81_FR_84084 81 FR 83859 - Agency Information Collection Activities: Proposed Collection; Comment Request

81 FR 83859 - 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 225 (November 22, 2016)

Page Range83859-83862
FR Document2016-28043

Federal Register, Volume 81 Issue 225 (Tuesday, November 22, 2016)
[Federal Register Volume 81, Number 225 (Tuesday, November 22, 2016)]
[Notices]
[Pages 83859-83862]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-28043]


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

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: Community Mental Health Services Block Grant and 
Substance Abuse and Prevention Treatment Block Grant FY 2018-2019 Plan 
and Report Guidance and Instructions (OMB No. 0930-0168)--Revision

    The Substance Abuse and Mental Health Services Administration 
(SAMHSA) is requesting approval from the Office of Management and 
Budget (OMB) for a revision of the 2016-17 Community Mental Health 
Services Block Grant (MHBG) and Substance Abuse Prevention and 
Treatment Block Grant (SABG) Plan and Report Guidance and Instructions.
    Currently, the SABG and the MHBG differ on a number of their 
practices (e.g., data collection at individual or aggregate levels) and 
statutory authorities (e.g., method of calculating MOE, stakeholder 
input requirements for planning, set asides for specific populations or 
programs, etc.). Historically, the Centers within SAMHSA that 
administer these block grants have had different approaches to 
application requirements and reporting. To compound this variation, 
states have different structures for accepting, planning, and 
accounting for the block grants and the prevention set aside within the 
SABG. As a result, how these dollars are spent and what is known about 
the services and clients that receive these funds varies by block grant 
and by state.
    Increasingly, under the Affordable Care Act, more individuals are 
eligible for Medicaid and private insurance. This expansion of health 
insurance coverage will continue to have a significant impact on how 
State Mental Health Authorities (SMHAs) and Single State Agencies 
(SSAs) use their limited resources. In 2009, more than 39 percent of 
individuals with serious mental illnesses (SMI) or serious emotional 
disturbances (SED) were uninsured. Sixty percent of individuals with 
substance use disorders whose treatment and recovery support services 
were supported wholly or in part by SAMHSA block grant funds were also 
uninsured. A substantial proportion of this population has gained 
health insurance coverage since enactment of the Affordable Care Act 
and now has various outpatient and other services covered through 
Medicaid, Medicare, or private insurance. However, coverage provided by 
these plans and programs do not necessarily provide access to the full 
range of support services needed to achieve and maintain recovery for 
most of these individuals and their families.
    Given these changes, SAMHSA has conveyed that block grant funds be 
directed toward four purposes: (1) To fund priority treatment and 
support services for individuals without insurance or who cycle in and 
out of health insurance coverage; (2) to fund those priority treatment 
and support services not covered by Medicaid, Medicare or private 
insurance offered through the exchanges and that demonstrate success in 
improving outcomes and/or supporting recovery; (3) to fund universal, 
selective and targeted prevention activities and services; and (4) to 
collect performance and outcome data to determine the ongoing 
effectiveness of behavioral health prevention, treatment and recovery 
support services and to plan the implementation of new services on a 
nationwide basis.
    To help states meet the challenges of 2018 and beyond, and to 
foster the implementation and management of an integrated physical 
health and mental health and addiction service system, SAMHSA must 
establish standards and expectations that will lead to an improved 
system of care for individuals with or at risk of mental and substance 
use disorders. Therefore, this application package includes fully 
exercising SAMHSA's existing authority regarding states', territories' 
and the Red Lake Band of the Chippewa Tribe's (subsequently referred to 
as ``states'') use of block grant funds as they fully integrate 
behavioral health services into the broader health care continuum.
    Consistent with previous applications, the FY 2018-2019 application 
has sections that are required and other sections where additional 
information is requested. The FY 2018-2019 application requires states 
to submit a face sheet, a table of contents, a behavioral health 
assessment and plan, reports of expenditures and persons served, an 
executive summary, and funding agreements and certifications. In 
addition, SAMHSA is requesting information on key areas that are 
critical to the states success in addressing health care integration. 
Therefore, as part of this block grant planning process, SAMHSA is 
asking states to identify both their promising or effective strategies 
as well as their technical assistance needs to implement the strategies 
they identify in their plans for FYs 2018 and 2019.
    To facilitate an efficient application process for states in FYs 
2018-2019, SAMHSA convened an internal workgroup to review and modify 
the application for the block grant planning section. In addition, 
SAMHSA utilized the questions and requests for

[[Page 83860]]

clarification from representatives from SMHAs and SSAs to inform the 
proposed changes to the block grants. Based on these discussions with 
states, SAMHSA is proposing several changes to the block grant programs 
as discussed in greater detail below.

