81_FR_12965 81 FR 12917 - Agency Information Collection Activities: Proposed Collection; Comment Request

81 FR 12917 - Agency Information Collection Activities: Proposed Collection; Comment Request

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

Federal Register Volume 81, Issue 48 (March 11, 2016)

Page Range12917-12918
FR Document2016-05474

Federal Register, Volume 81 Issue 48 (Friday, March 11, 2016)
[Federal Register Volume 81, Number 48 (Friday, March 11, 2016)]
[Notices]
[Pages 12917-12918]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-05474]


-----------------------------------------------------------------------

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: Primary and Behavioral Health Care Integration 
Evaluation--NEW

    The Substance Abuse and Mental Health Services Administration's 
(SAMHSA) Center for Behavioral Health Statistics and Quality (CBHSQ) is 
requesting approval from the Office of Management and Budget (OMB) for 
new data collection activities associated with their Primary and 
Behavioral Health Care Integration (PBHCI) program.
    This information collection is needed to provide SAMHSA with 
objective information to document the reach and impact of the PBHCI 
program. The information will be used to monitor quality assurance and 
quality performance outcomes for organizations funded by this grant 
program. The information will also be used to assess the impact of 
services on behavioral health and physical health services for 
individuals served by this program.
    Collection of the information included in this request is 
authorized by Section 505 of the Public Health Service Act (42 U.S.C. 
290aa-4)--Data Collection.
    SAMHSA launched the PBHCI program in FY 2009 with the understanding 
that adults with serious mental illness (SMI) experience heightened 
rates of morbidity and mortality, in large part due to elevated 
incidence and prevalence of risk factors such as obesity, diabetes, 
hypertension, and dyslipidemia. These risk factors are influenced by a 
variety of factors, including inadequate physical activity and poor 
nutrition; smoking; side effects from atypical antipsychotic 
medications; and lack of access to health care services. Many of these 
health conditions are preventable through routine health promotion 
activities, primary care screening, monitoring, treatment and care 
management/coordination strategies and/or other outreach programs.
    The purpose of the PBHCI grant program is to establish projects for 
the provision of coordinated and integrated services through the co-
location of primary and specialty care medical services in community-
based behavioral health settings. The program's goal is to improve the 
physical health status of adults with serious mental illnesses (and 
those with co-occurring substance use disorders) who have or are at 
risk for co-occurring primary care conditions and chronic diseases.
    As the largest federal effort to implement integrated behavioral 
and physical health care in community behavioral health settings, 
SAMHSA's PBHCI program offers an unprecedented opportunity to identify 
which approaches to integration improve outcomes, how outcomes are 
shaped by the characteristics of the treatment setting and community, 
and which models have the greatest potential for sustainability and 
replication. SAMHSA awarded the first cohort of 13 PBHCI grants in 
fiscal year (FY) 2009, and between FY 2009 and FY 2014, SAMHSA funded a 
total of seven cohorts comprising 127 grants. An eighth cohort, funded 
in fall 2015, included 60 new grants.
    The data collection described in this request will build upon the 
first PBHCI evaluation and provide essential data on the implementation 
of integrated primary and behavioral health care, along with rigorous 
estimates of its effects on health.
    The Center for Behavioral Health Statistics and Quality is 
requesting clearance for ten data collection instruments and forms 
related to the implementation and impact studies to be conducted as 
part of the evaluation:

1. PBHCI grantee director survey
2. PBHCI frontline staff survey
3. Telephone interview protocol
4. On-site staff interview protocol
5. Client focus group guide
6. Data extraction tool for grantee registry/electronic health records 
(EHRs)
7. Initial client letter for physical exam and health assessment
8. Consent form for client physical exam and health assessment
9. Consent form for client focus group
10. Client physical exam and health assessment questionnaire

    The table below reflects the annualized hourly burden.

