82 FR 12979 - 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 82, Issue 44 (March 8, 2017)
Substance Abuse and Mental Health Services Administration
Federal Register Volume 82, Issue 44 (March 8, 2017)
| Page Range | 12979-12981 | |
| FR Document | 2017-04488 |
[Federal Register Volume 82, Number 44 (Wednesday, March 8, 2017)] [Notices] [Pages 12979-12981] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-04488] ----------------------------------------------------------------------- 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: Children's Mental Health Initiative National Evaluation--NEW The Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Mental Health Services (CMHS) is requesting approval from the Office of Management and Budget (OMB) for the new collection of data for the Children's Mental Health Initiative (CMHI) National Evaluation. Evaluation Plan and Data Collection Activities. The purpose of the Children's Mental Health Initiative (CMHI) National Evaluation is to assess the success of the CMHI grants in expanding and sustaining the reach of SOC values, principles, and practices. These include maximizing system-level coordination and planning, offering a comprehensive array of services, and prioritizing family and youth involvement. In order to obtain a clear picture of CMHI grant activities, this longitudinal, multi-level evaluation will measure activities and performance of grantees essential to building and sustaining effective Systems of Care (SOC)'s. Data collection activities will occur through four evaluation components. Each component includes data collection activities and analyses involving similar topics. Each component has one or more instruments that will be used to address various aspects. The four components with their corresponding data collection activities are as follows: (1) The Implementation Assessment is designed using a strategic framework that provides five analytic dimensions: (1) Policies, (2) services/supports, (3) financing, (4) training/workforce, and (5) strategic communications. These dimensions cut across the State System, Local System and Service Delivery levels and together link to a range of proximal and distal outcomes. The evaluation will identify and assess the mechanisms and strategies employed to implement and expand systems of care, and explore the impact on system performance and child and family outcomes. Evaluation activities are framed by the five strategic areas to examine whether specific mechanisms and strategies lead to proximal and distal outcomes. System of care principles are woven throughout the framework at both the State and Local levels. Data collection activities include: (A) Key Partner Interviews with high- level administrators, youth and family representatives, and child agencies to organize qualitative data collection into these five areas and to allow within and across grantee evaluation of the implementation and impact of activities in these areas; and (B) the System of Care Expansion and Sustainability Survey (SOCESS), a self-report survey administered to representatives from grantee organizations, family and youth organizations, child-serving sectors, advocacy organizations for diverse populations, provider organizations, and financial officers, among others. The SOCESS is designed to capture self-report implementation data in the five analytic dimensions adopted by the 2015 CMHI National Evaluation. (2) The Network and Geographic Analysis Component will use Network Analysis Surveys to determine the depth and breadth of the SOC collaboration across agencies and organization. Geographic Information Systems (GIS) will measure the geographic coverage and spread of the SOC, including reaching underserved areas and populations. At the child/youth and family level, Census block groups (derived from home addresses) will be used to depict the geographic spread of populations served by SOCs. (3) The Financial Component involves the review of implementation grantees' progress in developing financial sustainability and expansion plans. The Financial Mapping Interview and Financing Plan Survey and Interviews will be conducted with financial administrators of Medicaid Agencies, Mental Health Authorities, mental health provider trade associations, and family organizations. The Financial Plan Interview will focus on how the financial planning process supported or hindered attainment of sustainable financing. The Benchmarking Analysis will compare relative rates of access, utilization, and costs for children's mental health services using the Benchmarking Tool and administrative data requested from financial administrators and personnel working with Medicaid Agency and Mental Health Authority reporting and payment systems. (4) The Child and Family Outcome Component