Changes to Assessment and Planning Activities

    The proposed revisions reflect changes within the planning section 
of the application. The most significant change involves a movement 
away from a request for multiple narrative descriptions of the state's 
activities in a variety of areas to a more quantitative response to 
specific questions, reflecting statutory or regulatory requirements 
where applicable, or reflecting specific uses of block grant funding. 
In addition, to respond to the requests from states, the required and 
requested sections have been clearly identified.
    The FY 2016-2017 application sections that gave states policy 
guidance on the planning and implementation of system issues which were 
not authorized services under either block grant have been eliminated 
to avoid confusion. In addition, the statutory criteria which govern 
the plan, report and application have been included in the document as 
references.
    Other specific proposed revisions are described below:
     Health Care System, Parity and Integration--This section 
is a consolidation of the FY 2016-2017 sections on the Affordable Care 
Act, health insurance marketplace, parity, enrollment and primary and 
behavioral health care integration. It is vital that SMHAs and SSAs 
programming and planning reflect the strong connection between 
behavioral and physical health. Fragmented or discontinuous care may 
result in inadequate diagnosis and treatment of both physical and 
behavioral conditions, including co-occurring disorders. Health care 
professionals, consumers of mental, substance use disorders, co-
occurring mental, and substance use disorders treatment recognize the 
need for improved coordination of care and integration of primary and 
behavioral health care. Health information technology, including 
electronic health records (EHRs), and telehealth are examples of 
important strategies to promote integrated care. Use of EHRs--in full 
compliance with applicable legal requirements--may allow providers to 
share information, coordinate care and improve billing practices.
     Evidenced-Based Practices for Early Intervention for the 
MHBG--In its FY 2016 appropriation, SAMHSA was directed to require that 
states set aside 10 percent of their MHBG allocation to support 
evidence-based programs that provide treatment to those with early SMI 
including but not limited to psychosis at any age. SAMHSA worked 
collaboratively with the National Institute on Mental Health (NIMH) to 
review evidence showing efficacy of specific practices in ameliorating 
SMI and promoting improved functioning. NIMH has released information 
on Components of Coordinated Specialty Care (CSC) for First Episode 
Psychosis. Results from the NIMH funded Recovery After an Initial 
Schizophrenia Episode (RAISE) initiative, a research project of the 
NIMH, suggest that mental health providers across multiple disciplines 
can learn the principles of CSC for First Episode of Psychosis (FEP), 
and apply these skills to engage and treat persons in the early stages 
of psychotic illness.
    States can implement models across a continuum, which have 
demonstrated efficacy, including the range of services and principles 
identified by NIMH. Utilizing these principles, regardless of the 
amount of investment, and with leveraging funds through inclusion of 
services reimbursed by Medicaid or private insurance, every state will 
be able to begin to move their system toward earlier intervention, or 
enhance the services already being implemented.

Other Changes

    While the statutory deadlines and block grant award periods remain 
unchanged, SAMHSA encourages states to turn in their application as 
early as possible to allow for a full discussion and review by SAMHSA. 
Applications for the MHBG-only is due no later than September 1, 2017. 
The application for SABG-only is due no later than October 1, 2017. A 
single application for MHBG and SABG is due no later than September 1, 
2017.

Estimates of Annualized Hour Burden

    The estimated annualized burden for the uniform application is 
33,374 hours. Burden estimates are broken out in the following tables 
showing burden separately for Year 1 and Year 2. Year 1 includes the 
estimates of burden for the uniform application and annual reporting. 
Year 2 includes the estimates of burden for the recordkeeping and 
annual reporting. The reporting burden remains constant for both years.

                                            Table 1--Estimates of Application and Reporting Burden for Year 1
--------------------------------------------------------------------------------------------------------------------------------------------------------
                               Substance Abuse Prevention and Treatment and Community Mental Health Services Block Grants
---------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                    Number of    Number of
       Authorizing legislation SABG        Authorizing legislation MHBG    Implementing regulation     Number of    responses    hours per   Total hours
                                                                                                       respondent    per year     response
--------------------------------------------------------------------------------------------------------------------------------------------------------
Reporting: Standard Form and Content--
    42 U.S.C. 300x-32(a).................
SABG:
    Annual Report                          ............................  ...........................  ...........  ...........  ...........       11,160
    42 U.S.C. 300x-52(a).................  ............................  45 CFR 96.122(f)...........           60            1
    42 U.S.C. 300x-30-b..................  ............................  ...........................            5            1
    42 U.S.C. 300x-30(d)(2)..............  ............................  45 CFR 96.134(d)...........           60            1
MHBG:
    Annual Report--                        ............................  ...........................  ...........  ...........  ...........       10,974
                                           42 USC Sec.   300x-6(a).....  ...........................           59            1
                                           42 U.S.C. 300x-52(a)........
                                           42 U.S.C. 300x-4(b)(3)B.....  ...........................           59            1
    State Plan (Covers 2 years)
SABG elements:
    42 U.S.C. 300x-22(b).................  ............................  45 CFR 96.124(c)()1).......           60            1
    42 U.S.C. 300x-23....................  ............................  45 CFR 96.126(f)...........           60            1

[[Page 83861]]

