83 FR 49403 - 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 83, Issue 190 (October 1, 2018)
Substance Abuse and Mental Health Services Administration
Federal Register Volume 83, Issue 190 (October 1, 2018)
| Page Range | 49403-49404 | |
| FR Document | 2018-21253 |
[Federal Register Volume 83, Number 190 (Monday, October 1, 2018)] [Notices] [Pages 49403-49404] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-21253] ----------------------------------------------------------------------- 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: 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. 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. [[Page 49404]] 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 ------------------------------------------------------------------------------- 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. Written comments and recommendations concerning the proposed information collection should be sent by October 31, 2018 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. 2018-21253 Filed 9-28-18; 8:45 am] BILLING CODE 4162-20-P
![Federal Register / Vol. 83, No. 190 / Monday, October 1, 2018 / Notices 49403
III. Electronic Access substance abuse treatment and mental Qualified Health Centers (FQHC);
Persons with access to the internet health treatment facilities known to Disulfiram, Naltrexone, or Acamprosate
may obtain the draft guidance at https:// SAMHSA. (The N–MHSS data for alcohol use disorder for outpatient,
www.regulations.gov, http:// collection is covered under OMB No. inpatient, and residential. Also,
www.fda.gov/Drugs/Guidance 0930–0119.) response categories were added to select
ComplianceRegulatoryInformation/ The information in I–BHS and that services are not provided, and for
Guidances/default.htm, or http:// N–SSATS is needed to assess the nature medication services provided, an
www.fda.gov/BiologicsBloodVaccines/ and extent of these resources, to identify ‘‘other’’ category was added.
GuidanceComplianceRegulatory gaps in services, and to provide a The following items have been
Information/Guidances/default.htm. database for treatment referrals. Both deleted compared to the 2017
I–BHS and N–SSATS are components of N–SSATS: Questions about religious
Dated: September 25, 2018. the Behavioral Health Services affiliation, standard operating
Leslie Kux, Information System (BHSIS). procedures, outpatient capacity, how
Associate Commissioner for Policy. The request for OMB approval will (paper/electronic/both) a facility
[FR Doc. 2018–21314 Filed 9–28–18; 8:45 am] include a request to update the I–BHS performs selected activities, and the
BILLING CODE 4164–01–P facility listing on a continuous basis and item asking about Access To Recovery
to conduct the N–SSATS and the (ATR) client payments have been
between cycle N–SSATS (N–SSATS BC) deleted.
DEPARTMENT OF HEALTH AND in 2019, 2020, and 2021. The N–SSATS The following additional changes
HUMAN SERVICES BC is a procedure for collecting services have been made compared to the 2017
data from newly identified facilities N–SSATS: Removed the asterisk from
Substance Abuse and Mental Health between main cycles of the survey and the question about primary focus of
Services Administration will be used to improve the listing of facilities, which means the information
treatment facilities in the online will no longer be published on the
Agency Information Collection N–SSATS treatment locator; reorganized
Behavioral Health Treatment Services
Activities: Submission for OMB the question about services offered;
Locator.
