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)

[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]


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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:

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                                     Number of    Responses  per       Total         Hours per     Total  burden
Type of respondent  and activity    respondents     respondent       responses       response          hours
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STATES:
    I-BHS Online \1\............              56              75           4,200            0.08             336
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        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
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        Facility Subtotal.......          20,100  ..............          20,100  ..............          12,081
                                 -------------------------------------------------------------------------------

[[Page 35672]]

 
        Total...................          20,156  ..............          24,300  ..............          12,417
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\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