will collect longitudinal data on child clinical and functional outcomes, family outcomes, and child and family background. Data will be collected at intake, 6-months, and 12-months post service entry (as long as the child/youth is still receiving services). Data will also be collected at discharge if the child/youth leaves services before the 12-month data collection point. Data will be collected using the following scales for youth age five and older: (A) a shortened version of the Caregiver Strain Questionnaire, (B) the Columbia Impairment Scale, (C) the Pediatric Symptom Checklist-17, and (D) background information gathered through SAMHSA National Outcomes Measures (NOMS). Data for youth age 0-4 will be collected using the: (A) Baby Pediatric Symptom Checklist; (B) Brief [[Page 12980]] Infant and Toddler Emotional Assessment; (C) Pre-School Pediatric Symptom Checklist and (D) background information from the NOMS. Estimated Burden. Data will be collected from 69 grantee sites. Data collection for this evaluation will be conducted over a 4-year period. The average annual respondent burden estimate reflects the average number of respondents in each respondent category, the average number of responses per respondent per year, the average length of time it will take to complete each response, and the total average annual burden for each category of respondent for all categories of respondents combined. Table 1 shows the estimated annual burden estimate by instrument and respondent. Burden is summarized in Table 2. Table 1--Estimated Annual Burden ---------------------------------------------------------------------------------------------------------------- Total Instrument/data collection Number of Responses Total Hours per annual activity Respondent respondents per number of response burden respondent responses hours ---------------------------------------------------------------------------------------------------------------- Implementation Assessment ---------------------------------------------------------------------------------------------------------------- Key Partner Interviews........ Project Director. 84 2 168 1.5 252 Family 54 2 108 1.5 162 Organization Representative Youth 54 2 108 1.5 162 Organization Representative MH Agency 54 2 108 1.5 162 Director Core Agency 162 2 324 0.75 243 Partners \b\ Quality Monitor 54 2 108 0.33 36 SOCESS........................ Project Director. 84 4 336 0.5 168 Family 108 4 432 0.5 216 Organization Representative Youth 108 4 432 0.5 216 Organization Representative Core Agency 432 4 1,728 0.5 864 Partners Practitioners 690 4 2,760 0.5 1,380 ---------------------------------------------------------------------------------------------------------------- Network Analysis Survey ---------------------------------------------------------------------------------------------------------------- Network Analysis Survey....... Key Agency 690 2 1,380 0.5 690 Partners. ---------------------------------------------------------------------------------------------------------------- Financial Mapping and Benchmark Components ---------------------------------------------------------------------------------------------------------------- Financial Mapping Interview... Financial 108 2 216 0.75 162 administrators at: Medicaid Agencies & MH Authorities. Financial 108 2 216 0.5 108 administrators at: Trade associations & Family organizations Tribal Financial 9 2 18 0.75 14 Administrators Benchmark Tool................ Payment personnel 12 2 24 40 960 at Medicaid Agencies & MH Authorities. Financial Plan Interviews..... Financial 54 3 162 0.6 97 Planning Directors. ---------------------------------------------------------------------------------------------------------------- Child and Family Outcome Component ---------------------------------------------------------------------------------------------------------------- Administrative Measures....... Caregivers of 4,136 1 4,136 0.05 207 clients age 0-17 \c\. Clients age 11-26 1,685 1 1,685 0.05 84 Client Functioning............ Caregivers of 4,136 3 12,408 0.15 1,861 clients age 0-17 \c\. Clients age 11-26 970 3 2,910 0.15 437 \d\ Caregiver Strain Questionnaire Caregivers of 4,136 3 12,408 0.15 1,861 clients age 0-17 \c\. Columbia Impairment Scale..... Caregivers of 2,859 3 8,577 0.08 686 clients age 5-17 \e\. Clients age 11-26 2,655 3 7,965 0.08 637 \d\ Pediatric Symptom Checklist-17 Caregivers of 2,859 3 8,577 0.05 429 clients age 5-17 \e\. Clients age 11-26 2,655 3 7,965 0.05 398 \d\ ---------------------------------------------------------------------------------------------------------------- New Tools in 2015 ---------------------------------------------------------------------------------------------------------------- Brief Infant and Toddler Caregivers of 1,277 3 3,831 0.08 306 Emotional Assessment (BITSEA). children and youth 0 to 5 years of age \f\. Baby Pediatric Symptom Caregivers of 638 3 1,914 0.05 96 Checklist (BPSC). children and youth for ages 1 month to 18 months \f\. Preschool Pediatric Symptom Caregivers of 639 3 1,917 0.05 96 Checklist (PPSC). children and youth for ages 18 months to 66 months \f\. -------------------------------------------------------------- Total Annual Burden: All....................... All \g\.......... 