Review; Comment Request moved the question on types of
Planned Changes counseling to the question about
Periodically, the Substance Abuse and
Mental Health Services Administration I–BHS: Only minor form changes services offered; changed the wording
(SAMHSA) will publish a summary of corresponding with updated technology from Screening for Hepatitis B and C to
information collection requests under are planned. Testing for Hepatitis B and C; changed
OMB review, in compliance with the N–SSATS: The N–SSATS with client ‘‘Screening for mental health disorders’’
Paperwork Reduction Act (44 U.S.C. counts will continue to be conducted in to ‘‘Screening for mental disorders’’;
Chapter 35). To request a copy of these alternate years, as in the past, and the changed the question about clinical/
documents, call the SAMHSA Reports Treatment Locator will be updated therapeutic approaches to a ‘‘mark all
Clearance Officer on (240) 276–1243. monthly. that apply’’ format; changed the
Version A (2019 and 2021) wording from ‘‘Computerized substance
Project: National Survey of Substance abuse treatment/telemedicine’’ to
Abuse Treatment Services (N–SSATS) The following items have been added ‘‘Telemedicine/telehealth’’; changed the
(OMB No. 0930–0106)—Revision compared to the 2017 N–SSATS: Add question wording about the number of
The Substance Abuse and Mental questions about: Where clients obtain outpatient clients so it states, ‘‘As of
Health Services Administration their medications for opioid use March 29, 2019, how many active
(SAMHSA) is requesting a revision of disorder if they originate elsewhere; clients were receiving each of the
the National Survey of Substance Abuse how facilities treat alcohol use disorder; following outpatient substance abuse
Treatment (N–SSATS) data collection where clients obtain their medications services at this facility?’’ and changed
(OMB No. 0930–0106), which expires for alcohol use disorder if they originate the instructions to state ‘‘An active
on December 31, 2018. N–SSATS elsewhere; whether the facility only client is a client who received treatment
provides both national and state-level treats alcohol use disorder; in March and is still enrolled in
data on the numbers and types of detoxification from opioids of abuse treatment on March 29, 2019.’’; and
patients treated and the characteristics with lofexidine or clonidine; the percent changed the question about halfway
of facilities providing substance abuse of clients on MAT for opioid use houses so it states, ‘‘Does this facility
treatment services. It is conducted disorder that receive maintenance operate transitional housing, a halfway
under the authority of Section 505 of the services, detoxification, and relapse house, or a sober home for substance
Public Health Service Act (42 U.S.C. prevention; testing for metabolic abuse clients at this location, that is, the
290aa-4) to meet the specific mandates syndrome; drug and alcohol oral fluid location listed on the front cover?’’
for annual information about public and testing; professional interventionist/ For the question about how facilities
private substance abuse treatment educational consultant; recovery coach; treat opioid use disorder, information
providers and the clients they serve. vocational training or educational was added about the question that
This request includes: support; Naloxone and overdose states, ‘‘For this question, MAT refers to
• Collection of N–SSATS, which is an education; ‘‘Outcome follow-up after any or all of these medications unless
annual survey of substance abuse discharge’’ which was moved from specified.’’ Also, category 5 was
treatment facilities; and another question; medications for HIV reworded to say ‘‘This facility
amozie on DSK3GDR082PROD with NOTICES
• Updating of the Inventory of treatment; medications for Hepatitis C administers naltrexone to treat opioid
Behavioral Health Services (I–BHS) treatment; the medications lofexidine use disorder. Naltrexone use is
which is the facility universe for the and clonidine; Hepatitis A and B authorized through any medical staff
N–SSATS as well as the annual survey vaccinations; Buprenorphine (extended- who have prescribing privileges.’’ In
of mental health treatment facilities, the release, injectable, for example, addition, a category was added, ‘‘This
National Mental Health Services Survey Sublocade®)’’; clients with co-occurring facility prescribes buprenorphine to
(N–MHSS). The I–BHS includes all pain and substance use; Federally treat opioid use disorder.
VerDate Sep<11>2014 17:50 Sep 28, 2018 Jkt 247001 PO 00000 Frm 00051 Fmt 4703 Sfmt 4703 E:\FR\FM\01OCN1.SGM 01OCN1](https://thefederalregister.org/doc/83_FR_49593/page/1.svg)
![49404 Federal Register / Vol. 83, No. 190 / Monday, October 1, 2018 / Notices
Buprenorphine use is authorized of clients on MAT for opioid use by category, by number under age 18,
through a DATA 2000 waivered disorder that receive maintenance and number receiving methadone,
physician, physician assistant, or nurse services, detoxification, and relapse buprenorphine, or naltrexone; type of
practitioner.’’ Finally, for the last prevention; All of Section B (Reporting substance abuse problem, percent of co-
option, the wording was changed to Client Counts) has been deleted which occurring clients; and 12-month
‘‘This facility is a federally-certified includes: How the facility will complete admissions; remove questions about
Opioid Treatment Program (OTP). (Most client counts; number of facilities in how many hospital inpatients,
OTPs administer/dispense methadone; client counts; names and addresses of residential clients, and outpatient
some only use buprenorphine.)’’ additional facilities reported for; clients received Disulfiram, Naltrexone,
number of hospital inpatient client and Acamprosate for alcohol use
Version B (2020)
counts by category, by number under disorder; and add several new electronic
All changes to the 2019 N–SSATS age 18, number receiving methadone, health record questions.