----------------------------------------------------------------------------------------------------------------
                                    Number of     Responses per        Total         Hours per      Total hour
      Respondents/activity         respondents      respondent       responses       response         burden
----------------------------------------------------------------------------------------------------------------
Web surveys:
    Grantee director...........              78                2         \b\ 149             0.5          \b\ 75
    Grantee frontline staff                 782                2       \c\ 1,494             0.5         \c\ 747
     survey....................
Phone interviews:
    Grantee director...........              60                1              60             1.0              60
    Grantee director--site                   10                2              20             2.0              40
     interview.................
    Grantee mental health                    40                2              80             1.0              80
     providers--site interview.
    Grantee primary care                     40                2              80             1.5             120
     providers--site interview.
    Grantee care coordinators--              20                2              40             1.5              60
     site interview............

[[Page 12918]]

 
Focus groups:
    Focus group participants...             120                2             240             1.0             240
    Extraction of grantee                    92               11           1,012             8.0           8,096
     registry/EHR data.........
    SMI clients--baseline                 2,500                1           2,500             1.0           2,500
     physical exam and health
     assessment................
SMI clients--follow-up physical           1,750                1           1,750             1.0           1,750
 exam and health assessment....
    Comparison group clinic                  10                1              10             8.0              80
     director--coordination \d\
                                --------------------------------------------------------------------------------
        Total..................       \e\ 3,752  ...............           7,435  ..............          13,848
----------------------------------------------------------------------------------------------------------------
\a\ Hourly wage estimates are based on salary information provided in 10 PBHCI grant proposals representing
  mostly urban locations across the country and represent an average across responders of each type.
\b\ Cohort VI funding ends before the administration of the second survey. Total number of responses excludes
  the Cohort VI directors, who will not receive the second survey.
\c\ Cohort VI funding ends before the administration of the second survey. Total number of responses excludes
  the Cohort VI frontline staff, who will not receive the second survey.
\d\ Includes logistical coordination between the evaluation and site staff to conduct the physical exam and
  health assessment as well as oversight of client recruitment.
\e\ Excludes physical exam and health assessment follow-up respondents.

    Send comments to Summer King, SAMHSA Reports Clearance Officer, 
5600 Fishers Lane, Room 15E57-B, Rockville, Maryland, 20857. OR email 
her a copy at [email protected]. Written comments should be 
received by May 10, 2016.

Summer King,
Statistician.
[FR Doc. 2016-05474 Filed 3-10-16; 8:45 am]
 BILLING CODE 4162-20-P



                                                                                          Federal Register / Vol. 81, No. 48 / Friday, March 11, 2016 / Notices                                                   12917

