT 
program is to improve access to treatment and support services for 
youth/young adults 16-25 years that either have, or are at risk of 
developing a mental illness or substance use disorder, and are at high 
risk of suicide. NITT-HT grants were made to 17 state or local 
jurisdictions, each of which include 2-3 learning laboratories (n = 
43), which are the local communities of practice responsible for 
implementing the NITT-HT approach. The NITT-HT program aims to increase 
awareness about early signs and symptoms of mental health conditions in 
the community; identify action strategies to use when a mental health 
concern is detected; provide training to provider and community groups 
to improve services and supports for youth/young adults; enhance peer 
and family supports; and develop effective services and interventions 
for youth and young adults with a serious mental health condition and 
their families. The NITT-HT evaluation is designed to understand 
whether and how NITT-HT grantees reach these program goals by examining 
system- and grantee-level processes and system- and client-level 
outcomes. Data collection efforts that will support the evaluation are 
described below.
    The Community Support for Transition Inventory (CSTI) will assess 
systems change for communities implementing comprehensive, community-
based approaches to improve outcomes for emerging adults with serious 
mental health conditions. The CSTI is organized around seven themes: 
Community partnership, collaborative action, transition planning 
quality assurance and support, workforce, fiscal policies and 
sustainability, access to needed support and services, and 
accountability. The CSTI is a web-based survey to be completed by 1,075 
community leaders (15-25 community leaders per 43 learning 
laboratories) once during Year 2 and once during Year 4 of the grant 
period. Community leaders include members of the local advisory or 
steering committee, staff of the NITT-HT program, staff of agencies 
providing portions of the services, and young adult and family members' 
advocates.
    The State Support for Transition Inventory (SSTI) will assess state

[[Page 69690]]

support for systems change and is organized around six themes 
(partnership, collaborative action, workforce, fiscal policies & 
sustainability, access to needed supports & services, and 
accountability). The SSTI is a web-based survey to be completed by 425 
state leadership members (20-25 state leaders per 17 grantees) once 
during Year 2 and once during Year 4 of the grant period. State 
leadership members include administrators or staff from state agencies 
responsible for aspects of services to youth/young adults (e.g., mental 
health, child welfare, education), youth/young adult and adult allies 
who are active in promoting, planning, or overseeing services at the 
state level, as well as other members of state-level advisory groups or 
governing bodies.
    The Collaborative Member Survey is designed to assess specific team 
processes that contribute to collaboration outcomes at the systems 
level and will be administered to a subset of CSTI respondents who 
participate in a NITT-HT grantee's Advisory Team. The Collaborative 
Member Survey emphasizes aspects of Advisory Teams' climate 
(participatory decision-making, structure, management of conflict, 
reflexivity). A maximum of 1,075 respondents (15-25 advisory team 
members per 43 learning laboratories) are expected to complete the web-
based survey once during Year 3 and once during Year 5 of the grant 
period.
    The Collaborative Self-Assessment assesses collaborative 
functioning and accomplishments, and specific tasks completed by NITT-
HT grantee stakeholders and the leadership team including progress in 
each of the primary ``functions'' for the NITT-HT grantees (i.e., 
specific, discrete achievements or steps toward strategic and fiscal 
planning, expansion of services, early identification outreach, and 
reduction of barriers to access). The web-based Collaborative Self-
Assessment Survey will be completed by one advisory team member per 
learning laboratory (n = 43) once in Year 3 and once in Year 5 of the 
grant period.
    The Project Director Web Survey will collect information on 
planning, coordination, leadership processes, fiscal planning, and 
sustainability. The brief Project Director Web Survey will be completed 
by all grantee project directors (n = 17) once during each of Years 2, 
3, and 4 of the grant period. The web survey includes prompts designed 
to assist the project director in gathering and recalling information 
to be discussed during the subsequent Project Director Telephone 
Interview. Upon completion of the web survey, the project director will 
be asked to schedule a telephone interview, which will focus on 
gathering more in depth information to complement information gathered 
via the web survey. The Project Director Telephone Interview includes 
information on state/local implementation, fiscal planning, 
coordination and organizational challenges, workforce development, 
quality assurance procedures, sustainability planning, and leadership 
and political issues. The telephone interview will also be completed by 
all grantee project directors (n = 17) once during each of Years 2, 3, 
and 4 of the grant period. The web survey and telephone interview are 
slightly different at each time point to reflect varying annual changes 
in program implementation emphasis.
    The Core Staff Web Survey will be administered to core NITT-HT 
staff to assess characteristics of person-centered practice and 
barriers to this practice. ``Core staff'' are defined as staff members 
serving as primary providers of planning, case management and 
coordination services to youth/young adults (``life coaches,'' 
``transition facilitators,'' or ``transition specialists''). A maximum 
of 430 core staff (no more than 10 core staff per 43 learning 
laboratories) are expected to complete the Core Staff Survey once 
during the grant period.
    In the Multi-Media Project, youth/young adults will be invited to 
voluntarily provide information about their experiences working with or 
being served by NITT-HT grantee communities using multi-media outlets. 
Youth/young adult involvement is a priority both for the NITT-HT 
national evaluation and for NITT-HT grantees. Consequently, it will be 
important to offer youth/young adults opportunities to participate in 
national evaluation activities in developmentally-appropriate and 
engaging ways. These outlets could include videos, photos, blogs, or 
poems (at the choice of the participating youth/young adult). Youth/
young adults will be given informational probes (e.g., what keeps you 
involved in NITT-HT activities?) in grantee Years 2, 3, and 4; an 
estimated 510 youth/young adults (30 youth/young adults per 17 
grantees) will participate in the Multi-Media Project.
    The Supplemental Youth and Youth Adult Interview (SYAI) will assess 
key client-level outcomes of interest for the NITT-HT program, 
including: School/home/daily living functioning, emotional/behavioral 
health, vocation and education status, housing stability, criminal or 
juvenile justice involvement, psychotic symptoms, substance use/abuse, 
trauma symptoms, victimization experiences and propensity to commit 
violent acts. In addition to primary outcomes of interest, the SYAI 
also assesses intermediate outcomes thought to be critical in 
influencing change in behavioral health and functioning, including: 
Self-efficacy (mental health, school, career and social), and 
perceptions of social support, person-centered care, and service 
alliance. The SYAI includes standardized instruments as well as 
project-developed items and does not duplicate the client-level data 
collection required separately by SAMHSA (OMB No. 0930-0346). The SYAI 
will be conducted with 90 service recipient youth/young adults per 
NITT-HT grantee (n = 17), for a total of 1,530 youth/young adults, at 
program enrollment (Baseline) and 12- and 24-months after enrollment. 
These 90 cases will be evenly distributed across the grantee's 2-3 
learning laboratories. The SYAI is designed for administration as an 
audio computer-assisted self-interviewing (ACASI) survey. This mode was 
selected to offer participating youth/young adults maximum privacy 
while completing the interview and to present minimal survey 
administration burden to NITT-HT grantee staff.

