81_FR_4338 81 FR 4322 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

81 FR 4322 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

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

Federal Register Volume 81, Issue 16 (January 26, 2016)

Page Range4322-4325
FR Document2016-01480

Federal Register, Volume 81 Issue 16 (Tuesday, January 26, 2016)
[Federal Register Volume 81, Number 16 (Tuesday, January 26, 2016)]
[Notices]
[Pages 4322-4325]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-01480]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Substance Abuse and Mental Health Services Administration


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

    Periodically, the Substance Abuse and Mental Health Services 
Administration (SAMHSA) will publish a summary of information 
collection requests under OMB review, in compliance with the Paperwork 
Reduction Act (44 U.S.C. Chapter 35). To request a copy of these 
documents, call the SAMHSA Reports Clearance Officer on (240) 276-1243.

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 
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

[[Page 4323]]

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 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

[[Page 4324]]

(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.

    Written comments and recommendations concerning the proposed 
information collection should be sent by February 25, 2016 to the 
SAMHSA Desk Officer at the Office of Information and Regulatory 
Affairs, Office of Management and Budget (OMB). To ensure timely 
receipt of comments, and to avoid potential delays in OMB's receipt and 
processing of mail sent through the U.S. Postal Service, commenters are 
encouraged to submit

[[Page 4325]]

their comments to OMB via email to: [email protected]. 
Although commenters are encouraged to send their comments via email, 
commenters may also fax their comments to: 202-395-7285. Commenters may 
also mail them to: Office of Management and Budget, Office of 
Information and Regulatory Affairs, New Executive Office Building, Room 
10102, Washington, DC 20503.

Summer King,
Statistician.
[FR Doc. 2016-01480 Filed 1-25-16; 8:45 am]
BILLING CODE 4162-20-P