12,107 ........... 36,354 .......... 12,990 ---------------------------------------------------------------------------------------------------------------- \a\ Based on the average hourly wages for Community and Social Service Specialists, All Other (21-1099; $22.47) and Social Workers (21-1020; $29.83) from the May 2015 National Industry-Specific Occupational Employment and Wage Estimates, 621330--Offices of Mental Health Practitioners; the Federal minimum wage of $7.25; and an estimated average hourly wage of $11.60 for a family of four living 25% below poverty level. \b\ Core agency partners include (1) representatives from MH, child welfare, and juvenile justice and (2) CMHI quality monitors. \c\ Assumes 81% of clients will be age 0 to 17. \d\ Assumes 52% of clients will be age 11 to 26. \e\ Assumes 56% of clients will be age 5 to 17. \f\ Assumes 25% of clients will be age 0 to 5, with 12.5% of clients age 0 to 2.5, and 12.5% age 2.6 to 5). \g\ Sums shown indicate unduplicated respondents and responses per respondent. [[Page 12981]] Table 2--Total Estimated Annual Burden ---------------------------------------------------------------------------------------------------------------- Number of Total number Average annual Instrument/data collection activity respondents of responses burden (hours) ---------------------------------------------------------------------------------------------------------------- Key Partner Interview........................................... 462 924 339 SOCESS.......................................................... 1,422 5,688 948 Network Analysis Survey......................................... 690 1,380 230 Financial Mapping Interview..................................... 225 450 95 Benchmark Tool.................................................. 12 24 320 Financial Planning.............................................. 54 162 32 Child and family instruments.................................... 9,242 27,726 2,366 ----------------------------------------------- Total....................................................... 12,107 36,354 4,330 ---------------------------------------------------------------------------------------------------------------- Written comments and recommendations concerning the proposed information collection should be sent by April 7, 2017 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 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. 2017-04488 Filed 3-7-17; 8:45 am] BILLING CODE 4162-20-P
![Federal Register / Vol. 82, No. 44 / Wednesday, March 8, 2017 / Notices 12979
Number of Responses/ Total burden
Purpose of submission Burden hours
respondents respondent hours
Notification of Intent for Qualifying Other Practitioner to Use Schedule III,
IV, or V Opioid Drugs for the Maintenance and Detoxification Treatment
of Opiate Addiction by a ‘‘Qualifying Other Practitioner’’ under 21 USC
§ 823(g)(2)—Physician Assistants ............................................................... 590 1 .066 39
Total .......................................................................................................... 1,406 ........................ ........................ 93
Send comments to Summer King, grantees essential to building and Analysis Surveys to determine the depth
SAMHSA Reports Clearance Officer, sustaining effective Systems of Care and breadth of the SOC collaboration
5600 Fishers Lane, Room 15E57–B, (SOC)’s. across agencies and organization.
Rockville, Maryland 20857, OR email a Data collection activities will occur Geographic Information Systems (GIS)
copy to summer.king@samhsa.hhs.gov. through four evaluation components. will measure the geographic coverage
Written comments should be received Each component includes data and spread of the SOC, including
by May 8, 2017. collection activities and analyses reaching underserved areas and
involving similar topics. Each populations. At the child/youth and
Summer King, component has one or more instruments family level, Census block groups
Statistician. that will be used to address various (derived from home addresses) will be
[FR Doc. 2017–04499 Filed 3–7–17; 8:45 am] aspects. The four components with their used to depict the geographic spread of
BILLING CODE 4162–20–P corresponding data collection activities populations served by SOCs.