Grantee Visit In-Person Interviews and Focus Group Guides

    All NITT-HT grantees (n = 17) will be visited once during the 5-
year grant period. Activities associated with the grantee visit (i.e., 
a pre-planning inventory, interviews, focus groups, and document 
review) are described below.
    Prior to the grantee visit, the Services & Supports Inventory will 
be administered one time by telephone to a representative from each of 
the NITT-HT grantees (n = 17) to identify specific providers and other 
stakeholders to participate in the grantee visit. Respondents will also 
provide information about specific services, especially evidence-based 
and evidence-informed practices being provided to youth/young adults 
through NITT-HT associated behavioral health or other professional 
agencies, and provide a preliminary assessment of the frequency and 
quality of implementation of the practice(s).
    During the one-time grantee visit, several in-person interviews and 
two client-oriented focus groups will be conducted with NITT-HT program 
staff. The Core Staff In-Person Interview will be conducted with core 
staff members (i.e., ``transitions specialists,'' ``transition 
facilitators,'' or ``life coaches'') to examine their experiences 
providing person-centered planning

[[Page 69691]]

services to youth/young adults served within the NITT-HT grantee 
communities and ask about successes and challenges in creating and 
implementing youth/young adult service plans. A total of 215 core staff 
(five core staff per 43 learning laboratories) are expected to 
participate.
    The Youth Coordinator In-Person Interview will be conducted with 
three staff members (one youth coordinator and up to two peer workers) 
to elicit staff experiences working with the NITT-HT grantee with a 
focus on the Youth Coordinator functions including participation in 
planning and coordination, outreach, mentoring, and other activities. A 
total of 129 staff members (three per 43 learning laboratories) are 
expected to participate.
    The Provider In-Person Interview will be conducted with individuals 
who provide behavioral health services/treatment directly to youth/
youth adults served within the NITT-HT community, other than the 
transition facilitators. These individuals will likely come from NITT-
HT partner organizations. Interviews will focus on two areas: (1) 
Perceptions of organizational support by the collaborative, and (2) 
implementation of evidence-based practices (e.g., general attitudes, 
types of practices being used, implementation supports). A total of 85 
key provider informants (five key providers per 17 grantees) are 
expected to participate.
    The Stakeholder In-Person Interview will be conducted with other 
key stakeholders (e.g., board members for agencies, leaders or liaisons 
for advocacy groups, leaders or advocates with religious or charitable 
organizations), as identified by grantee leadership. The interview will 
elicit experiences contributing to systems development, including 
history of involvement, their specific contributions to the systems 
development effort, and strategies, barriers and facilitators to making 
these contributions. A total of 51 community stakeholders (3 
stakeholders per 17 grantees) are expected to participate.
    Two Young Adult Focus Groups will be conducted during the grantee 
visit--one for youth/young adults directly involved in NITT-HT system 
change efforts, and one for youth/young adults who are recipients of 
NITT-HT services. The focus groups are designed to elicit perceptions 
based on youth/young adult lived experience about resources to support 
successful youth/young adult transition at NITT-HT sites, whether 
practices are well aligned to address needs and cultivate resources, 
and ideas about how to build on these achievements in the future. An 
information form will be completed by each participant to gather 
general background information (e.g., demographics, extent of 
experience with the mental health system and grantee community). A 
total of 860 youth/young adult participants (20 participants per 43 
learning laboratories) are expected to participate.
    Two Family/Adult Ally Focus Groups will be conducted during the 
grantee visit--one focused at the client-level (for family members of 
youth/young adults service recipients), and one focused at the systems 
level (for family members involved in NITT-HT grantee planning and 
systems change efforts). The focus groups will gather information about 
family member perceived needs and resources to support youth/young 
adults at the NITT-HT sites. An information form will be completed by 
each participant to gather general background information (e.g., 
demographics, extent of experience with the mental health system and 
grantee community). A total of 860 family/adult allies (20 participants 
per 43 learning laboratories) are expected to participate.
    Grantee Visit Document Review. Files or charts of a subset of 
youth/young adults participating in the SYAI will be reviewed during 
the grantee visit. This document review will be designed to ascertain 
types of standard documentation routinely completed for youth/young 
adult clients served as well as the consistency of completion of these 
documents. Information extracted from client charts will be 
programmatic only; there will be no identifying or personal information 
extracted from these client charts.

