Notice2023-08337
Agency Information Collection Activities: Proposed Collection; 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
April 20, 2023
Issuing agencies
Health and Human Services DepartmentSubstance Abuse and Mental Health Services Administration
Full Text
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<title>Federal Register, Volume 88 Issue 76 (Thursday, April 20, 2023)</title>
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[Federal Register Volume 88, Number 76 (Thursday, April 20, 2023)]
[Notices]
[Pages 24432-24435]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-08337]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration (SAMHSA)
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, SAMHSA will publish periodic summaries of
proposed projects. To request more information on the
[[Page 24433]]
proposed projects or to obtain a copy of the information collection
plans, call the SAMHSA Reports Clearance Officer on (240) 276-0361.
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 leveraging automated data collection techniques or other
forms of information technology.
Proposed Project: Community Mental Health Services Block Grant and
Substance Use Prevention, Treatment, and Recovery Services (SUPTRS BG)
FY 2024-2025 Plan and Report Guidance and Instructions (OMB No. 0930-
0168)
SAMHSA is requesting approval from the Office of Management and
Budget (OMB) of the 2024-2025 Community Mental Health Services Block
Grant (MHBG) and Substance Use Prevention, Treatment, and Recovery
Services (SUPTRS BG) (formally known as Substance Abuse Prevention and
Treatment Block Grant (SABG)) Application Plan and Report Guidance and
Instructions.
Currently, the SUPTRS BG and the MHBG differ on a number of their
practices (e.g., data collection at individual or aggregate levels) and
statutory authorities (e.g., method of calculating MOE, stakeholder
input requirements for planning, set asides for specific populations or
programs, etc.). Historically, the Centers within SAMHSA that
administer these block grants have had different approaches to
application requirements and reporting. To compound this variation,
states have different structures for accepting, planning, and
accounting for the block grants and the prevention set aside within the
SUPTRS BG. As a result, how these dollars are spent and what is known
about the services and clients that receive these funds varies by block
grant and by state.
SAMHSA has conveyed that block grant funds must be directed toward
four purposes: (1) to fund priority treatment and support services for
individuals without insurance or who cycle in and out of health
insurance coverage; (2) to fund those priority treatment and support
services not covered by Medicaid, Medicare, or private insurance
offered through the exchanges and that demonstrate success in improving
outcomes and/or supporting recovery; (3) to fund universal, selective
and targeted prevention activities and services; and (4) to collect
performance and outcome data to determine the ongoing effectiveness of
behavioral health prevention, treatment and recovery support services
and to plan the implementation of new services on a nationwide basis.
SAMHSA's five priorities (Preventing Overdose; Enhancing Access to
Suicide Prevention and Crisis Care; Promoting Resilience and Emotional
Health for Children, Youth and Families; Integrating Behavioral and
Physical Health Care; and Strengthening the Behavioral Health
Workforce) are highlighted and states are encouraged to incorporate
them into their systems improvement efforts.
States will need help to meet future challenges associated with,
the implementation and management of an integrated physical health,
mental health, and addiction service system. SAMHSA has established
standards and expectations that will lead to an improved system of care
for individuals with or at risk of mental and substance use disorders.
Therefore, this application package continues to fully exercise
SAMHSA's existing authority regarding states', territories' and the Red
Lake Band of Chippewa Indians (subsequently referred to as ``states'')
use of block grant funds as they fully integrate behavioral health
services into the broader health care continuum.
Consistent with previous applications, the FY 2024-2025 application
has required sections and other sections where additional information
is requested. The FY 2024-2025 application requires states to submit a
face sheet, a table of contents, a behavioral health assessment and
plan, reports of expenditures and persons served, an executive summary,
and funding agreements and certifications. In addition, SAMHSA is
requesting information on key areas that are critical to the states'
success in addressing health care equity. Therefore, as part of this
block grant planning process, states should identify promising or
effective strategies as well as technical assistance needed to
implement the strategies identified in their plans for FYs 2024 and
2025.
Pursuant to the mandates and supplemental funding appropriations
for the MHBG and the SUPTRS BG found in the Consolidated Appropriations
Act, 2023, Consolidated Appropriations Act, 2021 [Pub. L. 116-260] and
the American Rescue Plan Act, 2021 [Pub. L. 117-2], SAMHSA has made
changes to the Block Grant Plan and Report requirements for FFY 2024
and 2025. These changes are necessary to ensure that funds are spent in
an appropriate and timely manner. Adjustments were made to pre-existing
tables in the plan and report.