                                                  4322                          Federal Register / Vol. 81, No. 16 / Tuesday, January 26, 2016 / Notices

                                                    Information is also available on the                    Time: 8:00 a.m. to 5:00 p.m.                         Obama’s NITT Initiative: Increasing
                                                  Institute’s/Center’s home page: http://                   Agenda: To review and evaluate grant                 access to mental health services. The
                                                  deainfo.nci.nih.gov/advisory/ctac/ctac.htm,             applications.                                          purpose of the NITT–HT program is to
                                                  where an agenda and any additional                        Place: National Cancer Institute Shady               improve access to treatment and support
                                                  information for the meeting will be posted              Grove, 9609 Medical Center Drive, Room
                                                  when available.                                         5W030/4W030, Rockville, MD 20850
                                                                                                                                                                 services for youth/young adults 16–25
                                                                                                          (Telephone Conference Call).                           years that either have, or are at risk of
                                                  (Catalogue of Federal Domestic Assistance
                                                                                                            Contact Person: Kenneth L. Bielat, Ph.D.,            developing a mental illness or substance
                                                  Program Nos. 93.392, Cancer Construction;
                                                  93.393, Cancer Cause and Prevention                     Scientific Review Officer, Research                    use disorder, and are at high risk of
                                                  Research; 93.394, Cancer Detection and                  Technology and Contract Review Branch,                 suicide. NITT–HT grants were made to
                                                  Diagnosis Research; 93.395, Cancer                      Division Of Extramural Activities, National            17 state or local jurisdictions, each of
                                                  Treatment Research; 93.396, Cancer Biology              Cancer Institute, NIH, 9609 Medical Center             which include 2–3 learning laboratories
                                                  Research; 93.397, Cancer Centers Support;               Drive, Room 7W244, Bethesda, MD 20892–                 (n = 43), which are the local
                                                  93.398, Cancer Research Manpower; 93.399,               9750, 240–276–6373, bielatk@mail.nih.gov.              communities of practice responsible for
                                                  Cancer Control, National Institutes of Health,          (Catalogue of Federal Domestic Assistance              implementing the NITT–HT approach.
                                                  HHS)                                                    Program Nos. 93.392, Cancer Construction;              The NITT–HT program aims to increase
                                                                                                          93.393, Cancer Cause and Prevention                    awareness about early signs and
                                                    Dated: January 20, 2016.
                                                                                                          Research; 93.394, Cancer Detection and
                                                  Melanie J. Gray-Pantoja,                                                                                       symptoms of mental health conditions
                                                                                                          Diagnosis Research; 93.395, Cancer
                                                  Program Analyst, Office of Federal Advisory             Treatment Research; 93.396, Cancer Biology             in the community; identify action
                                                  Committee Policy.                                       Research; 93.397, Cancer Centers Support;              strategies to use when a mental health
                                                  [FR Doc. 2016–01366 Filed 1–25–16; 8:45 am]             93.398, Cancer Research Manpower; 93.399,              concern is detected; provide training to
                                                  BILLING CODE 4140–01–P
                                                                                                          Cancer Control, National Institutes of Health,         provider and community groups to
                                                                                                          HHS)                                                   improve services and supports for
                                                                                                            Dated: January 20, 2016.                             youth/young adults; enhance peer and
                                                  DEPARTMENT OF HEALTH AND                                Melanie J. Gray,
                                                                                                                                                                 family supports; and develop effective
                                                  HUMAN SERVICES                                                                                                 services and interventions for youth and
                                                                                                          Program Analyst, Office of Federal Advisory
                                                                                                                                                                 young adults with a serious mental
                                                                                                          Committee Policy.
                                                  National Institutes of Health                                                                                  health condition and their families. The
                                                                                                          [FR Doc. 2016–01361 Filed 1–25–16; 8:45 am]
                                                                                                                                                                 NITT–HT evaluation is designed to
                                                  National Cancer Institute; Notice of                    BILLING CODE 4140–01–P
                                                                                                                                                                 understand whether and how NITT–HT
                                                  Closed Meetings                                                                                                grantees reach these program goals by
                                                                                                                                                                 examining system- and grantee-level
                                                    Pursuant to section 10(d) of the                      DEPARTMENT OF HEALTH AND
                                                                                                                                                                 processes and system- and client-level
                                                  Federal Advisory Committee Act, as                      HUMAN SERVICES                                         outcomes. Data collection efforts that
                                                  amended (5 U.S.C. App.), notice is
                                                                                                          Substance Abuse and Mental Health                      will support the evaluation are
                                                  hereby given of the following meetings.
                                                    The meetings will be closed to the                    Services Administration                                described below.
                                                                                                                                                                    The Community Support for
                                                  public in accordance with the
                                                                                                          Agency Information Collection                          Transition Inventory (CSTI) will assess
                                                  provisions set forth in sections
                                                                                                          Activities: Submission for OMB                         systems change for communities
                                                  552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,                                                                     implementing comprehensive,
                                                  as amended. The grant applications and                  Review; Comment Request
                                                                                                                                                                 community-based approaches to
                                                  the discussions could disclose                            Periodically, the Substance Abuse and                improve outcomes for emerging adults
                                                  confidential trade secrets or commercial                Mental Health Services Administration                  with serious mental health conditions.
                                                  property such as patentable material,                   (SAMHSA) will publish a summary of                     The CSTI is organized around seven
                                                  and personal information concerning                     information collection requests under                  themes: Community partnership,
                                                  individuals associated with the grant                   OMB review, in compliance with the                     collaborative action, transition planning
                                                  applications, the disclosure of which                   Paperwork Reduction Act (44 U.S.C.                     quality assurance and support,
                                                  would constitute a clearly unwarranted                  Chapter 35). To request a copy of these                workforce, fiscal policies and
                                                  invasion of personal privacy.                           documents, call the SAMHSA Reports                     sustainability, access to needed support
                                                    Name of Committee: National Cancer                    Clearance Officer on (240) 276–1243.                   and services, and accountability. The
                                                  Institute Special Emphasis Panel; NCI                                                                          CSTI is a web-based survey to be
                                                  Omnibus SEP–3 R03 & R21.                                Project: Now Is the Time (NITT)—
                                                                                                                                                                 completed by 1,075 community leaders
                                                    Date: March 21–22, 2016.                              Healthy Transitions (HT) Evaluation—
                                                    Time: 8:00 a.m. to 3:00 p.m.                                                                                 (15–25 community leaders per 43
                                                                                                          New
                                                    Agenda: To review and evaluate grant                                                                         learning laboratories) once during Year
                                                  applications.                                             SAMHSA is conducting a national                      2 and once during Year 4 of the grant
                                                    Place: Bethesda North Marriott Hotel &                evaluation of the Now is the Time                      period. Community leaders include
                                                  Conference Center, Montgomery County                    (NITT) initiative, which includes                      members of the local advisory or
                                                  Conference Center Facility, 5701 Marinelli              separate programs—NITT Project                         steering committee, staff of the NITT–
                                                  Road, North Bethesda, MD 20852.                         AWARE (Advancing Wellness and                          HT program, staff of agencies providing
                                                    Contact Person: Viatcheslav A.                        Resilience in Education)—State                         portions of the services, and young
                                                  Soldatenkov, MD, Ph.D., Scientific Review               Educational Agency (SEA), Healthy                      adult and family members’ advocates.
                                                  Officer, Special Review Branch, Division of             Transitions (HT), and two Minority                        The State Support for Transition
                                                  Extramural Activities, National Cancer
mstockstill on DSK4VPTVN1PROD with NOTICES