                       Annualized Burden Hours for the NITT-Healthy Transitions Evaluation
----------------------------------------------------------------------------------------------------------------
                                     Number of    Responses  per   Total number      Hours per     Total burden
       Instrument/activity          respondents      respondent    of responses      response          hours
----------------------------------------------------------------------------------------------------------------
Community Support for Transition           1,075               1           1,075             0.4             430
 Inventory......................
State Support for Transition                 425               1             425            0.32             136
 Inventory......................
Collaborative Member Survey.....           1,075               1           1,075            0.25             269
Collaborative Self-Assessment                 43               1              43            0.83              36
 Survey.........................
Project Director Web Survey.....              17               1              17            0.33               6
Project Director Telephone                    17               1              17             1.5              26
 Interview......................
Core Staff Web Survey...........             430               1             430            0.33             142
Grantee Visits:                   ..............  ..............  ..............  ..............  ..............
    Services & Supports                       17               1              17            0.67              11
     Inventory..................
    Core Staff In-Person                     215               1             215            0.33              71
     Interview..................
    Youth Coordinator In-Person              129               1             129               1             129
     Interview..................
    Provider In-Person Interview              85               1              85            0.75              64
    Stakeholder In-Person                     51               1              51            0.75              38
     Interview..................
    Young Adult Focus Group.....             860               1             860            1.75           1,505
    Family/Adult Ally Focus                  860               1             860            1.75           1,505
     Group......................
    Document Review.............              43               1              43            0.25              11
Supplemental Youth & Young Adult           1,530               1           1,530            0.67           1,025
 Interview......................
Multi-Media Project Young Adult              510               1             510            0.33             168
 Probes.........................
                                 -------------------------------------------------------------------------------
    Total.......................         * 5,522  ..............           7,382  ..............           5,572
----------------------------------------------------------------------------------------------------------------
* This is an unduplicated count of total respondents.


[[Page 69692]]

    Send comments to Summer King, SAMHSA Reports Clearance Officer, 
Room 2-1057, One Choke Cherry Road, Rockville, MD 20857 or email her a 
copy at [email protected]. Written comments should be received 
by January 11, 2016.

Summer King,
Statistician.
[FR Doc. 2015-28558 Filed 11-9-15; 8:45 am]
 BILLING CODE 4162-20-P



                                                                                         Federal Register / Vol. 80, No. 217 / Tuesday, November 10, 2015 / Notices                                                                                        69689

                                                                                                                           ESTIMATED OF ANNUALIZED BURDEN HOURS
                                                                                                                                                                                                                                Average
                                                                                                                                                                                                  Number of
                                                                                                                                                                                Number of                                     burden per              Total annual
                                                                 Type of respondent                                           Data collection type                                              responses per
                                                                                                                                                                               respondents                                     response               burden hours
                                                                                                                                                                                                  respondent                   (in hours)

                                                    PI .......................................................   Web survey ......................................                       156                         1                   30/60                  78
                                                                                                                 Telephone script to schedule inter-                                      34                         1                    5/60                   3
                                                                                                                   view.
                                                                                                                 Telephone interview .........................                             34                        1                        1                 34
                                                                                                                 Telephone script to schedule site                                         34                        1                     5/60                  3
                                                                                                                   visit.
                                                                                                                 Site visit interview ............................                         6                         1                   90/60                   9
                                                    Project partner ..................................           Web survey ......................................                       312                         1                   30/60                 156
                                                                                                                 Telephone script to schedule inter-                                      74                         1                    5/60                   7
                                                                                                                   view.
                                                                                                                 Telephone interview .........................                             74                        1                        1                 74
                                                                                                                 Telephone script to schedule site                                         74                        1                     5/60                  7
                                                                                                                   visit.
                                                                                                                 Site visit interview ............................                          6                        1                   90/60                   9
                                                    Other key staff ..................................           Telephone script to schedule site                                         90                        1                    5/60                   8
                                                                                                                   visit.
                                                                                                                 Site visit interview ............................                         90                         1                  90/60                 135

                                                          Total ...........................................      ...........................................................             558    ........................   ........................            523