 
    42 U.S.C. 300x-24....................  ............................  45 CFR 96.127(b)...........           60            1
    42 U.S.C. 300x-27....................  ............................  45 CFR 96.131(f)...........           60            1
    42 U.S.C. 300x-29....................  ............................  45 CFR 96.133(a)...........           60            1
    42 U.S.C. 300x-32(b).................  ............................  45 CFR 96.122(g)...........           60            1          120        7,200
MHBG elements:
                                           42 U.S.C. 300x-1(b).........  ...........................           59            1          120        7,080
                                           42 U.S.C. 300x-1(b)(11).....  ...........................           59            1
                                           42 U.S.C. 300x-2(a).........  ...........................           59            1
    Waivers..............................  ............................  ...........................  ...........  ...........  ...........        3,240
    42 U.S.C. 300x-24(b)(5)(B)...........  ............................  ...........................           20            1
    42 U.S.C. 300x-28(d).................  ............................  45 CFR 96.132(d)...........            5            1
    42 U.S.C. 300x-30(c).................  ............................  45 CFR 96.134(b)...........           10            1
    42 U.S.C. 300x-31(c).................  ............................  ...........................            1            1
    42 U.S.C. 300x-32(c).................  ............................  ...........................            7            1
    42 U.S.C. 300x-32(e).................  ............................  ...........................           10
                                           300x-2(a)(2)................  ...........................           10
                                           300x-4(b)(3)................  ...........................           10
                                           300x-6(b)...................  ...........................            7
Recordkeeping--
    42 U.S.C. 300x-23....................  42 U.S.C. 300x-3............  45 CFR 96.126(c)...........        60/59            1           20        1,200
    42 U.S.C. 300x-25....................  ............................  45 CFR 96.129(a)(13).......           10            1           20          200
    42 U.S.C 300x-65.....................  ............................  42 CFR Part 54.............           60            1           20        1,200
--------------------------------------------------------------------------------------------------------------------------------------------------------
Combined Burden..........................  ............................  ...........................  ...........  ...........  ...........       42,254
--------------------------------------------------------------------------------------------------------------------------------------------------------
Report
300x-52(a)--Report.
300x-30(b)--Exclusion of Certain Funds (SABG).
300x-30(d)(2)--Maintenance of Effort (SABG).
300x-4(b)(3)B--Maintenance of Effort (MHBG).
State Plan--SABG
300x-22(b)--Allocations for Women.
300x-23--Intravenous Substance Abuse.
300x-24--Requirements Regarding TB and HIV.
300x-27--Priority in Admissions to Treatment.
300x-29--Statewide Assessment of Need.
300x-32(b)--State Plan.
State Plan--MHBG
42 U.S.C. 300x-1(b)--Criteria for Plan.
42 U.S.C. 300x-1(b)(11)--Incidence and prevalence in the state adults with SMI and Children with SED.
42 U.S.C. 300x-2(a)--Allocations for Systems Integrated Services for Children.
 
Waivers--SABG
300x-24(b)(5)(B)--Rural requirement regarding EIS/HIV.
300x-28(d)--Additional Agreements.
300x-30(c)--Maintenance of Effort.
300x-31(c)--Construction.
300x-32(c)--Certain Territories.
300x-32(e)--Waiver amendment for 1922, 1923, 1924 and 1927.
Waivers--MHBG
300x-2(a)(2)--Allocations for Systems Integrated Services for Children.
300x-4(b)(3)--Waiver of Statewide Maintenance of Effort.
300x-6(b)--Waiver for Certain Territories.
 
Recordkeeping
300x-23--Waiting list.
300x-25--Revolving loan fund.
300x-65--Charitable Choice.


                        Table 2--Estimates of Application and Reporting Burden for Year 2
----------------------------------------------------------------------------------------------------------------
                                                                            Number of    Number of
                                                Number of respondents       responses    hours per   Total hours
                                                                             per year     response
----------------------------------------------------------------------------------------------------------------
Reporting:
    SABG..................................  60...........................            1          186       11.160
    MHBG..................................  59...........................            1          186       10,974
Recordkeeping.............................  60/59........................            1           40        2,360
----------------------------------------------------------------------------------------------------------------
Combined Burden...........................  .............................  ...........  ...........       24,494
----------------------------------------------------------------------------------------------------------------
The total annualized burden for the application and reporting is 33,374 hours (42,254 + 24,494 = 66,748/2 years
  = 33,374).
Link for the application: http://www.samhsa.gov/grants/block-grants.


[[Page 83862]]

    Send all comments via email to [email protected]. Comments 
should be received by January 23, 2017.

Summer King,
Statistician.
[FR Doc. 2016-28043 Filed 11-21-16; 8:45 am]
 BILLING CODE 4162-20-P



                                                                           Federal Register / Vol. 81, No. 225 / Tuesday, November 22, 2016 / Notices                                            83859