                                                                                                          Fellowship Programs (Youth and                         Inventory (SSTI) will assess state
                                                  Institute, NIH, 9609 Medical Center Drive,
                                                  Room 7W254, Bethesda, MD 20892–9750,                    Addiction Counselors). These programs                  support for systems change and is
                                                  240–276–5378, soldatenkovv@mail.nih.gov.                are united by their focus on capacity                  organized around six themes
                                                    Name of Committee: National Cancer                    building, system change, and workforce                 (partnership, collaborative action,
                                                  Institute Special Emphasis; Panel Advance               development.                                           workforce, fiscal policies &
                                                  Development and Validation of Emerging                    NITT–HT, which is the focus of this                  sustainability, access to needed
                                                  Molecular Analysis.                                     data collection, represents a response to              supports & services, and accountability).
                                                    Date: March 22–23, 2016.                              the fourth component of President                      The SSTI is a web-based survey to be


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                                                                                Federal Register / Vol. 81, No. 16 / Tuesday, January 26, 2016 / Notices                                             4323

                                                  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
                                                  including progress in each of the                       priority both for the NITT–HT national                    Prior to the grantee visit, the Services
                                                  primary ‘‘functions’’ for the NITT–HT                   evaluation and for NITT–HT grantees.                   & Supports Inventory will be
                                                  grantees (i.e., specific, discrete                      Consequently, it will be important to                  administered one time by telephone to
                                                  achievements or steps toward strategic                  offer youth/young adults opportunities                 a representative from each of the NITT–
                                                  and fiscal planning, expansion of                       to participate in national evaluation                  HT grantees (n = 17) to identify specific
                                                  services, early identification outreach,                activities in developmentally-                         providers and other stakeholders to
                                                  and reduction of barriers to access). The               appropriate and engaging ways. These                   participate in the grantee visit.
                                                  web-based Collaborative Self-                           outlets could include videos, photos,                  Respondents will also provide
                                                  Assessment Survey will be completed                     blogs, or poems (at the choice of the                  information about specific services,
                                                  by one advisory team member per                         participating youth/young adult).                      especially evidence-based and evidence-
                                                  learning laboratory (n = 43) once in Year               Youth/young adults will be given                       informed practices being provided to
                                                  3 and once in Year 5 of the grant period.               informational probes (e.g., what keeps                 youth/young adults through NITT–HT
                                                     The Project Director Web Survey will                 you involved in NITT–HT activities?) in                associated behavioral health or other
                                                  collect information on planning,                        grantee Years 2, 3, and 4; an estimated                professional agencies, and provide a
                                                  coordination, leadership processes,                     510 youth/young adults (30 youth/                      preliminary assessment of the frequency
                                                  fiscal planning, and sustainability. The                young adults per 17 grantees) will                     and quality of implementation of the
                                                  brief Project Director Web Survey will be               participate in the Multi-Media Project.                practice(s).
                                                  completed by all grantee project                           The Supplemental Youth and Youth                       During the one-time grantee visit,
                                                  directors (n = 17) once during each of                  Adult Interview (SYAI) will assess key                 several in-person interviews and two
                                                  Years 2, 3, and 4 of the grant period.                  client-level outcomes of interest for the              client-oriented focus groups will be
                                                  The web survey includes prompts                         NITT–HT program, including: School/                    conducted with NITT–HT program staff.
                                                  designed to assist the project director in              home/daily living functioning,                         The Core Staff In-Person Interview will
                                                  gathering and recalling information to                  emotional/behavioral health, vocation                  be conducted with core staff members
                                                  be discussed during the subsequent                      and education status, housing stability,               (i.e., ‘‘transitions specialists,’’
                                                  Project Director Telephone Interview.                   criminal or juvenile justice                           ‘‘transition facilitators,’’ or ‘‘life
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                                                  Upon completion of the web survey, the                  involvement, psychotic symptoms,                       coaches’’) to examine their experiences
                                                  project director will be asked to                       substance use/abuse, trauma symptoms,                  providing person-centered planning
                                                  schedule a telephone interview, which                   victimization experiences and                          services to youth/young adults served
                                                  will focus on gathering more in depth                   propensity to commit violent acts. In                  within the NITT–HT grantee
                                                  information to complement information                   addition to primary outcomes of                        communities and ask about successes
                                                  gathered via the web survey. The Project                interest, the SYAI also assesses                       and challenges in creating and
                                                  Director Telephone Interview includes                   intermediate outcomes thought to be                    implementing youth/young adult
                                                  information on state/local                              critical in influencing change in                      service plans. A total of 215 core staff