                                                      Dated: November 4, 2015.                                                  collection of information on                                        concern is detected; provide training to
                                                    Lawrence A. Tabak,                                                          respondents, including through the use                              provider and community groups to
                                                    Deputy Director, National Institutes of Health.                             of automated collection techniques or                               improve services and supports for
                                                    [FR Doc. 2015–28601 Filed 11–9–15; 8:45 am]                                 other forms of information technology.                              youth/young adults; enhance peer and
                                                                                                                                                                                                    family supports; and develop effective
                                                    BILLING CODE 4140–01–P                                                      Proposed Project: Now Is the Time
                                                                                                                                                                                                    services and interventions for youth and
                                                                                                                                (NITT)—Healthy Transitions (HT)
                                                                                                                                                                                                    young adults with a serious mental
                                                                                                                                Evaluation—New
                                                    DEPARTMENT OF HEALTH AND                                                                                                                        health condition and their families. The
                                                    HUMAN SERVICES                                                                 SAMHSA is conducting a national                                  NITT–HT evaluation is designed to
                                                                                                                                evaluation of the Now is the Time                                   understand whether and how NITT–HT
                                                    Substance Abuse and Mental Health                                           (NITT) initiative, which includes                                   grantees reach these program goals by
                                                    Services Administration                                                     separate programs—NITT Project                                      examining system- and grantee-level
                                                                                                                                AWARE (Advancing Wellness and                                       processes and system- and client-level
                                                    Agency Information Collection                                               Resilience in Education)—State                                      outcomes. Data collection efforts that
                                                    Activities: Proposed Collection;                                            Educational Agency (SEA), Healthy                                   will support the evaluation are
                                                    Comment Request                                                             Transitions (HT), and two Minority                                  described below.
                                                                                                                                Fellowship Programs (Youth and                                        The Community Support for
                                                      In compliance with Section                                                Addiction Counselors). These programs                               Transition Inventory (CSTI) will assess
                                                    3506(c)(2)(A) of the Paperwork                                              are united by their focus on capacity                               systems change for communities
                                                    Reduction Act of 1995 concerning                                            building, system change, and workforce                              implementing comprehensive,
                                                    opportunity for public comment on                                           development.                                                        community-based approaches to
                                                    proposed collections of information, the                                       NITT–HT, which is the focus of this                              improve outcomes for emerging adults
                                                    Substance Abuse and Mental Health                                           data collection, represents a response to                           with serious mental health conditions.
                                                    Services Administration (SAMHSA)                                            the fourth component of President                                   The CSTI is organized around seven
                                                    will publish periodic summaries of                                          Obama’s NITT Initiative: Increasing                                 themes: Community partnership,
                                                    proposed projects. To request more                                          access to mental health services. The                               collaborative action, transition planning
                                                    information on the proposed projects or                                     purpose of the NITT–HT program is to                                quality assurance and support,
                                                    to obtain a copy of the information                                         improve access to treatment and support                             workforce, fiscal policies and
                                                    collection plans, call the SAMHSA                                           services for youth/young adults 16–25                               sustainability, access to needed support
                                                    Reports Clearance Officer on (240) 276–                                     years that either have, or are at risk of                           and services, and accountability. The
                                                    1243.                                                                       developing a mental illness or substance                            CSTI is a web-based survey to be
                                                      Comments are invited on: (a) Whether                                      use disorder, and are at high risk of                               completed by 1,075 community leaders
                                                    the proposed collections of information                                     suicide. NITT–HT grants were made to                                (15–25 community leaders per 43
                                                    are necessary for the proper                                                17 state or local jurisdictions, each of                            learning laboratories) once during Year
                                                    performance of the functions of the                                         which include 2–3 learning laboratories                             2 and once during Year 4 of the grant
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                    agency, including whether the                                               (n = 43), which are the local                                       period. Community leaders include
                                                    information shall have practical utility;                                   communities of practice responsible for                             members of the local advisory or
                                                    (b) the accuracy of the agency’s estimate                                   implementing the NITT–HT approach.                                  steering committee, staff of the NITT–
                                                    of the burden of the proposed collection                                    The NITT–HT program aims to increase                                HT program, staff of agencies providing
                                                    of information; (c) ways to enhance the                                     awareness about early signs and                                     portions of the services, and young
                                                    quality, utility, and clarity of the                                        symptoms of mental health conditions                                adult and family members’ advocates.
                                                    information to be collected; and (d)                                        in the community; identify action                                     The State Support for Transition
                                                    ways to minimize the burden of the                                          strategies to use when a mental health                              Inventory (SSTI) will assess state


                                               VerDate Sep<11>2014         19:41 Nov 09, 2015          Jkt 238001       PO 00000        Frm 00058        Fmt 4703        Sfmt 4703   E:\FR\FM\10NON1.SGM         10NON1