                                                Lung, and Blood Institute, 6701 Rockledge               Proposed Project: Community Mental                       Given these changes, SAMHSA has
                                                Drive, Room 7182, Bethesda, MD 20892                    Health Services Block Grant and                       conveyed that block grant funds be
                                                sunnarborgsw@nhlbi.nih.gov.                             Substance Abuse and Prevention                        directed toward four purposes: (1) To
                                                  This notice is being published less than 15           Treatment Block Grant FY 2018–2019                    fund priority treatment and support
                                                days prior to the meeting due to the timing             Plan and Report Guidance and                          services for individuals without
                                                limitations imposed by the review and                   Instructions (OMB No. 0930–0168)—                     insurance or who cycle in and out of
                                                funding cycle.                                          Revision                                              health insurance coverage; (2) to fund
                                                (Catalogue of Federal Domestic Assistance                                                                     those priority treatment and support
                                                                                                           The Substance Abuse and Mental                     services not covered by Medicaid,
                                                Program Nos. 93.233, National Center for
                                                Sleep Disorders Research; 93.837, Heart and
                                                                                                        Health Services Administration                        Medicare or private insurance offered
                                                Vascular Diseases Research; 93.838, Lung
                                                                                                        (SAMHSA) is requesting approval from                  through the exchanges and that
                                                Diseases Research; 93.839, Blood Diseases               the Office of Management and Budget                   demonstrate success in improving
                                                and Resources Research, National Institutes             (OMB) for a revision of the 2016–17                   outcomes and/or supporting recovery;
                                                of Health, HHS)                                         Community Mental Health Services                      (3) to fund universal, selective and
                                                                                                        Block Grant (MHBG) and Substance                      targeted prevention activities and
                                                  Dated: November 15, 2016.                             Abuse Prevention and Treatment Block                  services; and (4) to collect performance
                                                Michelle Trout,                                         Grant (SABG) Plan and Report Guidance                 and outcome data to determine the
                                                Program Analyst, Office of Federal Advisory             and Instructions.                                     ongoing effectiveness of behavioral
                                                Committee Policy.                                          Currently, the SABG and the MHBG                   health prevention, treatment and
                                                [FR Doc. 2016–27996 Filed 11–21–16; 8:45 am]            differ on a number of their practices                 recovery support services and to plan
                                                BILLING CODE 4140–01–P                                  (e.g., data collection at individual or               the implementation of new services on
                                                                                                        aggregate levels) and statutory                       a nationwide basis.
                                                                                                        authorities (e.g., method of calculating                 To help states meet the challenges of
                                                DEPARTMENT OF HEALTH AND                                MOE, stakeholder input requirements                   2018 and beyond, and to foster the
                                                HUMAN SERVICES                                          for planning, set asides for specific                 implementation and management of an
                                                                                                        populations or programs, etc.).                       integrated physical health and mental
                                                Substance Abuse and Mental Health                       Historically, the Centers within                      health and addiction service system,
                                                Services Administration                                 SAMHSA that administer these block                    SAMHSA must establish standards and
                                                                                                        grants have had different approaches to               expectations that will lead to an
                                                Agency Information Collection                           application requirements and reporting.               improved system of care for individuals
                                                Activities: Proposed Collection;                        To compound this variation, states have               with or at risk of mental and substance
                                                Comment Request                                         different structures for accepting,                   use disorders. Therefore, this
                                                                                                        planning, and accounting for the block                application package includes fully
                                                  In compliance with Section                            grants and the prevention set aside                   exercising SAMHSA’s existing authority
                                                3506(c)(2)(A) of the Paperwork                          within the SABG. As a result, how these               regarding states’, territories’ and the Red
                                                Reduction Act of 1995 concerning                        dollars are spent and what is known                   Lake Band of the Chippewa Tribe’s
                                                opportunity for public comment on                       about the services and clients that                   (subsequently referred to as ‘‘states’’)
                                                proposed collections of information, the                receive these funds varies by block grant             use of block grant funds as they fully
                                                Substance Abuse and Mental Health                       and by state.                                         integrate behavioral health services into
                                                Services Administration (SAMHSA)                                                                              the broader health care continuum.
                                                                                                           Increasingly, under the Affordable                    Consistent with previous
                                                will publish periodic summaries of                      Care Act, more individuals are eligible               applications, the FY 2018–2019
                                                proposed projects. To request more                      for Medicaid and private insurance.                   application has sections that are
                                                information on the proposed projects or                 This expansion of health insurance                    required and other sections where
                                                to obtain a copy of the information                     coverage will continue to have a                      additional information is requested. The
                                                collection plans, call the SAMHSA                       significant impact on how State Mental                FY 2018–2019 application requires
                                                Reports Clearance Officer on (240) 276–                 Health Authorities (SMHAs) and Single                 states to submit a face sheet, a table of
                                                1243.                                                   State Agencies (SSAs) use their limited               contents, a behavioral health assessment
                                                  Comments are invited on: (a) Whether                  resources. In 2009, more than 39 percent              and plan, reports of expenditures and
                                                the proposed collections of information                 of individuals with serious mental                    persons served, an executive summary,
                                                                                                        illnesses (SMI) or serious emotional                  and funding agreements and
                                                are necessary for the proper
                                                                                                        disturbances (SED) were uninsured.                    certifications. In addition, SAMHSA is
                                                performance of the functions of the
                                                                                                        Sixty percent of individuals with                     requesting information on key areas that
                                                agency, including whether the                           substance use disorders whose                         are critical to the states success in
                                                information shall have practical utility;               treatment and recovery support services               addressing health care integration.
                                                (b) the accuracy of the agency’s estimate               were supported wholly or in part by                   Therefore, as part of this block grant
                                                of the burden of the proposed collection                SAMHSA block grant funds were also                    planning process, SAMHSA is asking
                                                of information; (c) ways to enhance the                 uninsured. A substantial proportion of                states to identify both their promising or
                                                quality, utility, and clarity of the                    this population has gained health                     effective strategies as well as their
                                                information to be collected; and (d)                    insurance coverage since enactment of                 technical assistance needs to implement
                                                ways to minimize the burden of the                      the Affordable Care Act and now has                   the strategies they identify in their plans
                                                collection of information on                            various outpatient and other services
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                                                                                                                                                              for FYs 2018 and 2019.
                                                respondents, including through the use                  covered through Medicaid, Medicare, or                   To facilitate an efficient application
                                                of automated collection techniques or                   private insurance. However, coverage                  process for states in FYs 2018–2019,
                                                other forms of information technology.                  provided by these plans and programs                  SAMHSA convened an internal
                                                                                                        do not necessarily provide access to the              workgroup to review and modify the
                                                                                                        full range of support services needed to              application for the block grant planning
                                                                                                        achieve and maintain recovery for most                section. In addition, SAMHSA utilized
                                                                                                        of these individuals and their families.              the questions and requests for


