Notice2021-16406
Agency Information Collection Activities: Submission for OMB Review; Comment Request
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
August 2, 2021
Issuing agencies
Health and Human Services DepartmentSubstance Abuse and Mental Health Services Administration
Full Text
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<title>Federal Register, Volume 86 Issue 145 (Monday, August 2, 2021)</title>
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[Federal Register Volume 86, Number 145 (Monday, August 2, 2021)]
[Notices]
[Pages 41492-41493]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2021-16406]
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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) 276-0361.
Project: Revision of Mental Health Client/Participant Outcome Measures
and Infrastructure, Prevention, and Mental Health Promotion Indicators
(OMB No. 0930-0285)
SAMHSA is requesting approval for revisions to the previously
approved instruments and data collection activities for the Government
Performance and Results Act (GPRA) Center Mental Health Services (CMHS)
(OMB No. 0930-0285) that expires on February 28, 2022.
[[Page 41493]]
To be fully accountable for the spending of federal funds, SAMHSA
requires all programs to collect and report data to ensure that program
goals and objectives are met. Data is collected and used to monitor and
improve performance of each program and ensure appropriate and
thoughtful spending of federal funds.
SAMHSA requests the following revisions to the National Outcome
Measures (NOMS) Mental Health Client/Participant Outcome measures: (1)
Merge the CMHS NOMS Child Client-level Measures for Discretionary
Programs data collection instrument with the current CMHS NOMS Adult
Client-level Measures for Discretionary Programs data collection
instrument; (2) delete questions for data not being utilized for
program monitoring and quality improvement; (3) reduce grantee burden
by shifting questions for a five-point psychometric response scale to
``Yes'', ``No'', ``No response'', or ``Not applicable'' responses; (4)
modify IDC-10 diagnoses to expand the F40-48, F60-63, and F90-99 codes
to allow for more specificity. Also, add ICD-10 ``Z'' codes to allow
for a focus on social determinants of health that may affect the
diagnosis, course, prognosis, or treatment of a client/consumer mental
disorder; (6) shift reporting NOMS data to baseline assessment, 3-month
or 6-month reassessment, and a final clinical discharge assessment; (7)
reduce the number of physical health indictors and reporting frequency
from quarterly to three points in time (baseline, 3- or 6-month
reassessment, clinical discharge) to further reduce grantee burden.
SAMHSA also requests the following revisions to the Infrastructure,
Prevention, and Mental Health Promotion indicators: (1) Delete ten
indicators not used by any SAMSHA programs (A3, A6, F1, F2, F3, O2, T4,
WD1, WD3, and WD4); (2) revise two indicators to provide more clarity
(A1 and A5); and (3) add ten indicators to reflect program developments
during the past three years (R2, S2, S3, T5, T6, T7, T8, TR2, TR3, and
TR4).
These changes will lessen grantee burden with data collection and
improve capacity to report qualitative performance and quantitative
outcomes for all discretionary grant programs, including: Demographic
characteristics of clients served; clinical characteristics of clients
served before, during, and after receipt of services; numbers of
clients served; and characteristics of services and activities provided
to clients.
Currently, the information collected from this instrument is
entered and stored on SAMHSA's Performance Accountability and Reporting
System (SPARS), which is a real-time, performance management system
that captures information on mental health and substance abuse
treatment services delivered in the United States. Continued approval
of this information collection will allow SAMHSA to continue to meet
Government Performance and Results Modernization Act of 2010 (GPRMA)
reporting requirements that quantify the effects and accomplishments of
its discretionary grant programs, which are consistent with OMB
guidance.
SAMHSA will use the data collected for annual reporting required by
GPRMA, to describe and understand changes in outcomes from baseline to
follow-up to discharge. SAMHSA and its Centers will use the data for
annual reporting comparing baseline with discharge and follow-up data.
SAMHSA's report for each fiscal year will include actual results of
performance monitoring for the three preceding fiscal years.
Information collected through this request will allow SAMHSA to report
on the results of these performance outcomes as well as be consistent
with SAMHSA-specific performance domains, and to assess the
accountability and performance of its discretionary and formula grant
programs. The additional information collected through this request
will allow SAMHSA to improve its ability to assess the impact of its
programs on key outcomes of interest and to gather vital diagnostic
information about clients served by discretionary grant programs.
The requested changes will result in a reduction of total burden
hours. Currently, there are 104,168 total burden hours in the OMB-
approved inventory. SAMHSA is requesting a reduction to 68,673 hours or
an estimated decrease of 35,494 burden hours. The proposed estimate of
time to collect data and complete the instruments is shown in Table 1.
Table 1--Estimates of Annualized Hour Burden
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Number of Responses per Total Hours per Total hour
SAMHSA tool respondents respondent responses response burden
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Client-level baseline interview 40,280 1 40,280 0.33 30,901
Client-level 3- or 6-month 40,280 1 40,280 0.33 30,901
reassessment interview........
Client-level clinical discharge 6,668 1 6,668 0.33 2,200
interview.....................
Section H Physical Health Data 39,231 1 39,231 .10 3,923
Baseline......................
Section H Program Specific 14,800 2 29,600 .08 2,368
Data: Baseline, 3- or 6-month
reassessment, and clinical
discharge.....................
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Subtotal................... 141,259 ............... 154,059 .............. 68,673
Infrastructure development, 942 4 3,768 2.0 7,536
prevention, and mental health
promotion quarterly record
abstraction...................
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Total...................... 142,201 ............... 157,827 .............. 104,168
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Send comments to Carlos Graham, SAMHSA Reports Clearance Officer,
5600 Fisher Lane, Room 15E57A, Rockville, MD 20852 OR email him a copy
at <a href="/cdn-cgi/l/email-protection#d2b1b3a0bebda1fcb5a0b3bab3bf92a1b3bfbaa1b3fcbabaa1fcb5bda4"><span class="__cf_email__" data-cfemail="1a797b68767569347d687b727b775a697b7772697b34727269347d756c">[email protected]</span></a>. Written comments should be received by
October 1, 2021.
Carlos Graham,
Social Science Analyst.
[FR Doc. 2021-16406 Filed 7-30-21; 8:45 am]
BILLING CODE 4162-20-P
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