83 FR 35670 - Agency Information Collection Activities: Proposed Collection; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration Federal Register Volume 83, Issue 145 (July 27, 2018)
Substance Abuse and Mental Health Services Administration
Federal Register Volume 83, Issue 145 (July 27, 2018)
| Page Range | 35670-35672 | |
| FR Document | 2018-16045 |
[Federal Register Volume 83, Number 145 (Friday, July 27, 2018)] [Notices] [Pages 35670-35672] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-16045] ----------------------------------------------------------------------- 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 at (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: National Survey of Substance Abuse Treatment Services (N-SSATS) (OMB No. 0930-0106)--Revision The Substance Abuse and Mental Health Services Administration (SAMHSA) is requesting a revision of the National Survey of Substance Abuse Treatment (N-SSATS) data collection (OMB No. 0930-0106), which expires on December 31, 2018. N-SSATS provides both national and state- level data on the numbers and types of patients treated and the characteristics of facilities providing substance abuse treatment services. It is conducted under the authority of Section 505 of the Public Health Service Act (42 U.S.C. 290aa-4) to meet the specific mandates for annual information about public and private substance abuse treatment providers and the clients they serve. This request includes:Collection of N-SSATS, which is an annual survey of substance abuse treatment facilities; and Updating of the Inventory of Behavioral Health Services (I-BHS) which is the facility universe for the N-SSATS as well as the annual survey of mental health treatment facilities, the National Mental Health Services Survey (N-MHSS). The I-BHS includes all substance abuse treatment and mental health treatment facilities known to SAMHSA. (The N-MHSS data collection is covered under OMB No. 0930- 0119.) The information in I-BHS and N-SSATS is needed to assess the nature and extent of these resources, to identify gaps in services, and to provide a database for treatment referrals. Both I-BHS and N-SSATS are components of the Behavioral Health Services Information System (BHSIS). The request for OMB approval will include a request to update the I-BHS facility listing on a continuous basis and to conduct the N-SSATS and the between cycle N-SSATS (N-SSATS BC) in 2019, 2020, and 2021. The N-SSATS BC is a procedure for collecting services data from newly identified facilities between main cycles of the survey and will be used to improve the listing of treatment facilities in the online Behavioral Health Treatment Services Locator. Planned Changes I-BHS: Only minor form changes corresponding with updated technology are planned. N-SSATS: The N-SSATS with client counts will continue to be conducted in alternate years, as in the past, and the Treatment Locator will be updated monthly. [[Page 35671]] Version A (2019 and 2021) The following items have been added compared to the 2017 N-SSATS: Add questions about: Where clients obtain their medications for opioid use disorder if they originate elsewhere; how facilities treat alcohol use disorder; where clients obtain their medications for alcohol use disorder if they originate elsewhere; whether the facility only treats alcohol use disorder; detoxification from opioids of abuse with lofexidine or clonidine; the percent of clients on MAT for opioid use disorder that receive maintenance services, detoxification, and relapse prevention; testing for metabolic syndrome; drug and alcohol oral fluid testing; professional interventionist/educational consultant; recovery coach; vocational training or educational support; Naloxone and overdose education; ``Outcome follow-up after discharge'' which was moved from another question; medications for HIV treatment; medications for Hepatitis C treatment; the medications lofexidine and clonidine; Hepatitis A and B vaccinations; Buprenorphine (extended- release, injectable, for example, Sublocade[supreg])''; clients with co-occurring pain and substance use; Federally Qualified Health Centers (FQHC); Disulfiram, Naltrexone, or Acamprosate for alcohol use disorder for outpatient, inpatient, and residential. Also, response categories were added to select that services are not provided, and for medication services provided, an ``other'' category was added. The following items have been deleted compared to the 2017 N-SSATS: Questions about religious affiliation, standard operating procedures, outpatient capacity, how (paper/electronic/both) a facility performs selected activities, and the item asking about Access To Recovery (ATR) client payments have