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                                                83860                      Federal Register / Vol. 81, No. 225 / Tuesday, November 22, 2016 / Notices

                                                clarification from representatives from                        planning reflect the strong connection                                        can learn the principles of CSC for First
                                                SMHAs and SSAs to inform the                                   between behavioral and physical health.                                       Episode of Psychosis (FEP), and apply
                                                proposed changes to the block grants.                          Fragmented or discontinuous care may                                          these skills to engage and treat persons
                                                Based on these discussions with states,                        result in inadequate diagnosis and                                            in the early stages of psychotic illness.
                                                SAMHSA is proposing several changes                            treatment of both physical and                                                   States can implement models across a
                                                to the block grant programs as discussed                       behavioral conditions, including co-                                          continuum, which have demonstrated
                                                in greater detail below.                                       occurring disorders. Health care                                              efficacy, including the range of services
                                                                                                               professionals, consumers of mental,                                           and principles identified by NIMH.
                                                Changes to Assessment and Planning                             substance use disorders, co-occurring
                                                Activities                                                                                                                                   Utilizing these principles, regardless of
                                                                                                               mental, and substance use disorders                                           the amount of investment, and with
                                                   The proposed revisions reflect                              treatment recognize the need for                                              leveraging funds through inclusion of
                                                changes within the planning section of                         improved coordination of care and                                             services reimbursed by Medicaid or
                                                the application. The most significant                          integration of primary and behavioral                                         private insurance, every state will be
                                                change involves a movement away from                           health care. Health information                                               able to begin to move their system
                                                a request for multiple narrative                               technology, including electronic health                                       toward earlier intervention, or enhance
                                                descriptions of the state’s activities in a                    records (EHRs), and telehealth are                                            the services already being implemented.
                                                variety of areas to a more quantitative                        examples of important strategies to
                                                response to specific questions, reflecting                     promote integrated care. Use of EHRs—                                         Other Changes
                                                statutory or regulatory requirements                           in full compliance with applicable legal
                                                where applicable, or reflecting specific                       requirements—may allow providers to                                              While the statutory deadlines and
                                                uses of block grant funding. In addition,                      share information, coordinate care and                                        block grant award periods remain
                                                to respond to the requests from states,                        improve billing practices.                                                    unchanged, SAMHSA encourages states
                                                the required and requested sections                               • Evidenced-Based Practices for Early                                      to turn in their application as early as
                                                have been clearly identified.                                  Intervention for the MHBG—In its FY                                           possible to allow for a full discussion
                                                   The FY 2016–2017 application                                2016 appropriation, SAMHSA was                                                and review by SAMHSA. Applications
                                                sections that gave states policy guidance                      directed to require that states set aside                                     for the MHBG-only is due no later than
                                                on the planning and implementation of                          10 percent of their MHBG allocation to                                        September 1, 2017. The application for
                                                system issues which were not                                   support evidence-based programs that                                          SABG-only is due no later than October
                                                authorized services under either block                         provide treatment to those with early                                         1, 2017. A single application for MHBG
                                                grant have been eliminated to avoid                            SMI including but not limited to                                              and SABG is due no later than
                                                confusion. In addition, the statutory                          psychosis at any age. SAMHSA worked                                           September 1, 2017.
                                                criteria which govern the plan, report                         collaboratively with the National                                             Estimates of Annualized Hour Burden
                                                and application have been included in                          Institute on Mental Health (NIMH) to
                                                the document as references.                                    review evidence showing efficacy of                                              The estimated annualized burden for
                                                   Other specific proposed revisions are                       specific practices in ameliorating SMI                                        the uniform application is 33,374 hours.
                                                described below:                                               and promoting improved functioning.                                           Burden estimates are broken out in the
                                                   • Health Care System, Parity and                            NIMH has released information on                                              following tables showing burden
                                                Integration—This section is a                                  Components of Coordinated Specialty                                           separately for Year 1 and Year 2. Year
                                                consolidation of the FY 2016–2017                              Care (CSC) for First Episode Psychosis.                                       1 includes the estimates of burden for
                                                sections on the Affordable Care Act,                           Results from the NIMH funded Recovery                                         the uniform application and annual
                                                health insurance marketplace, parity,                          After an Initial Schizophrenia Episode                                        reporting. Year 2 includes the estimates
                                                enrollment and primary and behavioral                          (RAISE) initiative, a research project of                                     of burden for the recordkeeping and
                                                health care integration. It is vital that                      the NIMH, suggest that mental health                                          annual reporting. The reporting burden
                                                SMHAs and SSAs programming and                                 providers across multiple disciplines                                         remains constant for both years.