are as follows: (3) The Financial Component involves
(1) The Implementation Assessment is the review of implementation grantees’
DEPARTMENT OF HEALTH AND designed using a strategic framework progress in developing financial
HUMAN SERVICES that provides five analytic dimensions: sustainability and expansion plans. The
(1) Policies, (2) services/supports, (3) Financial Mapping Interview and
Substance Abuse and Mental Health financing, (4) training/workforce, and Financing Plan Survey and Interviews
Services Administration (5) strategic communications. These will be conducted with financial
Agency Information Collection dimensions cut across the State System, administrators of Medicaid Agencies,
Activities: Submission for OMB Local System and Service Delivery Mental Health Authorities, mental
Review; Comment Request levels and together link to a range of health provider trade associations, and
proximal and distal outcomes. The family organizations. The Financial Plan
Periodically, the Substance Abuse and evaluation will identify and assess the Interview will focus on how the
Mental Health Services Administration mechanisms and strategies employed to financial planning process supported or
(SAMHSA) will publish a summary of implement and expand systems of care, hindered attainment of sustainable
information collection requests under and explore the impact on system financing. The Benchmarking Analysis
OMB review, in compliance with the performance and child and family will compare relative rates of access,
Paperwork Reduction Act (44 U.S.C. outcomes. Evaluation activities are utilization, and costs for children’s
Chapter 35). To request a copy of these framed by the five strategic areas to mental health services using the
documents, call the SAMHSA Reports examine whether specific mechanisms Benchmarking Tool and administrative
Clearance Officer on (240) 276–1243. and strategies lead to proximal and data requested from financial
distal outcomes. System of care administrators and personnel working
Project: Children’s Mental Health
principles are woven throughout the with Medicaid Agency and Mental
Initiative National Evaluation—NEW
framework at both the State and Local Health Authority reporting and payment
The Substance Abuse and Mental levels. Data collection activities include: systems.
Health Services Administration (A) Key Partner Interviews with high- (4) The Child and Family Outcome
(SAMHSA), Center for Mental Health level administrators, youth and family Component will collect longitudinal
Services (CMHS) is requesting approval representatives, and child agencies to data on child clinical and functional
from the Office of Management and organize qualitative data collection into outcomes, family outcomes, and child
Budget (OMB) for the new collection of these five areas and to allow within and and family background. Data will be
data for the Children’s Mental Health across grantee evaluation of the collected at intake, 6-months, and 12-
Initiative (CMHI) National Evaluation. implementation and impact of activities months post service entry (as long as the
Evaluation Plan and Data Collection in these areas; and (B) the System of child/youth is still receiving services).
Activities. The purpose of the Children’s Care Expansion and Sustainability Data will also be collected at discharge
Mental Health Initiative (CMHI) Survey (SOCESS), a self-report survey if the child/youth leaves services before
National Evaluation is to assess the administered to representatives from the 12-month data collection point. Data
success of the CMHI grants in grantee organizations, family and youth will be collected using the following
expanding and sustaining the reach of organizations, child-serving sectors, scales for youth age five and older: (A)
SOC values, principles, and practices. advocacy organizations for diverse a shortened version of the Caregiver
These include maximizing system-level populations, provider organizations, Strain Questionnaire, (B) the Columbia
mstockstill on DSK3G9T082PROD with NOTICES
coordination and planning, offering a and financial officers, among others. Impairment Scale, (C) the Pediatric
comprehensive array of services, and The SOCESS is designed to capture self- Symptom Checklist-17, and (D)
prioritizing family and youth report implementation data in the five background information gathered
involvement. In order to obtain a clear analytic dimensions adopted by the through SAMHSA National Outcomes
picture of CMHI grant activities, this 2015 CMHI National Evaluation. Measures (NOMS). Data for youth age 0–
longitudinal, multi-level evaluation will (2) The Network and Geographic 4 will be collected using the: (A) Baby
measure activities and performance of Analysis Component will use Network Pediatric Symptom Checklist; (B) Brief
VerDate Sep<11>2014 17:34 Mar 07, 2017 Jkt 241001 PO 00000 Frm 00055 Fmt 4703 Sfmt 4703 E:\FR\FM\08MRN1.SGM 08MRN1](https://thefederalregister.org/doc/82_FR_13023/page/1.svg)
![Federal Register / Vol. 82, No. 44 / Wednesday, March 8, 2017 / Notices 12981
TABLE 2—TOTAL ESTIMATED ANNUAL BURDEN
Average
Total
Number of annual
Instrument/data collection activity number of
respondents burden
responses (hours)
Key Partner Interview .................................................................................................................. 462 924 339
SOCESS ...................................................................................................................................... 1,422 5,688 948
Network Analysis Survey ............................................................................................................. 690 1,380 230
Financial Mapping Interview ........................................................................................................ 225 450 95
Benchmark Tool ........................................................................................................................... 12 24 320
Financial Planning ....................................................................................................................... 54 162 32
Child and family instruments ....................................................................................................... 9,242 27,726 2,366
Total ...................................................................................................................................... 12,107 36,354 4,330
Written comments and (SAMHSA) will publish a summary of In addition, data from Part I of the
recommendations concerning the information collection requests under web-based form can be compiled into
proposed information collection should OMB review, in compliance with the reports on decision results and the use
be sent by April 7, 2017 to the SAMHSA Paperwork Reduction Act (44 U.S.C. of SOAR core components, such as the
Desk Officer at the Office of Information Chapter 35). To request a copy of these SSA–1696 Appointment of
and Regulatory Affairs, Office of documents, call the SAMHSA Reports Representative, which allows SSA to
Management and Budget (OMB). To Clearance Officer on (240) 276–1243. communicate directly with the case
ensure timely receipt of comments, and manager assisting with the application.