were made for the 2020 N–SSATS buprenorphine, or naltrexone, and
N–SSATS (Between Cycles—BC)
except: Add the question asking if a number of dedicated beds; number of
facility is part of an organization with residential client counts by category, by The same changes to the 2020
multiple facilities or sites, and if number under age 18, and number N–SSATS (Version B) are requested for
applicable, the question asking receiving methadone, buprenorphine, or the N–SSATS BC except the electronic
information about the parent site; naltrexone, and number of dedicated health record questions will not be
remove the question about the percent beds; number of outpatient client counts added.
ESTIMATED ANNUAL BURDEN FOR THE BHSIS ACTIVITIES IS SHOWN BELOW
Responses
Number of Total Hours per Total burden
Type of respondent and activity per
respondents responses response hours
respondent
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
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.
Written comments and Affairs, New Executive Office Building, Project: Testing of Electronic Health
recommendations concerning the Room 10102, Washington, DC 20503. Records Questions for the National
proposed information collection should Survey of Substance Abuse Treatment
Summer King,
be sent by October 31, 2018 to the Services (N–SSATS) and the National
Statistician.
SAMHSA Desk Officer at the Office of Mental Health Services Survey (N–
[FR Doc. 2018–21253 Filed 9–28–18; 8:45 am] MHSS)—NEW
Information and Regulatory Affairs,
BILLING CODE 4162–20–P
Office of Management and Budget The Substance Abuse and Mental
(OMB). To ensure timely receipt of Health Services Administration
comments, and to avoid potential delays DEPARTMENT OF HEALTH AND (SAMHSA), Center for Behavioral
in OMB’s receipt and processing of mail HUMAN SERVICES Health Statistics and Quality (CBHSQ),
sent through the U.S. Postal Service, is requesting approval for conducting
commenters are encouraged to submit Substance Abuse and Mental Health cognitive testing on the use of electronic
their comments to OMB via email to: Services Administration health records (EHRs) by substance
OIRA_Submission@omb.eop.gov. abuse and mental health treatment
Although commenters are encouraged to Agency Information Collection facilities in the United States. The final
send their comments via email, Activities: Submission for OMB goal of this cognitive testing is to
commenters may also fax their Review; Comment Request incorporate questions on electronic
comments to: 202–395–7285. Periodically, the Substance Abuse and health records to SAMHSA’s National
Commenters may also mail them to: Mental Health Services Administration Survey of Substance Abuse Treatment
amozie on DSK3GDR082PROD with NOTICES
Office of Management and Budget, (SAMHSA) will publish a summary of Services (N–SSATS) and the National
Office of Information and Regulatory information collection requests under Mental Health Services Survey (N–
OMB review, in compliance with the MHSS).
Paperwork Reduction Act (44 U.S.C. Currently, there is a lack of national
Chapter 35). To request a copy of these level data that exists on behavioral
documents, call the SAMHSA Reports health care providers’ progress toward
Clearance Officer on (240) 276–1243. interoperability. The National Council
VerDate Sep<11>2014 17:50 Sep 28, 2018 Jkt 247001 PO 00000 Frm 00052 Fmt 4703 Sfmt 4703 E:\FR\FM\01OCN1.SGM 01OCN1](https://thefederalregister.org/doc/83_FR_49593/page/2.svg)
Document Created: 2018-09-29 04:25:52
Document Modified: 2018-09-29 04:25:52
| 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 49403 |
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