been deleted. The following additional changes have been made compared to the 2017 N-SSATS: Removed the asterisk from the question about primary focus of facilities, which means the information will no longer be published on the N-SSATS treatment locator; reorganized the question about services offered; moved the question on types of counseling to the question about services offered; changed the wording from Screening for Hepatitis B and C to Testing for Hepatitis B and C; changed ``Screening for mental health disorders'' to ``Screening for mental disorders''; changed the question about clinical/therapeutic approaches to a ``mark all that apply'' format; changed the wording from ``Computerized substance abuse treatment/telemedicine'' to ``Telemedicine/telehealth''; changed the question wording about the number of outpatient clients so it states, ``As of March 29, 2019, how many active clients were receiving each of the following outpatient substance abuse services at this facility?'' and changed the instructions to state ``An active client is a client who received treatment in March and is still enrolled in treatment on March 29, 2019.''; and changed the question about halfway houses so it states, ``Does this facility operate transitional housing, a halfway house, or a sober home for substance abuse clients at this location, that is, the location listed on the front cover?'' For the question about how facilities treat opioid use disorder, information was added about the question that states, ``For this question, MAT refers to any or all of these medications unless specified.'' Also, category 5 was reworded to say ``This facility administers naltrexone to treat opioid use disorder. Naltrexone use is authorized through any medical staff who have prescribing privileges.'' In addition, a category was added, ``This facility prescribes buprenorphine to treat opioid use disorder. Buprenorphine use is authorized through a DATA 2000 waivered physician, physician assistant, or nurse practitioner.'' Finally, for the last option, the wording was changed to ``This facility is a federally-certified Opioid Treatment Program (OTP). (Most OTPs administer/dispense methadone; some only use buprenorphine.)'' Version B (2020) All changes to the 2019 N-SSATS were made for the 2020 N-SSATS except: Add the question asking if a facility is part of an organization with multiple facilities or sites, and if applicable, the question asking information about the parent site; remove the question about the percent of clients on MAT for opioid use disorder that receive maintenance services, detoxification, and relapse prevention; All of Section B (Reporting Client Counts) has been deleted which includes: How the facility will complete client counts; number of facilities in client counts; names and addresses of additional facilities reported for; number of hospital inpatient client counts by category, by number under age 18, number receiving methadone, buprenorphine, or naltrexone, and number of dedicated beds; number of residential client counts by category, by number under age 18, and number receiving methadone, buprenorphine, or naltrexone, and number of dedicated beds; number of outpatient client counts by category, by number under age 18, and number receiving methadone, buprenorphine, or naltrexone; type of substance abuse problem, percent of co-occurring clients; and 12-month admissions; remove questions about how many hospital inpatients, residential clients, and outpatient clients received Disulfiram, Naltrexone, and Acamprosate for alcohol use disorder; and add several new electronic health record questions. N-SSATS (Between Cycles--BC) The same changes to the 2020 N-SSATS (Version B) are requested for the N-SSATS BC except the electronic health record questions will not be added. Estimated annual burden for the BHSIS activities is shown below: ---------------------------------------------------------------------------------------------------------------- Number of Responses per Total Hours per Total burden Type of respondent and activity respondents respondent responses response hours ---------------------------------------------------------------------------------------------------------------- STATES: I-BHS Online \1\............ 56 75 4,200 0.08 336 ------------------------------------------------------------------------------- State Subtotal.......... 56 .............. 4,200 .............. 336 FACILITIES: I-BHS application \2\....... 800 1 800 0.08 64 Augmentation screener....... 1,300 1 1,300 0.08 104 N-SSATS questionnaire....... 17,000 1 17,000 0.66 11,333 N-SSATS BC.................. 1,000 1 1,000 0.58 580 ------------------------------------------------------------------------------- Facility Subtotal....... 