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                                                  4324                                   Federal Register / Vol. 81, No. 16 / Tuesday, January 26, 2016 / Notices

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

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

                                                       Total ..............................................................................         * 5,522   ........................          7,382     ........................          5,572
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                                                     * This is an unduplicated count of total respondents.


                                                    Written comments and                                                    SAMHSA Desk Officer at the Office of                          comments, and to avoid potential delays
                                                  recommendations concerning the                                            Information and Regulatory Affairs,                           in OMB’s receipt and processing of mail
                                                  proposed information collection should                                    Office of Management and Budget                               sent through the U.S. Postal Service,
                                                  be sent by February 25, 2016 to the                                       (OMB). To ensure timely receipt of                            commenters are encouraged to submit


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                                                                                Federal Register / Vol. 81, No. 16 / Tuesday, January 26, 2016 / Notices                                            4325

                                                  their comments to OMB via email to:                     Colleges/Universities in partnership                      • Assess the fidelity with which the
                                                  OIRA_Submission@omb.eop.gov.                            with community based organizations in                  SPF is implemented;
                                                  Although commenters are encouraged to                   their surrounding communities. MSI                        • Collect aggregate data on HIV
                                                  send their comments via email,                          CBO grantees are required to provide                   testing to fulfill SAMHSA’s reporting
                                                  commenters may also fax their                           integrated substance abuse (SA),                       and accountability obligations as
                                                  comments to: 202–395–7285.                              Hepatitis C (HCV), and HIV prevention                  defined by the Government Performance
                                                  Commenters may also mail them to:                       services to young adults. The CBI                      and Results Modernization Act (GPRA
                                                  Office of Management and Budget,                        grantees are community-level domestic,                 Modernization Act) and HHS’s HIV Core
                                                  Office of Information and Regulatory                    public and private nonprofit entities,                 Measures;
                                                  Affairs, New Executive Office Building,                 federally recognized American Indian/                     • Assess the success of the MAI in
                                                  Room 10102, Washington, DC 20503.                       Alaska Native Tribes and tribal                        reducing risk factors and increasing
                                                                                                          organizations, and urban Indian                        protective factors associated with the
                                                  Summer King,                                            organizations. CBI grantees will use                   transmission of the Human
                                                  Statistician.                                           grant funds for building a solid                       Immunodeficiency Virus (HIV),
                                                  [FR Doc. 2016–01480 Filed 1–25–16; 8:45 am]             infrastructure for integrated SA, HIV,                 Hepatitis C Virus (HCV) and other
                                                  BILLING CODE 4162–20–P                                  and HCV prevention service provision                   sexually-transmitted diseases (STD);
                                                                                                          and implementing evidence-based                           • Measure the effectiveness of
                                                                                                          prevention interventions using                         evidence-based programs and
                                                  DEPARTMENT OF HEALTH AND                                SAMHSA’s Strategic Prevention                          infrastructure development activities
                                                  HUMAN SERVICES                                          Framework (SPF) process. The target                    such as: Outreach and training,
                                                                                                          population for the CBI grantees will be                mobilization of key stakeholders,
                                                  Substance Abuse and Mental Health                       at-risk minority adolescents and young                 substance abuse and HIV/AIDS
                                                  Services Administration                                 adults. All MAI grantees are expected to               counseling and education, testing,
                                                                                                          provide leadership and coordination on                 referrals to appropriate medical
                                                  Agency Information Collection                                                                                  treatment, and other intervention
                                                  Activities: Submission for OMB                          the planning and implementation of the
                                                                                                          SPF and to target minority populations,                strategies (e. g., cultural enrichment
                                                  Review; Comment Request                                                                                        activities, educational and vocational
                                                                                                          as well as other high risk groups
                                                    Periodically, the Substance Abuse and                 residing in communities of color with                  resources, motivational interviewing &
                                                  Mental Health Services Administration                   high prevalence of SA and HIV/AIDS.                    brief interventions, social marketing,
                                                  (SAMHSA) will publish a summary of                         The MAI grantees are expected to                    and computer-based curricula);