Project: SAMHSA SOAR Web-Based
to avoid potential delays in OMB’s These reports will be reviewed by
Data Form (OMB No. 0930–0329)—
receipt and processing of mail sent
REVISION agency directors, SOAR state-level
through the U.S. Postal Service,
In 2009 the Substance Abuse and leads, and the national SOAR Technical
commenters are encouraged to submit
their comments to OMB via email to: Mental Health Services Administration Assistance Center to quantify the
OIRA_Submission@omb.eop.gov. (SAMHSA) of the U.S. Department of success of the effort overall and to
Although commenters are encouraged to Health and Human Services created a identify areas where additional
send their comments via email, Technical Assistance Center to assist in technical assistance is needed. There are
commenters may also fax their the implementation of the SSI/SSDI no proposed changes to Part I of this
comments to: 202–395–7285. Outreach Access and Recovery (SOAR) form.
Commenters may also mail them to: effort in all states. The primary objective The proposed additions to create a
Office of Management and Budget, of SOAR is to improve the allowance new Part II of this form include
Office of Information and Regulatory rate for Social Security Administration qualitative (open-ended) questions on
Affairs, New Executive Office Building, (SSA) disability benefits for people who
annual SOAR accomplishments,
Room 10102, Washington, DC 20503. are experiencing or at risk of
identified challenges and collaborations.
homelessness, and who have serious
Summer King, mental illnesses. There are 8 new questions that represent
Statistician. During the SOAR training, the new initiatives, challenges, funding
[FR Doc. 2017–04488 Filed 3–7–17; 8:45 am] importance of keeping track of SSI/SSDI sources, steering committees and
BILLING CODE 4162–20–P applications through the process is training. There is also an additional
stressed. In response to requests from open-ended question on collaborations
states implementing SOAR, the with 8 potentially applicable areas (e.g.
DEPARTMENT OF HEALTH AND Technical Assistance Center under Veterans, justice-involved persons,
HUMAN SERVICES SAMHSA’s direction developed a web- hospitals) that could require a response.
based data form that case managers can The addition of Part II is for annual
Substance Abuse and Mental Health use to track the progress of submitted reporting by state and local leads only.
Services Administration applications, including decisions The estimated response burden is as
received from SSA either on initial
Agency Information Collection follows:
application or on appeal. This
Activities: Submission for OMB
password-protected web-based data
Review; Comment Request
form is hosted on the SOAR Web site
Periodically, the Substance Abuse and (https://soartrack.prainc.com). Use of
Mental Health Services Administration this form is completely voluntary.
Responses Total
Number of Total Hours per Total hour Hourly
Form name per hour cost
respondents responses response burden wage cost
respondent ($)
mstockstill on DSK3G9T082PROD with NOTICES
SOAR Data Form (Part I) .......................... 700 3 2,100 .25 525 $20 $10,500
Annual Report Questions (Part II) ............. 75 1 75 1 37.50 20 750
Total .................................................... 775 .................... 2,175 .................... 562.50 .................. 11,250
VerDate Sep<11>2014 17:34 Mar 07, 2017 Jkt 241001 PO 00000 Frm 00057 Fmt 4703 Sfmt 4703 E:\FR\FM\08MRN1.SGM 08MRN1](https://thefederalregister.org/doc/82_FR_13023/page/3.svg)
Document Created: 2017-03-08 05:07:06
Document Modified: 2017-03-08 05:07:06
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| FR Citation | 82 FR 12979 |
2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR