Notice2023-20005
Agency Information Collection Activities 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
September 15, 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 178 (Friday, September 15, 2023)</title>
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[Federal Register Volume 88, Number 178 (Friday, September 15, 2023)]
[Notices]
[Pages 63591-63593]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-20005]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Agency Information Collection Activities 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) 276-0361.
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 through the use of automated collection techniques or other
forms of information technology.
Proposed Project: National Substance Use and Mental Health Services
Survey (N-SUMHSS) (OMB No. 0930-0386)--Revision
Under section 505 of the Public Health Service Act (42 U.S.C.
290aa-4), SAMHSA is required to conduct annual collection of data on
substance use and mental health. Selected information collected from
the N-SUMHSS is also published on SAMHSA's <a href="http://FindTreatment.gov">FindTreatment.gov</a> for
persons seeking treatment for mental and substance use disorders in the
United States. <a href="http://FindTreatment.gov">FindTreatment.gov</a> is authorized by the 21st Century
Cures Act (Pub. L. 114-255, section 9006; 42 U.S.C. 290bb-36d).
In 2021, SAMHSA combined the National Survey of Substance Abuse
Treatment Services (N-SSATS) and the National Mental Health Services
Survey (N-MHSS) into the N-SUMHSS to reduce the burden on facilities
offering both substance use and mental health services, optimize
government resources to collect data, and enhance the quality of data
collected on the treatment facilities.
The N-SUMHSS is the most comprehensive national source of data on
substance use and mental health treatment facilities. On an annual
basis, the N-SUMHSS collects information on the facility location,
characteristics, and utilization of substance use and mental health
treatment services. The survey also collects client counts on
individuals receiving services at these facilities. There is an
increasing need to collect and maintain data on current and accurate
numbers of clients in treatment at the local level for communities to
assess capacity and estimate resource requirements. This information on
substance use and mental health services has assisted with communities
to better respond to life changing events, (i.e., hurricane) and plan
for service demands in the event of a natural disaster (i.e.,
earthquakes).
SAMHSA also maintains the Inventory of Substance Use and Mental
Health Treatment Facilities (I-TF) (previously known as the Inventory
of Behavioral Health Services [I-BHS]). The I-TF is a master list of
all known substance use and mental health treatment facilities in the
United States. It also serves as the universe population for the N-
SUMHSS.
SAMHSA is requesting OMB approval of revisions to the N-SUMHSS and
I-TF related data collections, to include changes to the following
instruments:
N-SUMHSS Questionnaire
<bullet> Q1a: added to clarify if facilities reported providing
mental health treatment services in Q1 also provide substance use
treatment services, to help respondents understand how to respond
accurately and ensure appropriate survey module(s) are completed.
[[Page 63592]]
<bullet> A1a: add the word ``health'' to clarify and improve survey
item accuracy.
<bullet> A8a. and QA9: add ``for opioid use disorder'' and ``for
alcohol use disorder'' in the existing question to clarify clients
using MAT for specific substance use disorder and to improve survey
item accuracy.
<bullet> B7a: add the following new survey response options to the
existing question to improve survey response option comprehensiveness:
[cir] Add ``Prochlorperazine'' to the existing list of first-
generation antipsychotics.
[cir] Add ``Inhalation'' and ``Don't Know'' to the existing route
of administration options for first-generation antipsychotics.
[cir] Add new response options of ``Sublingual,'' ``Transdermal,''
and ``Don't Know'' to the existing route of administration options for
second-generation antipsychotics.
[cir] Add ``Other first-generation antipsychotic #1 Specify, #2
Specify, and #3 Specify'' and ``Other second-generation antipsychotic
#1 Specify, #2 Specify, and #3 Specify'' to the existing list of first-
generation and second-generation antipsychotics.
<bullet> B11: add the word ``currently'' to the question to improve
survey item accuracy. Change the word ``persons'' to ``clients'' to
increase survey item consistency between survey modules.
<bullet> B19: update the full title and add the acronyms ``CSBG''
and ``MHBG'' of the two existing Federal grants to improve survey item
accuracy. Add ``other'' to clarify and help respondents better
comprehend what is being asked.
<bullet> C6a., C7a., C8., C8a: Update the locator reference from
the ``Behavioral Health Treatment Services Locator'' to
<a href="http://FindTreatment.gov">FindTreatment.gov</a> and the reference years associated with reporting
client count data.
N-SUMHSS Between Cycle Questionnaire
Since the Mini N-SUMHSS is a subset of the N-SUMHSS, all proposed
changes to the N-SUMHSS (listed above) apply to the Mini N-SUMHSS.
N-SUMHSS VA Supplement
SAMHSA proposes a new N-SUMHSS VA Supplement to collect information
annually on suicide-related services, standardized suicide screening
and evaluation tools, clients at high risk of suicide, referrals and
follow-ups from VA substance use and mental health facilities. VA
facilities providing only substance use treatment service will answer 7
questions (Attachment C). VA facilities providing only mental health
treatment service will answer 12 questions (Attachment D). VA
facilities providing both substance use and mental health treatment
services will answer 19 questions.
N-SUMHSS EHR Supplement
SAMHSA proposes a new N-SUMHSS EHR Supplement to collect
information once from facilities providing substance use and/or mental
health treatment services on health IT adoption, use, and
interoperability. There are 15 questions in the proposed new N-SUMHSS
EHR Supplement.
I-TF Facility Registration Application Form
<bullet> Update the locator reference to ``<a href="http://FindTreatment.gov">FindTreatment.gov</a>,'' and
the reference years associated with reporting client count data.
<bullet> Replace existing ``substance abuse'' term with a
clinically accurate, non-stigmatizing language for ``substance use,''
throughout the form, to help reduce stigma and support treatment for
substance use disorders. This revision aligns with the current edition
of The Diagnostic and Statistical Manual of Mental Disorders (5th ed.,
American Psychiatric Association, 2013), where ``abuse'' has been
replaced by ``use.'' This revision also aligns with the White House
Office of National Drug Control Policy 2017 Memo on ``Changing Federal
Terminology regarding Substance Use and Substance Use Disorders.
Augmentation Screener Questionnaire
<bullet> Replace existing ``substance abuse'' term with `substance
use.''
<bullet<ls-thn-eq> Update the locator reference to
``<a href="http://FindTreatment.gov">FindTreatment.gov</a>.''
<bullet> Update the reference of ``Mental Health Survey'' and
``Substance Abuse Survey'' to ``N-SUMHSS'' to improve accuracy.
<bullet> Revise the statue citation to be more specific on the
level of protection of the information collected from the Augmentation
Screener Questionnaire.
<bullet> Update the OMB number.
I-TF Online State Add/Update Form
<bullet> Update the reference of I-BHS to I-TF throughout the form.
<bullet> Update the new SAMHSA logo design throughout the form.
<bullet> Replace existing ``substance abuse'' term with ``substance
use.''
<bullet> Add ``Intake 1a and Intake 2a'' fields to the ``Facility
Information'' section and add ``Director's Email'' field to the
``Director Information'' section, to capture more comprehensive
information about the new facilities and facility directors.
<bullet> Move existing data fields ``State Approved,'' ``State
Reviewed,'' ``National Directory Eligible,'' and ``Facility Surveys''
to create a new section ``Directory/Locator Eligibility'' and add a new
``Date Reviewed'' field to improve response efficiency and accuracy.
<bullet> Move existing ``Old-ITF ID'' and add ``Parent I-TF ID'' to
the ``Other Facilities Details'' section to improve response
efficiency.
The estimated annual burden for the N-SUMHSS and I-TF activities is
as follows:
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Hours per
Information collection title Number of Responses per Total response (in Total burden Average hourly Total annual
respondents respondent responses hours) hours wage cost
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N-SUMHSS Questionnaire (either SU or MH) 32,000 1 32,000 0.83 26,560 $48.72 $1,294,003
N-SUMHSS Questionnaire (both SU and MH). 5,000 1 5,000 1.28 6,400 48.72 311,808
N-SUMHSS Between Cycle Questionnaire.... 1,500 1 1,500 0.75 1,125 48.72 54,810
N-SUMHSS VA Supplement.................. 800 1 800 0.05 40 48.72 1,949
N-SUMHSS EHR Supplement *............... 37,000 1 37,000 0.12 4,440 48.72 216,317
I-TF Facility Registration Application 1,500 1 1,500 0.08 120 26.71 3,205
Form...................................
[[Page 63593]]
Augmentation Screener Questionnaire..... 1,300 1 1,300 0.08 104 26.71 2,778
I-TF Online State Add Update Form....... 61 50 3,050 0.08 244 26.71 6,517
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Totals.............................. .............. .............. 82,150 .............. 39,033 .............. 1,891,387
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* The N-SUMHSS EHR Supplement will be administered one time during the three-year period.
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#d093b1a2bcbfa3fe97a2b1b8b1bd90a3b1bdb8a3b1feb8b8a3feb7bfa6"><span class="__cf_email__" data-cfemail="703311021c1f035e37021118111d3003111d1803115e1818035e171f06">[email protected]</span></a>. Written comments should be received by
November 14, 2023.
Alicia Broadus,
Public Health Advisor.
[FR Doc. 2023-20005 Filed 9-14-23; 8:45 am]
BILLING CODE P
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