                                                    69690                      Federal Register / Vol. 80, No. 217 / Tuesday, November 10, 2015 / Notices

                                                    support for systems change and is                       project director will be asked to                     substance use/abuse, trauma symptoms,
                                                    organized around six themes                             schedule a telephone interview, which                 victimization experiences and
                                                    (partnership, collaborative action,                     will focus on gathering more in depth                 propensity to commit violent acts. In
                                                    workforce, fiscal policies &                            information to complement information                 addition to primary outcomes of
                                                    sustainability, access to needed                        gathered via the web survey. The Project              interest, the SYAI also assesses
                                                    supports & services, and accountability).               Director Telephone Interview includes                 intermediate outcomes thought to be
                                                    The SSTI is a web-based survey to be                    information on state/local                            critical in influencing change in
                                                    completed by 425 state leadership                       implementation, fiscal planning,                      behavioral health and functioning,
                                                    members (20–25 state leaders per 17                     coordination and organizational                       including: Self-efficacy (mental health,
                                                    grantees) once during Year 2 and once                   challenges, workforce development,                    school, career and social), and
                                                    during Year 4 of the grant period. State                quality assurance procedures,                         perceptions of social support, person-
                                                    leadership members include                              sustainability planning, and leadership               centered care, and service alliance. The
                                                    administrators or staff from state                      and political issues. The telephone                   SYAI includes standardized instruments
                                                    agencies responsible for aspects of                     interview will also be completed by all               as well as project-developed items and
                                                    services to youth/young adults (e.g.,                   grantee project directors (n = 17) once               does not duplicate the client-level data
                                                    mental health, child welfare, education),               during each of Years 2, 3, and 4 of the               collection required separately by
                                                    youth/young adult and adult allies who                  grant period. The web survey and                      SAMHSA (OMB No. 0930–0346). The
                                                    are active in promoting, planning, or                   telephone interview are slightly                      SYAI will be conducted with 90 service
                                                    overseeing services at the state level, as              different at each time point to reflect               recipient youth/young adults per NITT–
                                                    well as other members of state-level                    varying annual changes in program                     HT grantee (n = 17), for a total of 1,530
                                                    advisory groups or governing bodies.                    implementation emphasis.                              youth/young adults, at program
                                                       The Collaborative Member Survey is                      The Core Staff Web Survey will be                  enrollment (Baseline) and 12- and 24-
                                                    designed to assess specific team                        administered to core NITT–HT staff to                 months after enrollment. These 90 cases
                                                    processes that contribute to                            assess characteristics of person-centered             will be evenly distributed across the
                                                    collaboration outcomes at the systems                   practice and barriers to this practice.               grantee’s 2–3 learning laboratories. The
                                                    level and will be administered to a                     ‘‘Core staff’’ are defined as staff                   SYAI is designed for administration as
                                                    subset of CSTI respondents who                          members serving as primary providers                  an audio computer-assisted self-
                                                    participate in a NITT–HT grantee’s                      of planning, case management and                      interviewing (ACASI) survey. This
                                                    Advisory Team. The Collaborative                        coordination services to youth/young                  mode was selected to offer participating
                                                    Member Survey emphasizes aspects of                     adults (‘‘life coaches,’’ ‘‘transition                youth/young adults maximum privacy
                                                    Advisory Teams’ climate (participatory                  facilitators,’’ or ‘‘transition specialists’’).       while completing the interview and to
                                                    decision-making, structure, management                  A maximum of 430 core staff (no more                  present minimal survey administration
                                                    of conflict, reflexivity). A maximum of                 than 10 core staff per 43 learning                    burden to NITT–HT grantee staff.
                                                    1,075 respondents (15–25 advisory team                  laboratories) are expected to complete
                                                    members per 43 learning laboratories)                   the Core Staff Survey once during the                 Grantee Visit In-Person Interviews and
                                                    are expected to complete the web-based                  grant period.                                         Focus Group Guides
                                                    survey once during Year 3 and once                         In the Multi-Media Project, youth/                    All NITT–HT grantees (n = 17) will be
                                                    during Year 5 of the grant period.                      young adults will be invited to                       visited once during the 5-year grant
                                                       The Collaborative Self-Assessment                    voluntarily provide information about                 period. Activities associated with the
                                                    assesses collaborative functioning and                  their experiences working with or being               grantee visit (i.e., a pre-planning
                                                    accomplishments, and specific tasks                     served by NITT–HT grantee                             inventory, interviews, focus groups, and
                                                    completed by NITT–HT grantee                            communities using multi-media outlets.                document review) are described below.
                                                    stakeholders and the leadership team                    Youth/young adult involvement is a                       Prior to the grantee visit, the Services
                                                    including progress in each of the                       priority both for the NITT–HT national                & Supports Inventory will be
                                                    primary ‘‘functions’’ for the NITT–HT                   evaluation and for NITT–HT grantees.                  administered one time by telephone to
                                                    grantees (i.e., specific, discrete                      Consequently, it will be important to                 a representative from each of the NITT–
                                                    achievements or steps toward strategic                  offer youth/young adults opportunities                HT grantees (n = 17) to identify specific
                                                    and fiscal planning, expansion of                       to participate in national evaluation                 providers and other stakeholders to
                                                    services, early identification outreach,                activities in developmentally-                        participate in the grantee visit.
                                                    and reduction of barriers to access). The               appropriate and engaging ways. These                  Respondents will also provide
                                                    web-based Collaborative Self-                           outlets could include videos, photos,                 information about specific services,
                                                    Assessment Survey will be completed                     blogs, or poems (at the choice of the                 especially evidence-based and evidence-
                                                    by one advisory team member per                         participating youth/young adult).                     informed practices being provided to
                                                    learning laboratory (n = 43) once in Year               Youth/young adults will be given                      youth/young adults through NITT–HT
                                                    3 and once in Year 5 of the grant period.               informational probes (e.g., what keeps                associated behavioral health or other
                                                       The Project Director Web Survey will                 you involved in NITT–HT activities?) in               professional agencies, and provide a
                                                    collect information on planning,                        grantee Years 2, 3, and 4; an estimated               preliminary assessment of the frequency
                                                    coordination, leadership processes,                     510 youth/young adults (30 youth/                     and quality of implementation of the
                                                    fiscal planning, and sustainability. The                young adults per 17 grantees) will                    practice(s).
                                                    brief Project Director Web Survey will be               participate in the Multi-Media Project.                  During the one-time grantee visit,
                                                    completed by all grantee project                           The Supplemental Youth and Youth                   several in-person interviews and two
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                                                    directors (n = 17) once during each of                  Adult Interview (SYAI) will assess key                client-oriented focus groups will be
                                                    Years 2, 3, and 4 of the grant period.                  client-level outcomes of interest for the             conducted with NITT–HT program staff.
                                                    The web survey includes prompts                         NITT–HT program, including: School/                   The Core Staff In-Person Interview will
                                                    designed to assist the project director in              home/daily living functioning,                        be conducted with core staff members
                                                    gathering and recalling information to                  emotional/behavioral health, vocation                 (i.e., ‘‘transitions specialists,’’
                                                    be discussed during the subsequent                      and education status, housing stability,              ‘‘transition facilitators,’’ or ‘‘life
                                                    Project Director Telephone Interview.                   criminal or juvenile justice                          coaches’’) to examine their experiences
                                                    Upon completion of the web survey, the                  involvement, psychotic symptoms,                      providing person-centered planning