                                                  information collection requests under                   provide an effective prevention process,                  • Investigate intervention types and
                                                  OMB review, in compliance with the                      direction, and a common set of goals,                  features that produce the best outcomes
                                                  Paperwork Reduction Act (44 U.S.C.                      expectations, and accountabilities to be               for specific population groups;
                                                  Chapter 35). To request a copy of these                 adapted and integrated at the                             • Assess the extent to which access to
                                                  documents, call the SAMHSA Reports                      community level. Grantees have                         health care was enhanced for
                                                  Clearance Officer on (240) 276–1243.                    substantial flexibility in choosing their              population groups and individuals
                                                                                                          individual evidence-based programs,                    vulnerable to behavioral health
                                                  Project: Quarterly Progress Reporting                   but must base this selection on and                    disparities residing in communities
                                                  and Annual Indirect Services Outcome                    build it into the five steps of the SPF.               targeted by funded interventions;
                                                  Data Collection for the Minority                        These SPF steps consist of assessing                      These objectives support the four
                                                  Substance Abuse/HIV Prevention                          local needs, building service capacity                 primary goals of the National HIV/AIDS
                                                  Program (MAI)—NEW                                       specific to SA and HIV prevention                      Strategy which are: (1) Reducing new
                                                     The Substance Abuse and Mental                       services, developing a strategic                       HIV infections, (2) increasing access to
                                                  Health Services Administration                          prevention plan, implementing                          care and improving health outcomes for
                                                  (SAMHSA), Center for Substance Abuse                    evidence-based interventions, and                      people living with HIV/AIDS, (3)
                                                  Prevention (CSAP) is requesting                         evaluating their outcomes. Grantees are                reducing HIV-related disparities and
                                                  approval from the Office of Management                  also required to provide HIV and HCV                   health inequities, and (4) achieving a
                                                  and Budget (OMB) for the collection of                  testing and counseling services and                    coordinated national response to the
                                                  quarterly progress information and                      referrals to appropriate treatment                     HIV epidemic.
                                                  annual community-level outcome data                     options. Grantees must also conduct                       The Quarterly Progress Reporting
                                                  from CSAP’s Minority AIDS Initiative                    ongoing monitoring and evaluation of                   (QPR) Tool is a modular instrument
                                                  (MAI) programs.                                         their projects to assess program                       structured around the SPF. Each section
                                                     This data collection effort supports                 effectiveness including Federal                        or module corresponds to a SPF step
                                                  two of SAMHSA’s 6 Strategic Initiatives:                reporting of the Government                            with an additional section dedicated to
                                                  Prevention of Substance Abuse and                       Performance and Results Act (GPRA) of                  cultural competence and efforts to
                                                  Mental Illness and Health Care and                      1993, The GPRA Modernization Act of                    address behavioral health disparities,
                                                  Health Systems Integration. The                         2010, SAMHSA/CSAP National                             which is an overarching principle of the
                                                  grantees funded by the MAI and                          Outcome Measures (NOMs), and the                       framework guiding every step. Grantees
                                                  included in this clearance request are:                 Department of Health and Human                         provide quarterly reports of their
                                                     • Minority Serving Institutions (MSI)                Services Core HIV Indicators.                          progress through the SPF. Each quarter’s
                                                  in Partnerships with Community-Based                       The primary objectives of this data                 report consists of updates to the
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                                                  Organizations (CBO): 84 grantees                        collection effort are to:                              module(s) corresponding to the SPF
                                                  funded up to three years;                                  • Ensure the correct implementation                 steps that the grantee worked on during
                                                     • Capacity Building Initiative (CBI):                of the five steps of the SPF process by                that quarter. Grantees are required to
                                                  74 grantees funded up to five years.                    maintaining a continuous feedback loop                 report on their activities,
                                                     MSI CBO grantees are Historically                    between grantees and their POs;                        accomplishments, and barriers
                                                  Black Colleges/Universities, Hispanic                      • Promptly respond to grantees’                     associated with cultural competence
                                                  Serving Institutions, American Pacific                  needs for training and technical                       and reduction of health disparities twice
                                                  Islander Serving Institutions, or Tribal                assistance;                                            a year, as part of the second- and fourth-


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Document Created: 2018-02-02 12:38:19
Document Modified: 2018-02-02 12:38:19
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 4322 

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