20,100 .............. 20,100 .............. 12,081 ------------------------------------------------------------------------------- [[Page 35672]] Total................... 20,156 .............. 24,300 .............. 12,417 ---------------------------------------------------------------------------------------------------------------- \1\ States use the I-BHS Online system to submit information on newly licensed/approved facilities and on changes in facility name, address, status, etc. \2\ New facilities complete and submit the online I-BHS application form in order to get listed on the Inventory. Send comments to Summer King, SAMHSA Reports Clearance Officer, 5600 Fisher Lane, Room 15E57B, Rockville, MD 20852 OR email a copy at [email protected]. Written comments should be received by September 25, 2018. Summer King, Statistician. [FR Doc. 2018-16045 Filed 7-26-18; 8:45 am] BILLING CODE 4162-20-P
![35670 Federal Register / Vol. 83, No. 145 / Friday, July 27, 2018 / Notices
participate in delivery system reform health care providers using SAMHSA’s with in-person interviews. Results of
efforts in the future. current national surveys, the National this test will not be disseminated or
Collaboration between the Office of Survey of Substance Abuse Treatment used to inform policy, program, or
the National Coordinator for Health Services (N–SSATS) and the National budget decisions. Findings will be
Information Technology (ONC) and Mental Health Services Survey (N– shared between ONC and SAMHSA staff
SAMHSA on this data collection effort MHSS). to decide how the tested questions will
will provide an efficient manner to track The information obtained from these be incorporated in the surveys.
trends in health IT adoption, use, and efforts will be used to develop a new set It is estimated that the total burden for
interoperability among behavioral of questions on the use and this project is 40 hours, based on a
health care providers. In addition, this implementation of EHRs in behavioral maximum of 80 interviews with an
collaboration will contribute to the health facilities for the N–SSATS and average of 30 minutes per interview.
development of strategic efforts to the N–MHSS surveys. Specifically, the
leverage health IT in behavioral health information from the testing will be The request for OMB seeks approval
care settings to provide cost effective, used to reduce respondent burden while to conduct this testing of EHR questions
high quality and patient-centered care. simultaneously improving the quality of during the Fall of 2018 for possible
Results from this testing will allow ONC the data collected in these surveys. implementation starting in 2020.
and SAMHSA to work together to Data from this testing will be The total estimated burden for this
quantitatively assess health IT adoption collected mostly via telephone study is 39.2 hours for the period from
and interoperability among behavioral interviews, and few cases conducted September through December 2018.
Responses
Number of Total number Hours per Total burden
Survey per
respondents of responses response hours
respondent
Interviews ............................................................................. 80 1 80 .50 40
Send comments to Summer King, information shall have practical utility; mental health treatment facilities, the
SAMHSA Reports Clearance Officer, (b) the accuracy of the agency’s estimate National Mental Health Services Survey
5600 Fishers Lane, Room 15E57–B, of the burden of the proposed collection (N–MHSS). The I–BHS includes all
Rockville, MD 20857 OR email a copy of information; (c) ways to enhance the substance abuse treatment and mental
at summer.king@samhsa.hhs.gov. quality, utility, and clarity of the health treatment facilities known to
Written comments should be received information to be collected; and (d) SAMHSA. (The N–MHSS data
by September 25, 2018. ways to minimize the burden of the collection is covered under OMB No.
collection of information on 0930–0119.)
Summer King,
respondents, including through the use
Statistician. of automated collection techniques or The information in I–BHS and N–
[FR Doc. 2018–16046 Filed 7–26–18; 8:45 am] other forms of information technology. SSATS is needed to assess the nature
BILLING CODE 4162–20–P and extent of these resources, to identify
Proposed Project: National Survey of gaps in services, and to provide a
Substance Abuse Treatment Services database for treatment referrals. Both I–
DEPARTMENT OF HEALTH AND (N–SSATS) (OMB No. 0930–0106)— BHS and N–SSATS are components of
HUMAN SERVICES Revision the Behavioral Health Services
The Substance Abuse and Mental Information System (BHSIS).