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                                                                                       Federal Register / Vol. 80, No. 217 / Tuesday, November 10, 2015 / Notices                                                                                                     69691

                                                    services to youth/young adults served                                        The Stakeholder In-Person Interview                                      adult participants (20 participants per
                                                    within the NITT–HT grantee                                                will be conducted with other key                                            43 learning laboratories) are expected to
                                                    communities and ask about successes                                       stakeholders (e.g., board members for                                       participate.
                                                    and challenges in creating and                                            agencies, leaders or liaisons for                                              Two Family/Adult Ally Focus Groups
                                                    implementing youth/young adult                                            advocacy groups, leaders or advocates                                       will be conducted during the grantee
                                                    service plans. A total of 215 core staff                                  with religious or charitable                                                visit—one focused at the client-level (for
                                                    (five core staff per 43 learning                                          organizations), as identified by grantee                                    family members of youth/young adults
                                                    laboratories) are expected to participate.                                leadership. The interview will elicit                                       service recipients), and one focused at
                                                       The Youth Coordinator In-Person                                        experiences contributing to systems                                         the systems level (for family members
                                                    Interview will be conducted with three                                    development, including history of                                           involved in NITT–HT grantee planning
                                                    staff members (one youth coordinator                                      involvement, their specific                                                 and systems change efforts). The focus
                                                    and up to two peer workers) to elicit                                     contributions to the systems                                                groups will gather information about
                                                    staff experiences working with the                                        development effort, and strategies,                                         family member perceived needs and
                                                    NITT–HT grantee with a focus on the                                       barriers and facilitators to making these                                   resources to support youth/young adults
                                                    Youth Coordinator functions including                                     contributions. A total of 51 community                                      at the NITT–HT sites. An information
                                                    participation in planning and                                             stakeholders (3 stakeholders per 17                                         form will be completed by each
                                                    coordination, outreach, mentoring, and                                    grantees) are expected to participate.                                      participant to gather general background
                                                                                                                                 Two Young Adult Focus Groups will
                                                    other activities. A total of 129 staff                                                                                                                information (e.g., demographics, extent
                                                                                                                              be conducted during the grantee visit—
                                                    members (three per 43 learning                                                                                                                        of experience with the mental health
                                                                                                                              one for youth/young adults directly
                                                    laboratories) are expected to participate.                                                                                                            system and grantee community). A total
                                                                                                                              involved in NITT–HT system change
                                                       The Provider In-Person Interview will                                  efforts, and one for youth/young adults                                     of 860 family/adult allies (20
                                                    be conducted with individuals who                                         who are recipients of NITT–HT services.                                     participants per 43 learning
                                                    provide behavioral health services/                                       The focus groups are designed to elicit                                     laboratories) are expected to participate.
                                                    treatment directly to youth/youth adults                                  perceptions based on youth/young adult                                         Grantee Visit Document Review. Files
                                                    served within the NITT–HT community,                                      lived experience about resources to                                         or charts of a subset of youth/young
                                                    other than the transition facilitators.                                   support successful youth/young adult                                        adults participating in the SYAI will be
                                                    These individuals will likely come from                                   transition at NITT–HT sites, whether                                        reviewed during the grantee visit. This
                                                    NITT–HT partner organizations.                                            practices are well aligned to address                                       document review will be designed to
                                                    Interviews will focus on two areas: (1)                                   needs and cultivate resources, and ideas                                    ascertain types of standard
                                                    Perceptions of organizational support by                                  about how to build on these                                                 documentation routinely completed for
                                                    the collaborative, and (2)                                                achievements in the future. An                                              youth/young adult clients served as well
                                                    implementation of evidence-based                                          information form will be completed by                                       as the consistency of completion of
                                                    practices (e.g., general attitudes, types of                              each participant to gather general                                          these documents. Information extracted
                                                    practices being used, implementation                                      background information (e.g.,                                               from client charts will be programmatic
                                                    supports). A total of 85 key provider                                     demographics, extent of experience with                                     only; there will be no identifying or
                                                    informants (five key providers per 17                                     the mental health system and grantee                                        personal information extracted from
                                                    grantees) are expected to participate.                                    community). A total of 860 youth/young                                      these client charts.