                                                                             TABLE 1—ESTIMATES OF APPLICATION AND REPORTING BURDEN FOR YEAR 1
                                                                         Substance Abuse Prevention and Treatment and Community Mental Health Services Block Grants

                                                                                                                                                                                                     Number of              Number of
                                                   Authorizing legislation            Authorizing legislation                                                                Number of
                                                                                                                                 Implementing regulation                                             responses              hours per             Total hours
                                                           SABG                              MHBG                                                                            respondent               per year              response

                                                Reporting: Standard Form
                                                  and Content—
                                                    42 U.S.C. 300x–32(a).
                                                SABG:
                                                    Annual Report                ...........................................   ...........................................   ....................   ....................   ....................       11,160
                                                    42 U.S.C. 300x–52(a)         ...........................................   45 CFR 96.122(f) .............                                60                       1
                                                    42 U.S.C. 300x–30–b          ...........................................   ...........................................                     5                      1
                                                    42 U.S.C. 300x–              ...........................................   45 CFR 96.134(d) ............                                 60                       1
                                                      30(d)(2).
                                                MHBG:
                                                    Annual Report—               ...........................................   ...........................................   ....................   ....................   ....................       10,974
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                                                                                 42 USC § 300x–6(a) .........                  ...........................................                   59                       1
                                                                                 42 U.S.C. 300x–52(a).
                                                                                 42 U.S.C. 300x–4(b)(3)B ..                    ...........................................                  59                        1
                                                   State Plan (Covers 2
                                                     years)
                                                SABG elements:
                                                   42 U.S.C. 300x–22(b)          ...........................................   45 CFR 96.124(c)()1) .......                                 60                        1
                                                   42 U.S.C. 300x–23 .....       ...........................................   45 CFR 96.126(f) .............                               60                        1



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                                                                                   Federal Register / Vol. 81, No. 225 / Tuesday, November 22, 2016 / Notices                                                                                                   83861

                                                                           TABLE 1—ESTIMATES OF APPLICATION AND REPORTING BURDEN FOR YEAR 1—Continued
                                                                                 Substance Abuse Prevention and Treatment and Community Mental Health Services Block Grants

                                                                                                                                                                                                                Number of              Number of
                                                    Authorizing legislation                    Authorizing legislation                                                                  Number of
                                                                                                                                           Implementing regulation                                              responses              hours per             Total hours
                                                            SABG                                      MHBG                                                                              respondent               per year              response

                                                   42 U.S.C. 300x–24 .....                 ...........................................   45   CFR     96.127(b)         ............                    60                      1
                                                   42 U.S.C. 300x–27 .....                 ...........................................   45   CFR     96.131(f)        .............                    60                      1
                                                   42 U.S.C. 300x–29 .....                 ...........................................   45   CFR     96.133(a)         ............                    60                      1
                                                   42 U.S.C. 300x–32(b)                    ...........................................   45   CFR     96.122(g)         ............                    60                      1                  120             7,200
                                                MHBG elements:
                                                                                           42 U.S.C. 300x–1(b) ........                  ...........................................                    59                       1                  120            7,080
                                                                                           42 U.S.C. 300x–1(b)(11) ..                    ...........................................                    59                       1
                                                                                           42 U.S.C. 300x–2(a) ........                  ...........................................                    59                       1
                                                      Waivers .......................      ...........................................   ...........................................    ....................   ....................   ....................         3,240
                                                      42 U.S.C. 300x–                      ...........................................   ...........................................                    20                       1
                                                        24(b)(5)(B).
                                                      42 U.S.C. 300x–28(d)                 ...........................................   45 CFR 96.132(d) ............                                   5                       1
                                                      42 U.S.C. 300x–30(c)                 ...........................................   45 CFR 96.134(b) ............                                  10                       1
                                                      42 U.S.C. 300x–31(c)                 ...........................................   ...........................................                     1                       1
                                                      42 U.S.C. 300x–32(c)                 ...........................................   ...........................................                     7                       1
                                                      42 U.S.C. 300x–32(e)                 ...........................................   ...........................................                    10
                                                                                           300x–2(a)(2) .....................            ...........................................                    10
                                                                                           300x–4(b)(3) .....................            ...........................................                    10
                                                                                           300x–6(b) .........................           ...........................................                     7
                                                Recordkeeping—
                                                   42 U.S.C. 300x–23 .....                 42 U.S.C. 300x–3 .............                45 CFR 96.126(c) .............                            60/59                        1                    20            1,200
                                                   42 U.S.C. 300x–25 .....                 ...........................................   45 CFR 96.129(a)(13) ......                                  10                        1                    20              200
                                                   42 U.S.C 300x–65 ......                 ...........................................   42 CFR Part 54 ................                              60                        1                    20            1,200

