Notice2022-00857
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
January 19, 2022
Issuing agencies
Health and Human Services DepartmentSubstance Abuse and Mental Health Services Administration
Full Text
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<title>Federal Register, Volume 87 Issue 12 (Wednesday, January 19, 2022)</title>
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[Federal Register Volume 87, Number 12 (Wednesday, January 19, 2022)]
[Notices]
[Pages 2887-2888]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-00857]
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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: Government Performance and Results Act (GPRA) Client/
Participant Outcomes Measure--(OMB No. 0930-0208)--Revision
SAMHSA is requesting approval to modify its existing CSAT Client-
level GPRA instrument by removing 48 questions and adding 42 questions
for a net decrease of six questions. In revising the CSAT-GPRA tool, we
sought to improve functionality while also eliciting programmatic
information that demonstrates impact at the client level. In this way,
data from the revised GPRA tool can be used to assess resource
allocation and to delineate who we serve, how we serve them, and how
the program impacts clients from entry to discharge. Beyond this, much
of the tool has been restructured to make its administration flow with
greater ease, while also eliciting information that speaks to a
client's experience with substance misuse, the concurrent use of
substances and mental health. This is most apparent in Section B
(Substance Use and Planned Services), where questions have been updated
and restructured to elicit important aspects of a client's use of
substances, namely the frequency of use and combinations of misused
substances. This speaks to an emerging and urgent need to appropriately
manage polysubstance misuse,\1\ and the questions allow for evidence of
change as the tool is readministered at different intervals. These
questions do not rely on ICD-10 codes, so as to create a dialogue
between the client and the individual administering the tool.
Restructuring the tool has also included:
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\1\ Substance Abuse and Mental Health Services Administration
(SAMHSA): Treating Concurrent Substance Use Among Adults. SAMHSA
Publication No. PEP21-06-02-002. Rockville, MD: National Mental
Health and Substance Use Policy Laboratory. Substance Abuse and
Mental Health Services Administration, 2021.
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<bullet> Placing many questions from the general GPRA Tool, that
have previously been viewed as being specific to patient populations or
grants, in the menu items found in Section H. This section allows
Program Officers the opportunity to introduce grant specific questions
as needed;
<bullet> Removing or substantially altering existing questions
viewed as being potentially traumatizing or incentive to clients;
<bullet> Removing questions that have not been used in program
evaluation at the federal level; and
<bullet> Incorporating evidence-based questions from tools such as
the Addiction Severity Index to better address program performance.
Currently, the information collected from this instrument is
entered and stored in SAMHSA's Performance Accountability and Reporting
System, which is a real-time, performance management system that
captures information on the substance abuse treatment and mental health
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 reporting
requirements that quantify the effects and accomplishments of its
discretionary grant programs, which are consistent with OMB guidance.
SAMHSA will use the data for annual reporting required by GPRA and
comparing baseline with discharge and follow-up data. GPRA requires
that
[[Page 2888]]
SAMHSA's fiscal year report include actual results of performance
monitoring for the three preceding fiscal years. The additional
information collected through this process will allow SAMHSA to: (1)
Report results of these performance outcomes; (2) maintain consistency
with SAMHSA-specific performance domains, and (3) assess the
accountability and performance of its discretionary and formula grant
programs.
Table 1--Estimates of Annualized Hour Burden
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Total Burden
SAMHSA tool Number of Responses per number of hours per Total burden Hourly wage Total hour
respondents respondent responses response hours \1\ cost
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Baseline Interview Includes SBIRT Brief TX, Referral 179,668 1 179,668 0.6 107,801 $24.78 $2,671,309
to TX, and Program-specific questions................
Follow-Up Interview with Program-specific questions 143,734 1 143,734 0.6 86,240 24.78 2,137,027
\2\..................................................
Discharge Interview with Program-specific questions 93,427 1 93,427 0.6 56,056 24.78 1,389,068
\3\..................................................
SBIRT Program--Screening Only......................... 594,192 1 594,192 0.13 77,245 24.78 1,914,131
SBIRT Program--Brief Intervention Only Baseline....... 111,411 1 111,411 0.2 22,282 24.78 552,148
SBIRT Program--Brief Intervention Only Follow-Up \2\.. 89,129 1 89,129 0.2 17,826 24.78 441,728
SBIRT Program--Brief Intervention Only Discharge \3\.. 57,934 1 57,934 0.2 11,587 24.78 287,126
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CSAT Total........................................ 1,269,495 ............... 1,269,495 ........... 379,037 ........... 9,392,537
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\1\ The hourly wage estimate is $21.23 based on the Occupational Employment and Wages, Mean Hourly Wage Rate for 21-1011 Substance Abuse and Behavioral
Disorder Counselors = $24.78/hr. as of May 11, 2021. (<a href="http://www.bls.gov/oes/current/oes211011.htm">http://www.bls.gov/oes/current/oes211011.htm</a>. Accessed on May 11, 2021.)
\2\ It is estimated that 80% of baseline clients will complete this interview.
\3\ It is estimated that 52% of baseline clients will complete this interview.
Note: Numbers may not add to the totals due to rounding and some individual participants completing more than one form.
Written comments and recommendations for the proposed information
collection should be sent within 30 days of publication of this notice
to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. Find this particular information
collection by selecting ``Currently under 30-day Review--Open for
Public Comments'' or by using the search function.
Carlos Graham,
Reports Clearance Officer.
[FR Doc. 2022-00857 Filed 1-18-22; 8:45 am]
BILLING CODE 4162-20-P
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