                                                                                        ANNUALIZED BURDEN HOURS FOR THE NITT-HEALTHY TRANSITIONS EVALUATION
                                                                                                                                                                             Responses
                                                                                                                                                  Number of                                            Total number                 Hours per                Total burden
                                                                                 Instrument/activity                                                                             per
                                                                                                                                                 respondents                                           of responses                 response                    hours
                                                                                                                                                                             respondent

                                                    Community Support for Transition Inventory .......................                                         1,075                             1                   1,075                          0.4                       430
                                                    State Support for Transition Inventory .................................                                      425                            1                      425                       0.32                        136
                                                    Collaborative Member Survey .............................................                                  1,075                             1                   1,075                        0.25                        269
                                                    Collaborative Self-Assessment Survey ................................                                           43                           1                        43                      0.83                          36
                                                    Project Director Web Survey ...............................................                                     17                           1                        17                      0.33                            6
                                                    Project Director Telephone Interview ..................................                                         17                           1                        17                        1.5                         26
                                                    Core Staff Web Survey ........................................................                                430                            1                      430                       0.33                        142
                                                    Grantee Visits:                                                                             ........................   ........................   ........................   ........................   ........................
                                                         Services & Supports Inventory .....................................                                        17                           1                        17                      0.67                          11
                                                         Core Staff In-Person Interview .....................................                                     215                            1                      215                       0.33                          71
                                                         Youth Coordinator In-Person Interview ........................                                           129                            1                      129                            1                      129
                                                         Provider In-Person Interview ........................................                                      85                           1                        85                      0.75                          64
                                                         Stakeholder In-Person Interview ..................................                                         51                           1                        51                      0.75                          38
                                                         Young Adult Focus Group ............................................                                     860                            1                      860                       1.75                     1,505
                                                         Family/Adult Ally Focus Group .....................................                                      860                            1                      860                       1.75                     1,505
                                                         Document Review .........................................................                                  43                           1                        43                      0.25                          11
                                                    Supplemental Youth & Young Adult Interview ....................                                            1,530                             1                   1,530                        0.67                     1,025
                                                    Multi-Media Project Young Adult Probes .............................                                          510                            1                      510                       0.33                        168
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                                                         Total ..............................................................................               * 5,522        ........................                 7,382        ........................                 5,572
                                                       * This is an unduplicated count of total respondents.




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                                                    69692                      Federal Register / Vol. 80, No. 217 / Tuesday, November 10, 2015 / Notices