Substance Abuse and Mental Health Health Services Administration
Services Administration The request for OMB approval will
(SAMHSA) is requesting a revision of include a request to update the I–BHS
Agency Information Collection the National Survey of Substance Abuse facility listing on a continuous basis and
Activities: Proposed Collection; Treatment (N–SSATS) data collection to conduct the N–SSATS and the
Comment Request (OMB No. 0930–0106), which expires
between cycle N–SSATS (N–SSATS BC)
on December 31, 2018. N–SSATS
In compliance with Section in 2019, 2020, and 2021. The N–SSATS
provides both national and state-level
3506(c)(2)(A) of the Paperwork data on the numbers and types of BC is a procedure for collecting services
Reduction Act of 1995 concerning patients treated and the characteristics data from newly identified facilities
opportunity for public comment on of facilities providing substance abuse between main cycles of the survey and
proposed collections of information, the treatment services. It is conducted will be used to improve the listing of
Substance Abuse and Mental Health under the authority of Section 505 of the treatment facilities in the online
Services Administration (SAMHSA) Public Health Service Act (42 U.S.C. Behavioral Health Treatment Services
will publish periodic summaries of 290aa–4) to meet the specific mandates Locator.
proposed projects. To request more for annual information about public and Planned Changes
information on the proposed projects or private substance abuse treatment
to obtain a copy of the information providers and the clients they serve. I–BHS: Only minor form changes
collection plans, call the SAMHSA This request includes: corresponding with updated technology
amozie on DSK3GDR082PROD with NOTICES1
Reports Clearance Officer at (240) 276– • Collection of N–SSATS, which is an are planned.
1243. annual survey of substance abuse
N–SSATS: The N–SSATS with client
Comments are invited on: (a) Whether treatment facilities; and
the proposed collections of information • Updating of the Inventory of counts will continue to be conducted in
are necessary for the proper Behavioral Health Services (I–BHS) alternate years, as in the past, and the
performance of the functions of the which is the facility universe for the N– Treatment Locator will be updated
agency, including whether the SSATS as well as the annual survey of monthly.
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![35672 Federal Register / Vol. 83, No. 145 / Friday, July 27, 2018 / Notices
Responses
Type of respondent Number of Total Hours per Total
per
and activity respondents responses response burden hours
respondent
Total ....................................................................... 20,156 ........................ 24,300 ........................ 12,417
1States use the I–BHS Online system to submit information on newly licensed/approved facilities and on changes in facility name, address,
status, etc.
2 New facilities complete and submit the online I–BHS application form in order to get listed on the Inventory.
Send comments to Summer King, to provide the Advisory Council on substantive comments received were
SAMHSA Reports Clearance Officer, Historic Preservation (ACHP) a incorporated and are reflected in final
5600 Fisher Lane, Room 15E57B, reasonable opportunity to comment amended version (see below).
Rockville, MD 20852 OR email a copy with regard to such undertakings. The The ACHP membership voted
at summer.king@samhsa.hhs.gov. ACHP has issued the regulations that set unanimously to adopt the mentioned
Written comments should be received forth the process through which Federal amendments on July 20, 2018.
by September 25, 2018. agencies comply with these duties. What follows is the text of the
Those regulations are codified under 36 Program Comment, incorporating the
Summer King,
CFR part 800 (Section 106 regulations). adopted amendments:
Statistician. Under Section 800.14(e) of those
[FR Doc. 2018–16045 Filed 7–26–18; 8:45 am] regulations, agencies can request the Program Comment for General Services
BILLING CODE 4162–20–P ACHP to provide a ‘‘Program Comment’’ Administration Repairs and Upgrades
on a particular category of undertakings to Windows, Lighting, Roofing, and
in lieu of conducting individual reviews Heating, Ventilating, and Air-
ADVISORY COUNCIL ON HISTORIC of each individual undertaking under Conditioning (HVAC), as Amended
PRESERVATION such category, as set forth in 36 CFR I. Establishment and Authority: This
800.4 through 800.7. An agency can Program Comment was issued by the
Notice of Amendments to the Program meet its Section 106 responsibilities
Comment for the U.S. General Services Advisory Council on Historic
with regard to the effects of particular Preservation (ACHP) as ‘‘Program
Administration on Select Envelope and aspects of those undertakings by taking
Infrastructure Repairs and Upgrades to Comment for General Services
into account an applicable Program Administration Repairs and Upgrades to
Historic Public Buildings Comment and following the steps set Windows, Lighting, Roofing, and
AGENCY: Advisory Council on Historic forth in that comment. Heating, Ventilating, and Air-
Preservation. On August 7, 2009, the ACHP issued Conditioning (HVAC)’’ on August 7,
ACTION: Notice.