On the SUPTRS BG narrative portion of the Block Grant Plan document
major changes include the removal of words and terms with negative
connotations and addition of those that are more appropriate. Examples
include changing the word ``abuse'' to ``use'' and ``Medication
Assisted Treatment'' to ``Medication for Opioid Use Disorder''
throughout the document. Language is included regarding the promotion
of recovery for those who are in recovery, or who are receiving
recovery support services, but who may not have participated in
treatment in any fashion. The section regarding the Consolidated
Appropriations Act (COVID-19) has been removed as it is no longer
applicable after FY 2023. Additionally, there is a new narrative
section outlining the concept of health equity and how Single State
Authorities can work within their states to promote equitable promotion
and use of resources. A new section on Harm Reduction efforts was added
to illustrate that this work will be instrumental in SUD Prevention and
Treatment moving forward. The SUPTRS BG MOE requirements, Women's MOE
requirements, Tuberculosis screening requirements, and restrictions on
funding sections have been revamped for a better understanding of
program requirements.
For the planning tables, changes were made to tables 10, 14, and a
slight change to table 15. Updated information regarding the requesting
of waivers under table 10, section 11 was added to reflect relevant
sections of the PHS Act. Considerable updates to the narrative in
question 14 regarding Medication for Opioid Use disorder reflect not
only the new change in terminology but advances in the field. Lastly,
table 15 ``Crisis Services'' has been listed as requested for future
SUPTRS BG applications.
On the MHBG report there are changes with the addition of two new
tables to the population and service indicators (tables 8c and 8d) and
one new table to the performance indicators and accomplishments section
(table 19d). In addition, original MHBG table 19 has been relabeled
19a, 19a has been relabeled 19c, 20 has been relabeled 19b. All MHBG
tables which collect gender, sexual orientation, and race
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information have been updated. In addition, MHBG tables have been
updated to make age groups consistent across all applicable MHBG
tables. The additional tables should not require excessive effort as
all data will already be collected by the states for the additional
funding efforts.
Similarly, modifications to SUPTRS BG reports were made to allow
for the accurate capture of information for the FY 2024/FY 2025
reporting period and SUPTRS BG priorities. A new table, 10b, was added
to assess the number of persons served by SUPTRS BG funds who receive
recovery support services. The table also captures client
characteristics, specifically age and gender. Although SUPTRS BG
reporting will allow for applicable grantees to continue to report data
on COVID-19 expenditures and persons served using those funds,
reporting requirements were streamlined with the elimination of table
2b. Additionally, table 3c was added to capture SUPTRS BG expenditures
on Narcan and Fentanyl Test Strips. Report tables were also modified.
Table 2 was modified to include a recovery support activity as required
under the Consolidated Appropriations Act, 2023. Modifications to table
12 were also made to request the number of persons at risk for HIV/AIDS
that were referred for PrEP services. Lastly, minor modifications were
made to prior tables to clarify information previously requested. For
example, tables 11a and 11b, were modified to ensure that age, race,
gender identity, and sexual orientation categories are consistent
between SUPTRS BG and MHBG.
While the statutory deadlines and block grant award periods remain
unchanged, SAMHSA encourages states to turn in their application as
early as possible to allow for a full discussion and review by SAMHSA.
Applications for the MHBG-only are due no later than September 1, 2023.
The application for SUPTRS BG-only is due no later than October 1,
2023. A single application for MHBG and SUPTRS BG combined is due no
later than September 1, 2023.
Estimates of Annualized Hour Burden
The estimated annualized burden for the uniform application will
increase to 33,493 hours to account for recording of the additional
supplemental funding efforts (approximately 2 hours per state agency).
Burden estimates are broken out in the following tables showing burden
separately for Year 1 and Year 2. Year 1 includes the estimates of
burden for the uniform application and annual reporting. Year 2
includes the estimates of burden for the recordkeeping and annual
reporting. The reporting burden remains constant for both years.
Table 1--Estimates of Application and Reporting Burden for Year 1
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Substance use prevention, treatment, and recovery services and community mental health services block grants
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Number of Number of
Authorizing Authorizing Implementing Number of responses hours per Total hours
legislation legislation MHBG regulation respondents per year response
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Reporting.................... Standard Form and
Content.
42 U.S.C. 300x-32(a)
Annual Report....... .................... .................... .............. ........... ............ 11,190
42 U.S.C. 300x-52(a) .................... 45 CFR 96.122(f).... 60 1 ............ ............
42 U.S.C. 300x-30-b. .................... .................... 5 1 ............ ............
42 U.S.C. 300x- .................... 45 CFR 96.134(d).... 60 1 ............ ............
30(d)(2).
MHBG......................... Annual Report....... .................... .................... .............. ........... ............ 11,003
42 U.S.C. 300x-6(a). .................... 59 1 ............ ............
42 U.S.C. 300x-52(a) .................... .............. ........... ............ ............
42 U.S.C. 300x- .................... 59 1 ............ ............
4(b)(3)B.
State Plan (Covers 2
years).
SUPTRS BG elements........... 42 U.S.C. 300x-22(b) .................... 45 CFR 96.124(c)(1). 60 1 ............ ............
42 U.S.C. 300x-23... .................... 45 CFR 96.126(f).... 60 1 ............ ............
42 U.S.C. 300x-27... .................... 45 CFR 96.131(f).... 60 1 ............ ............
42 U.S.C. 300x-32(b) .................... 45 CFR 96.122(g).... 60 1 120 7,230
MHBG elements................ 42 U.S.C. 300x-1(b). .................... 59 1 120 7,109
42 U.S.C. 300x- .................... 59 1 ............ ............
1(b)(2).
42 U.S.C. 300x-2(a). .................... 59 1 ............ ............
Waivers............. .................... .................... .............. ........... ............ 3,240
42 U.S.C. 300x- .................... .................... 20 1 ............ ............
24(b)(5)(B).
42 U.S.C. 300x-28(d) .................... 45 CFR 96.132(d).... 5 1 ............ ............
42 U.S.C. 300x-30(c) .................... 45 CFR 96.134(b).... 10 1 ............ ............
42 U.S.C. 300x-31(c) .................... .................... 1 1 ............ ............
42 U.S.C. 300x-32(c) .................... .................... 7 1 ............ ............
42 U.S.C. 300x-32(e) .................... .................... 10 ........... ............ ............
42 U.S.C. 300x- .................... 10 ........... ............ ............
2(a)(2).
42 U.S.C. 300x- .................... 10 ........... ............ ............
4(b)(3).
42 U.S.C. 300x-6(b). .................... 7 ........... ............ ............
Recordkeeping................ 42 U.S.C. 300x-23... 42 U.S.C. 300x-3.... 45 CFR 96.126(c).... 60/59 1 20 1,200
42 U.S.C. 300x-25... .................... 45 CFR 96.129(a)(13) 10 1 20 200
42 U.S.C. 300x-65... .................... 42 CFR Part 54...... 60 1 20 1,200
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Combined Burden.......... .................... .................... .................... .............. ........... ............ 42,373
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Report.
300x-52(a)--Requirement of Reports and Audits by States--Report.
300x-30(b)--Maintenance of Effort (MOE) Regarding State Expenditures--Exclusion of Certain Funds (SUBG).
300x-30(d)(2)--MOE--Noncompliance--Submission of Information to Secretary (SUBG).
State Plan--SUBG.
300x-22(b)--Allocations for Women.
300x-23--Intravenous Substance Abuse.
300x-27--Priority in Admissions to Treatment.
300x-29--Statewide Assessment of Need.
300x-32(b)--State Plan.
[[Page 24435]]
State Plan--MHBG.
42 U.S.C. 300x-1(b)--Criteria for Plan.
42 U.S.C. 300x-1(b)(2)--State Plan for Comprehensive Community Mental Health Services for Certain Individuals--Criteria for Plan--Mental Health System
Data and Epidemiology.
42 U.S.C. 300x-2(a)--Certain Agreements--Allocations for Systems Integrated Services for Children.
Waivers--SUBG.
300x-24(b)(5)(B)--Human Immunodeficiency Virus--Requirement regarding Rural Areas.
300x-28(d)--Additional Agreements.
300x-30(c)--MOE.
300x-31(c)--Restrictions on Expenditure of Grant--Waiver Regarding Construction of Facilities.
300x-32(c)--Certain Territories.
300x-32(e)--Waiver amendment for 1922, 1923, 1924 and 1927.
Waivers--MHBG.
300x-2(a)(2)--Allocations for Systems Integrated Services for Children.
300x-6(b)--Waiver for Certain Territories.
Recordkeeping.
300x-23--Waiting list.
300x-25--Group Homes for Persons in Recovery from Substance Use Disorders.
300x-65--Charitable Choice.
Table 2--Estimates of Application and Reporting Burden for Year 2
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Number of Number of
Number of responses per hours per Total hours
respondents year response
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Reporting:
SUBG............................................ 60 1 187 11,220
MHBG............................................ 59 1 187 11,033
Recordkeeping................................... 60/59 1 40 2,360
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Combined Burden............................. .............. .............. .............. 24,613
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The total annualized burden for the application and reporting is 33,493 hours (42,373 + 24,613 = 66,986/2 years
= 33,493).
Link for the application: <a href="http://www.samhsa.gov/grants/block-grants">http://www.samhsa.gov/grants/block-grants</a>.
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 information collection
by selecting ``Currently under 30-day Review--Open for Public
Comments'' or by using the search function.
Alicia Broadus,
Public Health Advisor.
[FR Doc. 2023-08337 Filed 4-19-23; 8:45 am]
BILLING CODE 4162-20-P
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</html>Indexed from Federal Register on April 20, 2023.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.