                                                      Contact Person: Anne E. Schaffner, Ph.D.,                       Proposed Project: Primary and                           health settings. The program’s goal is to
                                                    Chief, Scientific Review Branch Division of                       Behavioral Health Care Integration                      improve the physical health status of
                                                    Extramural Research, National Eye Institute,                      Evaluation—NEW                                          adults with serious mental illnesses
                                                    5635 Fishers Lane, Suite 1300, MSC 9300,                                                                                  (and those with co-occurring substance
                                                    Bethesda, MD 20892–9300, (301) 451–2020,                            The Substance Abuse and Mental
                                                    aes@nei.nih.gov.                                                  Health Services Administration’s                        use disorders) who have or are at risk
                                                                                                                      (SAMHSA) Center for Behavioral Health                   for co-occurring primary care conditions
                                                    (Catalogue of Federal Domestic Assistance
                                                    Program Nos. 93.867, Vision Research,                             Statistics and Quality (CBHSQ) is                       and chronic diseases.
                                                    National Institutes of Health, HHS)                               requesting approval from the Office of                     As the largest federal effort to
                                                                                                                      Management and Budget (OMB) for new                     implement integrated behavioral and
                                                      Dated: March 4, 2016.                                                                                                   physical health care in community
                                                    Natasha M. Copeland,                                              data collection activities associated with
                                                                                                                      their Primary and Behavioral Health                     behavioral health settings, SAMHSA’s
                                                    Program Analyst, Office of Federal Advisory                                                                               PBHCI program offers an unprecedented
                                                    Committee Policy.                                                 Care Integration (PBHCI) program.
                                                                                                                        This information collection is needed                 opportunity to identify which
                                                    [FR Doc. 2016–05427 Filed 3–10–16; 8:45 am]                                                                               approaches to integration improve
                                                                                                                      to provide SAMHSA with objective
                                                    BILLING CODE 4140–01–P
                                                                                                                      information to document the reach and                   outcomes, how outcomes are shaped by
                                                                                                                      impact of the PBHCI program. The                        the characteristics of the treatment
                                                                                                                      information will be used to monitor                     setting and community, and which
                                                    DEPARTMENT OF HEALTH AND                                                                                                  models have the greatest potential for
                                                    HUMAN SERVICES                                                    quality assurance and quality
                                                                                                                      performance outcomes for organizations                  sustainability and replication. SAMHSA
                                                                                                                      funded by this grant program. The                       awarded the first cohort of 13 PBHCI
                                                    Substance Abuse and Mental Health
                                                                                                                      information will also be used to assess                 grants in fiscal year (FY) 2009, and
                                                    Services Administration
                                                                                                                      the impact of services on behavioral                    between FY 2009 and FY 2014,
                                                    Agency Information Collection                                     health and physical health services for                 SAMHSA funded a total of seven
                                                    Activities: Proposed Collection;                                  individuals served by this program.                     cohorts comprising 127 grants. An
                                                    Comment Request                                                     Collection of the information                         eighth cohort, funded in fall 2015,
                                                                                                                      included in this request is authorized by               included 60 new grants.
                                                      In compliance with Section                                      Section 505 of the Public Health Service                   The data collection described in this
                                                    3506(c)(2)(A) of the Paperwork                                    Act (42 U.S.C. 290aa–4)—Data                            request will build upon the first PBHCI
                                                    Reduction Act of 1995 concerning                                  Collection.                                             evaluation and provide essential data on
                                                    opportunity for public comment on                                   SAMHSA launched the PBHCI                             the implementation of integrated
                                                    proposed collections of information, the                          program in FY 2009 with the                             primary and behavioral health care,
                                                    Substance Abuse and Mental Health                                 understanding that adults with serious                  along with rigorous estimates of its
                                                    Services Administration (SAMHSA)                                  mental illness (SMI) experience                         effects on health.
                                                    will publish periodic summaries of                                heightened rates of morbidity and                          The Center for Behavioral Health
                                                    proposed projects. To request more                                mortality, in large part due to elevated                Statistics and Quality is requesting
                                                    information on the proposed projects or                           incidence and prevalence of risk factors                clearance for ten data collection
                                                    to obtain a copy of the information                               such as obesity, diabetes, hypertension,                instruments and forms related to the
                                                    collection plans, call the SAMHSA                                 and dyslipidemia. These risk factors are                implementation and impact studies to
                                                    Reports Clearance Officer on (240) 276–                           influenced by a variety of factors,                     be conducted as part of the evaluation:
                                                    1243.                                                             including inadequate physical activity                  1. PBHCI grantee director survey
                                                      Comments are invited on: (a) Whether                            and poor nutrition; smoking; side effects               2. PBHCI frontline staff survey
                                                    the proposed collections of information                           from atypical antipsychotic                             3. Telephone interview protocol
                                                    are necessary for the proper                                      medications; and lack of access to                      4. On-site staff interview protocol
                                                    performance of the functions of the                               health care services. Many of these                     5. Client focus group guide
                                                    agency, including whether the                                     health conditions are preventable                       6. Data extraction tool for grantee
                                                    information shall have practical utility;                         through routine health promotion                             registry/electronic health records
                                                    (b) the accuracy of the agency’s estimate                         activities, primary care screening,                          (EHRs)
                                                    of the burden of the proposed collection                          monitoring, treatment and care                          7. Initial client letter for physical exam
                                                    of information; (c) ways to enhance the                           management/coordination strategies                           and health assessment
                                                    quality, utility, and clarity of the                              and/or other outreach programs.                         8. Consent form for client physical exam
                                                    information to be collected; and (d)                                The purpose of the PBHCI grant                             and health assessment
                                                    ways to minimize the burden of the                                program is to establish projects for the                9. Consent form for client focus group
                                                    collection of information on                                      provision of coordinated and integrated                 10. Client physical exam and health
                                                    respondents, including through the use                            services through the co-location of                          assessment questionnaire
                                                    of automated collection techniques or                             primary and specialty care medical                         The table below reflects the
                                                    other forms of information technology.                            services in community-based behavioral                  annualized hourly burden.

                                                                                                                                      Number of          Responses per          Total           Hours per     Total hour
                                                                            Respondents/activity                                     respondents          respondent         responses          response       burden
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    Web surveys:
                                                       Grantee director ..........................................................              78                      2              b 149            0.5           b 75

                                                       Grantee frontline staff survey .....................................                    782                      2          c 1,494              0.5          c 747

                                                    Phone interviews:
                                                       Grantee director ..........................................................                  60                  1                60             1.0            60
                                                       Grantee director—site interview .................................                            10                  2                20             2.0            40
                                                       Grantee mental health providers—site interview .......                                       40                  2                80             1.0            80
                                                       Grantee primary care providers—site interview .........                                      40                  2                80             1.5           120
                                                       Grantee care coordinators—site interview .................                                   20                  2                40             1.5            60



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                                                    12918                                      Federal Register / Vol. 81, No. 48 / Friday, March 11, 2016 / Notices

                                                                                                                                                Number of       Responses per                   Total         Hours per               Total hour
                                                                               Respondents/activity                                            respondents       respondent                  responses        response                 burden

                                                    Focus groups:
                                                        Focus group participants ............................................                           120                            2             240                     1.0              240
                                                        Extraction of grantee registry/EHR data .....................                                    92                           11           1,012                     8.0            8,096
                                                        SMI clients—baseline physical exam and health as-
                                                           sessment .................................................................                 2,500                             1          2,500                     1.0            2,500
                                                    SMI clients—follow-up physical exam and health assess-
                                                      ment ................................................................................           1,750                             1          1,750                     1.0            1,750
                                                        Comparison group clinic director—coordination d ......                                           10                             1             10                     8.0               80

                                                                 Total .....................................................................         e 3,752    ..........................         7,435   ........................        13,848
                                                       a Hourly wage estimates are based on salary information provided in 10 PBHCI grant proposals representing mostly urban locations across the
                                                    country and represent an average across responders of each type.
                                                       b Cohort VI funding ends before the administration of the second survey. Total number of responses excludes the Cohort VI directors, who will
                                                    not receive the second survey.
                                                       c Cohort VI funding ends before the administration of the second survey. Total number of responses excludes the Cohort VI frontline staff, who
                                                    will not receive the second survey.
                                                       d Includes logistical coordination between the evaluation and site staff to conduct the physical exam and health assessment as well as over-
                                                    sight of client recruitment.
                                                       e Excludes physical exam and health assessment follow-up respondents.




                                                      Send comments to Summer King,                                            DATES:  Written comments should be                            information to be collected; (d) ways to
                                                    SAMHSA Reports Clearance Officer,                                          received on or before April 11, 2016 to                       minimize the burden, including the use
                                                    5600 Fishers Lane, Room 15E57–B,                                           be assured of consideration.                                  of automated collection techniques or
                                                    Rockville, Maryland, 20857. OR email                                       ADDRESSES: Interested persons are                             the use of other forms of information
                                                    her a copy at summer.king@                                                 invited to submit written comments on                         technology; and (e) the annual costs to
                                                    samhsa.hhs.gov. Written comments                                           this proposed information collection to                       respondents or record keepers from the
                                                    should be received by May 10, 2016.                                        the Office of Information and Regulatory                      collection of information (total capital/
                                                    Summer King,                                                               Affairs, Office of Management and                             startup costs and operations and
                                                                                                                               Budget. Comments should be addressed                          maintenance costs). The comments that
                                                    Statistician.
                                                                                                                               to the OMB Desk Officer for Customs                           are submitted will be summarized and
                                                    [FR Doc. 2016–05474 Filed 3–10–16; 8:45 am]
                                                                                                                               and Border Protection, Department of                          included in the CBP request for OMB
                                                    BILLING CODE 4162–20–P
                                                                                                                               Homeland Security, and sent via                               approval. All comments will become a
                                                                                                                               electronic mail to oira_submission@                           matter of public record. In this
                                                                                                                               omb.eop.gov or faxed to (202) 395–5806.                       document, CBP is soliciting comments
                                                    DEPARTMENT OF HOMELAND                                                                                                                   concerning the following information
                                                    SECURITY                                                                   FOR FURTHER INFORMATION CONTACT:
                                                                                                                                                                                             collection:
                                                                                                                               Requests for additional information                             Title: Exportation of Used-Propelled
                                                    U.S. Customs and Border Protection                                         should be directed to Tracey Denning,                         Vehicles.
                                                    [1651–0054]
                                                                                                                               U.S. Customs and Border Protection,                             OMB Number: 1651–0054.
                                                                                                                               Regulations and Rulings, Office of                              Abstract: CBP regulations require an
                                                    Agency Information Collection                                              International Trade, 90 K Street NE.,                         individual attempting to export a used
                                                    Activities: Exportation of Used Self-                                      10th Floor, Washington, DC 20229–                             self-propelled vehicle to furnish
                                                    Propelled Vehicles                                                         1177, at 202–325–0265.                                        documentation to CBP, at the port of
                                                                                                                               SUPPLEMENTARY INFORMATION: This                               export, the vehicle and documentation
                                                    AGENCY:  U.S. Customs and Border
                                                    Protection, Department of Homeland                                         proposed information collection was                           describing the vehicle, which includes
                                                    Security.                                                                  previously published in the Federal                           the Vehicle Identification Number (VIN)
                                                                                                                               Register (80 FR 79056) on December 18,                        or, if the vehicle does not have a VIN,
                                                    ACTION: 30-Day notice and request for
                                                                                                                               2015, allowing for a 60-day comment                           the product identification number.
                                                    comments; Extension of an existing
                                                                                                                               period. This notice allows for an                             Exportation of a vehicle will be
                                                    collection of information.
                                                                                                                               additional 30 days for public comments.                       permitted only upon compliance with
                                                    SUMMARY:   U.S. Customs and Border                                         This process is conducted in accordance                       these requirements. This requirement
                                                    Protection (CBP) of the Department of                                      with 5 CFR 1320.10. CBP invites the                           does not apply to vehicles that were
                                                    Homeland Security will be submitting                                       general public and other Federal                              entered into the United States under an
                                                    the following information collection                                       agencies to comment on proposed and/                          in-bond procedure, a carnet, or
                                                    request to the Office of Management and                                    or continuing information collections                         temporary importation bond. The
                                                    Budget (OMB) for review and approval                                       pursuant to the Paperwork Reduction                           required documentation includes, but is
                                                    in accordance with the Paperwork                                           Act of 1995 (Pub. L. 104–13; 44 U.S.C.                        not limited to, a Certificate of Title or
                                                    Reduction Act: Exportation of Used                                         3507). The comments should address:                           a Salvage Title, the VIN, a
                                                    Self-Propelled Vehicles. This is a                                         (a) Whether the collection of                                 Manufacture’s Statement of Origin, etc.
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    proposed extension of an information                                       information is necessary for the proper                       CBP will accept originals or certified
                                                    collection that was previously                                             performance of the functions of the                           copies of Certificate of Title. The
                                                    approved. CBP is proposing that this                                       agency, including whether the                                 purpose of this information is to help
                                                    information collection be extended with                                    information shall have practical utility;                     ensure that stolen vehicles or vehicles
                                                    no change to the burden hours or to the                                    (b) the accuracy of the agency’s                              associated with other criminal activity
                                                    information collected. This document is                                    estimates of the burden of the collection                     are not exported.
                                                    published to obtain comments from the                                      of information; (c) ways to enhance the                         Collection of this information is
                                                    public and affected agencies.                                              quality, utility, and clarity of the                          authorized by 19 U.S.C. 1627a which


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Document Created: 2016-03-11 01:50:58
Document Modified: 2016-03-11 01:50:58
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 Citation81 FR 12917 

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