                                                Combined Burden ..............             ...........................................   ...........................................    ....................   ....................   ....................       42,254
                                                   Report
                                                   300x–52(a)—Report.
                                                   300x–30(b)—Exclusion of Certain Funds (SABG).
                                                   300x–30(d)(2)—Maintenance of Effort (SABG).
                                                   300x–4(b)(3)B—Maintenance of Effort (MHBG).
                                                   State Plan—SABG
                                                   300x–22(b)—Allocations for Women.
                                                   300x–23—Intravenous Substance Abuse.
                                                   300x–24—Requirements Regarding TB and HIV.
                                                   300x–27—Priority in Admissions to Treatment.
                                                   300x–29—Statewide Assessment of Need.
                                                   300x–32(b)—State Plan.
                                                   State Plan—MHBG
                                                   42 U.S.C. 300x–1(b)—Criteria for Plan.
                                                   42 U.S.C. 300x–1(b)(11)—Incidence and prevalence in the state adults with SMI and Children with SED.
                                                   42 U.S.C. 300x–2(a)—Allocations for Systems Integrated Services for Children.
                                                   Waivers—SABG
                                                   300x–24(b)(5)(B)—Rural requirement regarding EIS/HIV.
                                                   300x–28(d)—Additional Agreements.
                                                   300x–30(c)—Maintenance of Effort.
                                                   300x–31(c)—Construction.
                                                   300x–32(c)—Certain Territories.
                                                   300x–32(e)—Waiver amendment for 1922, 1923, 1924 and 1927.
                                                   Waivers—MHBG
                                                   300x–2(a)(2)—Allocations for Systems Integrated Services for Children.
                                                   300x–4(b)(3)—Waiver of Statewide Maintenance of Effort.
                                                   300x–6(b)—Waiver for Certain Territories.
                                                   Recordkeeping
                                                   300x–23—Waiting list.
                                                   300x–25—Revolving loan fund.
                                                   300x–65—Charitable Choice.

                                                                                      TABLE 2—ESTIMATES OF APPLICATION AND REPORTING BURDEN FOR YEAR 2
                                                                                                                                                                                                                Number of              Number of
                                                                                                                                                               Number of respondents                            responses              hours per             Total hours
                                                                                                                                                                                                                 per year              response
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                                                Reporting:
                                                   SABG .........................................................................................       60 ..............................................                       1                  186           11.160
                                                   MHBG ........................................................................................        59 ..............................................                       1                  186           10,974
                                                Recordkeeping .................................................................................         60/59 .........................................                         1                   40            2,360
                                                Combined Burden .............................................................................            ...................................................   ....................   ....................       24,494
                                                   The total annualized burden for the application and reporting is 33,374 hours (42,254 + 24,494 = 66,748/2 years = 33,374).
                                                   Link for the application: http://www.samhsa.gov/grants/block-grants.



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                                                83862                      Federal Register / Vol. 81, No. 225 / Tuesday, November 22, 2016 / Notices