such a Program Comment, for use by the 2009, pursuant to 36 CFR 800.14(e). It
General Services Administration (GSA), provides the General Services
SUMMARY: The Advisory Council on regarding repairs and upgrades to Administration (GSA) with an
Historic Preservation (ACHP) has windows, lighting, roofing, and heating, alternative way to comply with its
approved amendments to the Program ventilating, and air conditioning. Under responsibilities under Section 106 of the
Comment for the U.S. General Services the Program Comment, such repairs are National Historic Preservation Act, 54
Administration (GSA) that sets forth the undertaken using GSA’s Technical U.S.C. 306108, and its implementing
way in which GSA complies with Preservation Guidelines (https:// regulations, 36 CFR part 800 (Section
Section 106 of the National Historic www.gsa.gov/node/80914), and are 106), with regard to the effects of repairs
Preservation Act for select repairs and limited to those that do not adversely and upgrades to windows, lighting,
upgrades to windows, lighting, roofing, affect the qualities that qualify a subject roofing, and heating, ventilating and air
and heating, ventilating, and air historic building for listing in the conditioning (HVAC) systems (Repairs/
conditioning (HVAC) systems within National Register of Historic Places. Upgrades) that follow the appended
historic public buildings. The That Program Comment was set to GSA Technical Preservation Guidelines
amendments extend the life of the expire on August 1, 2018. Earlier this (Guidelines). The appended Guidelines
Program Comment through August 1, year, GSA requested the ACHP to have been reviewed by the National
2033, and update its reporting extend its term for fifteen (15) years, Park Service, which confirms that they
requirements. until August 1, 2033, and to de-couple are in keeping with the Secretary of the
DATES: The amendments took effect on
its reporting requirements from those Interior’s Standards on Rehabilitation.
July 27, 2018. that occur under Section 3 of Executive This Program Comment was amended in
Order 13287. July 2018 to, among other things, extend
ADDRESSES: Address any questions
In late May 2018, after GSA requested
concerning the amendments to Kirsten its duration to August 1, 2033.
consideration of such amendments, the
Kulis, Office of Federal Agency ACHP held a conference call with the II. Applicability to General Services
Programs, Advisory Council on Historic National Conference of State Historic Administration: Only GSA may use this
Preservation, 401 F Street NW, Suite Preservation Officers and the National Program Comment.
308, Washington, DC 20001. Park Service (Technical Preservation III. Date of Effect: This Program
FOR FURTHER INFORMATION CONTACT: Services). In late June 2018, ACHP Comment went into effect on August 7,
amozie on DSK3GDR082PROD with NOTICES1
Kirsten Kulis, (202) 517–0217, kkulis@ emailed its members and other 2009 and was amended in July 2018.
achp.gov. stakeholders requesting comments. IV. Use of This Program Comment To
SUPPLEMENTARY INFORMATION: Section Perhaps given the limited nature of the Comply With Section 106 Regarding the
106 of the National Historic Program Comment itself and the Effects of the Repairs and Upgrades:
Preservation Act requires federal straightforwardness of the proposed (1) GSA may comply with Section 106
agencies to consider the effects of their amendments, ACHP did not receive any regarding the effects of Repairs/
undertakings on historic properties and substantive comments. The non- Upgrades on historic properties by:
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Document Created: 2018-07-27 04:04:42
Document Modified: 2018-07-27 04:04:42
| 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 | 83 FR 35670 |
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