                                                      Send comments to Summer King,                         This notice announces that the                        Act. The Navajo Nation Trust Leasing
                                                    SAMHSA Reports Clearance Officer,                       Secretary, through the Assistant                      Act was intended to ‘‘revitalize the
                                                    Room 2–1057, One Choke Cherry Road,                     Secretary—Indian Affairs, has approved                distressed Navajo Reservation by
                                                    Rockville, MD 20857 or email her a                      the tribal regulations for the Navajo                 promoting political self-determination,
                                                    copy at summer.king@samhsa.hhs.gov.                     Nation.                                               and encouraging economic self-
                                                    Written comments should be received                                                                           sufficiency, including economic
                                                                                                            II. Federal Preemption of State and
                                                    by January 11, 2016.                                                                                          development that increases productivity
                                                                                                            Local Taxes
                                                                                                                                                                  and the standard of living for members
                                                    Summer King,                                               The Department’s regulations                       of the Navajo Nation.’’ Public Law 106–
                                                    Statistician.                                           governing the surface leasing of trust                568 § 1202, 114 Stat. 2933 (Dec. 27,
                                                    [FR Doc. 2015–28558 Filed 11–9–15; 8:45 am]             and restricted Indian lands specify that,             2000). Moreover, the Navajo Nation
                                                    BILLING CODE 4162–20–P                                  subject to applicable Federal law,                    Trust Leasing Act was the model for the
                                                                                                            permanent improvements on leased                      HEARTH (Helping Expedite and
                                                                                                            land, leasehold or possessory interests,              Advance Responsible Tribal
                                                    DEPARTMENT OF THE INTERIOR                              and activities under the lease are not                Homeownership) Act of 2012, for which
                                                                                                            subject to State and local taxation and               Congress’s overarching intent was to
                                                    Bureau of Indian Affairs                                may be subject to taxation by the Indian              ‘‘allow tribes to exercise greater control
                                                                                                            tribe with jurisdiction. See 25 CFR                   over their own land, support self-
                                                    [156A2100DD/AAKC001030/
                                                    A0A501010.999900 253G]                                  162.017. As explained further in the                  determination, and eliminate
                                                                                                            preamble to the final regulations, the                bureaucratic delays that stand in the
                                                    Navajo Nation Trust Leasing Act of                      Federal government has a strong interest              way of homeownership and economic
                                                    2000 Approval of Navajo Nation                          in promoting economic development,                    development in tribal communities.’’
                                                    Regulations                                             self-determination, and tribal                        158 Cong. Rec. H. 2682 (May 15, 2012).
                                                                                                            sovereignty. 77 FR 72,440, 72,447–48                     Assessment of State and local taxes
                                                    AGENCY:   Bureau of Indian Affairs,                     (December 5, 2012). The principles                    would obstruct these express Federal
                                                    Interior.                                               supporting the Federal preemption of                  policies supporting tribal economic
                                                    ACTION: Notice.                                         State law in the field of Indian leasing              development and self-determination,
                                                                                                            and the taxation of lease-related                     and also threaten substantial tribal
                                                    SUMMARY:   On May 16, 2014, the Bureau                  interests and activities applies with                 interests in effective tribal government,
                                                    of Indian Affairs (BIA) approved the                    equal force to leases entered into under              economic self-sufficiency, and territorial
                                                    Navajo Nation General Leasing                           tribal leasing regulations approved by                autonomy. See Michigan v. Bay Mills
                                                    Regulations under the Navajo Nation                     the Federal government pursuant to the                Indian Community, 134 S. Ct. 2024,
                                                    Trust Leasing Act of 2000. With this                    Navajo Nation Trust Leasing Act.                      2043 (2014) (Sotomayor, J., concurring)
                                                    approval, the Tribe is authorized to                       Section 5 of the Indian Reorganization             (determining that ‘‘[a] key goal of the
                                                    enter into leases without BIA approval.                 Act, 25 U.S.C. 465, preempts State and                Federal Government is to render Tribes
                                                    FOR FURTHER INFORMATION CONTACT: Ms.                    local taxation of permanent                           more self-sufficient, and better
                                                    Cynthia Morales, Office of Trust                        improvements on trust land.                           positioned to fund their own sovereign
                                                    Services—Division of Realty, Bureau of                  Confederated Tribes of the Chehalis                   functions, rather than relying on Federal
                                                    Indian Affairs; Telephone (202) 768–                    Reservation v. Thurston County, 724                   funding’’). The additional costs of State
                                                    4166; Email cynthia.morales@bia.gov.                    F.3d 1153, 1157 (9th Cir. 2013) (citing               and local taxation have a chilling effect
                                                    SUPPLEMENTARY INFORMATION:                              Mescalero Apache Tribe v. Jones, 411                  on potential lessees, as well as on a tribe
                                                                                                            U.S. 145 (1973)). In addition, as                     that, as a result, might refrain from
                                                    I. Summary of the Navajo Nation Trust
                                                                                                            explained in the preamble to the revised              exercising its own sovereign right to
                                                    Leasing Act of 2000
                                                                                                            leasing regulations at 25 CFR part 162,               impose a tribal tax to support its
                                                       The Navajo Nation Trust Leasing Act                  Federal courts have applied a balancing               infrastructure needs. See id. at 2043–44
                                                    authorizes the Nation to issue leases for               test to determine whether State and                   (finding that State and local taxes
                                                    purposes authorized under 25 U.S.C.                     local taxation of non-Indians on the                  greatly discourage tribes from raising tax
                                                    415(a) without the approval of the                      reservation is preempted. White                       revenue from the same sources because
                                                    Secretary, provided the lease is                        Mountain Apache Tribe v. Bracker, 448                 the imposition of double taxation would
                                                    executed under tribal regulations                       U.S. 136, 143 (1980). The Bracker                     impede tribal economic growth).
                                                    approved by the Secretary. Congress                     balancing test, which is conducted                       Just like BIA’s surface leasing
                                                    enacted the Leasing Act in 2000, to                     against a backdrop of ‘‘traditional                   regulations, tribal regulations under the
                                                    ‘‘establish a streamlined process for the               notions of Indian self-government,’’                  Navajo Nation Trust Leasing Act
                                                    Navajo Nation to lease trust lands                      requires a particularized examination of              pervasively cover all aspects of leasing.
                                                    without having the approval of the                      the relevant State, Federal, and tribal               Furthermore, the Federal government
                                                    Secretary of the Interior for individual                interests. We hereby adopt the Bracker                remains involved in the tribal land
                                                    leases,’’ and ‘‘[t]o maintain, strengthen,              analysis from the preamble to the                     leasing process by approving the tribal
                                                    and protect the Navajo Nation’s leasing                 surface leasing regulations, 77 FR at                 leasing regulations in the first instance.
                                                    power over Navajo trust lands.’’ Public                 72,447–48, as supplemented by the                     The Secretary also retains authority to
                                                    Law 106–568 § 1202, 114 Stat. 2933                      analysis below.                                       take ‘‘all appropriate actions . . . in
                                                    (Dec. 27, 2000). See also S. Rpt. 106–511                  The strong Federal and tribal interests            furtherance of the trust obligation of the
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                                                    (Oct. 31, 2000). The Navajo Nation Trust                against State and local taxation of                   United States to the Navajo Nation’’ and
                                                    Leasing Act requires the Secretary to                   improvements, leaseholds, and                         necessary actions remedy violations of
                                                    approve tribal regulations if the tribal                activities on land leased under the                   tribal regulations, including cancelling
                                                    regulations are consistent with the                     Department’s leasing regulations apply                the lease or rescinding approval of the
                                                    Department’s leasing regulations at 25                  equally to improvements, leaseholds,                  tribal regulations and reassuming lease
                                                    CFR part 162 and provide for an                         and activities on land leased pursuant to             approval responsibilities. 25 U.S.C.
                                                    environmental review process that                       tribal leasing regulations approved                   415(e). Moreover, the Secretary
                                                    meets requirements set forth in the Act.                under the Navajo Nation Trust Leasing                 continues to review, approve, and


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Document Created: 2018-03-01 11:24:43
Document Modified: 2018-03-01 11:24:43
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
FR Citation80 FR 69689 

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