                                                  Send all comments via email to                        through TTY by calling the toll-free                  collection of information; (3) Ways to
                                                blockgrants@samhsa.hhs.gov.                             Federal Relay Service at (800) 877–8339.              enhance the quality, utility, and clarity
                                                Comments should be received by                             Copies of available documents                      of the information to be collected; and
                                                January 23, 2017.                                       submitted to OMB may be obtained                      (4) Ways to minimize the burden of the
                                                Summer King,
                                                                                                        from Ms. Pollard.                                     collection of information on those who
                                                Statistician.                                           SUPPLEMENTARY INFORMATION: This                       are to respond; including through the
                                                                                                        notice informs the public that HUD is                 use of appropriate automated collection
                                                [FR Doc. 2016–28043 Filed 11–21–16; 8:45 am]
                                                                                                        seeking approval from OMB for the                     techniques or other forms of information
                                                BILLING CODE 4162–20–P
                                                                                                        information collection described in                   technology, e.g., permitting electronic
                                                                                                        Section A.                                            submission of responses.
                                                DEPARTMENT OF HOUSING AND                               A. Overview of Information Collection                   HUD encourages interested parties to
                                                URBAN DEVELOPMENT                                                                                             submit comment in response to these
                                                                                                           Title of Information Collection: Home
                                                                                                                                                              questions.
                                                [Docket No. FR–5913–N–33]                               Equity Conversion Mortgage (HECM)
                                                                                                        Insurance Application for the                         C. Authority
                                                60-Day Notice of Proposed Information                   Origination of Reverse Mortgages and
                                                Collection: Home Equity Conversion                      Related Documents.                                      Section 3507 of the Paperwork
                                                Mortgage (HECM) Insurance                                  OMB Approval Number: 2502–0524.                    Reduction Act of 1995, 44 U.S.C.
                                                Application for the Origination of                         Type of Request: Revision.                         Chapter 35.
                                                Reverse Mortgages and Related                              Form Number: HUD–92901, HUD–                         Dated: November 10, 2016.
                                                Documents                                               92902, HUD–92051, HUD–92561, HUD–                     Janet M. Golrick,
                                                                                                        92800.5b, HUD–92900–A, HUD–1,
                                                AGENCY:  Office of the Assistant                        HUD–1Addendum, Fannie Mae                             Associate General Deputy Assistant Secretary
                                                Secretary for Housing-Federal Housing                   (FNMA)–1009, FNMA–1025, FNMA–                         for Housing Associate Deputy Federal
                                                Commissioner, HUD.                                                                                            Housing Commissioner.
                                                                                                        1003, FNMA–1004, FNMA–1004c,
                                                ACTION: Notice.                                                                                               [FR Doc. 2016–28130 Filed 11–21–16; 8:45 am]
                                                                                                        FNMA–1073.
                                                                                                           Description of the need for the                    BILLING CODE 4210–67–P
                                                SUMMARY:   HUD is seeking approval from
                                                                                                        information and proposed use: The
                                                the Office of Management and Budget
                                                                                                        Home Equity Conversion Mortgage
                                                (OMB) for the information collection
                                                                                                        (HECM) program is the Federal Housing
                                                described below. In accordance with the                                                                       DEPARTMENT OF THE INTERIOR
                                                                                                        Administration’s (FHA) reverse
                                                Paperwork Reduction Act, HUD is
                                                                                                        mortgage program that enables seniors
                                                requesting comment from all interested                                                                        Fish and Wildlife Service
                                                                                                        who have equity in their homes to
                                                parties on the proposed collection of
                                                                                                        withdraw a portion of the accumulated
                                                information. The purpose of this notice
                                                                                                        equity. The intent of the HECM Program                [FWS–R2–ES–2016–N189;
                                                is to allow for 60 days of public
                                                                                                        is to ease the financial burden on                    FXES11140200000–178–FF02ENEH00]
                                                comment.
                                                                                                        elderly homeowners facing increased
                                                DATES:   Comments Due Date: January 23,                 health, housing, and subsistence costs at             Receipt of an Incidental Take Permit
                                                2017.                                                   a time of reduced income. The currently               Application To Participate in the
                                                ADDRESSES:    Interested persons are                    approved information collection is                    Amended American Burying Beetle Oil
                                                invited to submit comments regarding                    necessary to screen mortgage insurance                and Gas Industry Conservation Plan in
                                                this proposal. Comments should refer to                 applications in order to protect the FHA              Oklahoma
                                                the proposal by name and/or OMB                         insurance fund and the interests of
                                                Control Number and should be sent to:                   consumers and potential borrowers.                    AGENCY:     Fish and Wildlife Service,
                                                Colette Pollard, Reports Management                        Respondents: 1,603.                                Interior.
                                                Officer, QDAM, Department of Housing                       Estimated Number of Respondents:
                                                and Urban Development, 451 7th Street                   1,603.                                                ACTION: Notice of availability; request
                                                SW., Room 4176, Washington, DC                             Estimated Number of Responses:                     for public comments.
                                                20410–5000; telephone 202–402–3400                      80,000.
                                                (this is not a toll-free number) or email                  Frequency of Response: Occasionally.               SUMMARY:   Under the Endangered
                                                at Colette.Pollard@hud.gov for a copy of                   Average Hours per Response: 3.41.                  Species Act, as amended (Act), we, the
                                                the proposed forms or other available                      Total Estimated Burdens:                           U.S. Fish and Wildlife Service, invite
                                                information. Persons with hearing or                    $11,366,400.                                          the public to comment on an incidental
                                                speech impairments may access this                                                                            take permit application for federally
                                                number through TTY by calling the toll-                 B. Solicitation of Public Comment                     listed American burying beetle (ABB)
                                                free Federal Relay Service at (800) 877–                  This notice is soliciting comments                  take resulting from activities associated
                                                8339.                                                   from members of the public and affected               with oil and gas well field infrastructure
                                                FOR FURTHER INFORMATION CONTACT:                        parties concerning the collection of                  geophysical exploration (seismic) and
                                                Cheryl Walker, Director, Home                           information described in Section A on                 construction, maintenance, operation,
                                                Valuation Policy Division, Department                   the following:                                        repair, and decommissioning in
sradovich on DSK3GMQ082PROD with NOTICES




                                                of Housing and Urban Development,                         (1) Whether the proposed collection                 Oklahoma. If approved, the permit
                                                451-7th Street SW., Washington, DC                      of information is necessary for the                   would be issued under the approved
                                                20410; email Colette Pollard at                         proper performance of the functions of                Amended Oil and Gas Industry
                                                Colette.Pollard@hud.gov or telephone                    the agency, including whether the                     Conservation Plan (ICP)Associated with
                                                202–402–3400. This is not a toll-free                   information will have practical utility;              Issuing Endangered Species Act Section
                                                number. Persons with hearing or speech                  (2) The accuracy of the agency’s                      10(a)(1)(B) American Burying Beetle
                                                impairments may access this number                      estimate of the burden of the proposed                Permits Oklahoma.


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Document Created: 2018-02-14 08:29:09
Document Modified: 2018-02-14 08:29:09
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 83859 

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