Notice2024-18253
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
August 15, 2024
Issuing agencies
Health and Human Services DepartmentSubstance Abuse and Mental Health Services Administration
Full Text
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<title>Federal Register, Volume 89 Issue 158 (Thursday, August 15, 2024)</title>
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[Federal Register Volume 89, Number 158 (Thursday, August 15, 2024)]
[Notices]
[Pages 66427-66429]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-18253]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
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, 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 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 through the use of automated collection techniques or other
forms of information technology.
Proposed Project: SAMHSA Certified Community Behavioral Health Clinic--
Expansion (CCBHC-E) Grant Program Evaluation (OMB No. 0930-XXXX)--New
Collection
In FY 2022, SAMHSA awarded two new cohorts of its CCBHC-Expansion
program, one for clinics interested in becoming CCBHCs that need
planning and support to come into compliance with CCBHC Certification
Criteria, and another for established CCBHCs seeking to expand,
improve, and advance their services. The purpose of the CCBHC-E grants
is to address problems of access, coordination, and quality of
behavioral health care by establishing a standard definition and
criteria for organizations certified as CCBHCs to ensure that all
service recipients have access to a common set of comprehensive,
coordinated services, with the ultimate goal of decreasing disparities
in care and outcomes across communities.
SAMHSA is requesting clearance for eleven data collection
instruments and forms related to the implementation and impact studies
to be conducted as part of an evaluation of these cohorts. Data
collected in this evaluation will help SAMHSA assess the degree to
which activities at the clinic level and systems level affect the
development, implementation, and sustainment of CCBHCs consistent with
the certification criteria and the impacts of model adoption on client
outcomes.
1. SAMHSA has developed a grantee web survey that will be
administered twice to all 298 grant project directors, once during a
first option year and again during a third option year. The survey
consists of 76 questions the first time it is administered and 68
questions the second time it is administered. The survey includes
mostly binary or multiple-choice response options and a limited number
of open-ended questions. The survey will enable respondents to complete
the data collection instrument at a location and time of their choice,
and its built-in editing checks and programmed skips will reduce
response errors. SAMHSA estimates the web survey will take no more than
45 minutes to complete and expects a 100 percent response rate, for a
total of 298 completed grantee surveys at each time of administration.
Grantees will provide valuable insights into their experience with the
CCBHC model; if they are not conducted, SAMHSA will not have adequate
information to evaluate the extent to which Planning, Development, and
Implementation (PDI) grantees come into full compliance with the
certification criteria and Improvement and Advancement (IA) grantees
sustain the model in a manner that is consistent with the CCBHC
certification criteria.
2. SAMHSA has developed a protocol for annual interviews with all
26 grantee Government Project Officers (GPOs) during three option
years. Interviews will last approximately one hour and focus on the
types of support grantees need to successfully implement the model in
the future and identify specific components of the certification
criteria that were challenging for grantees to implement. SAMHSA will
offer to conduct individual interviews or meet with groups of GPOs
during regularly scheduled meetings. GPOs will provide valuable
insights into CCBHC model implementation and factors that facilitate or
impede implementation; if they are not conducted, SAMHSA will not glean
essential insights into contextual factors that affect implementation
of the CCBHC model, including adaptations grantees make to the model to
align with their local service delivery system, grantee characteristics
that might contribute to successful implementation, and the types of
support grantees need to successfully implement the model in the future
and the specific components of the certification criteria that were
challenging for grantees to implement.
3. SAMHSA has developed a protocol for interviews with
representatives from 50 organizations that support adults, youth, and
family members with lived experience over the course of the first three
option years. Interviews will last approximately one hour. State
consumer, youth, and family member organizations will provide valuable
insights into their own involvement in the planning and development of
the model in respective states, and the perspectives of adults and
youth who received CCBHC services and their families on various aspects
of the CCBHC model; if they are not conducted, SAMHSA will not
adequately understand how these organizations contributed to the
planning and development of the model, how CCBHCs tailored services to
the diverse needs of communities, and how people with lived experience
might refine the model to fill gaps in care.
4. SAMHSA has developed a protocol for interviews with a sample of
120 grantee project directors during option years 1 and 3 (i.e.,
approximately 60 interviews in each year). Interviews will last
approximately one hour. Grantees will provide valuable insights into
CCBHC model implementation nuances that cannot be captured via the
grantee survey alone; if they are not conducted, SAMHSA will not
adequately understand how grantees initially plan to use funding to
develop or improve CCBHC program-specific activities in response to the
community needs assessment, and successes and challenges expanding
services and increasing access to care, and how they eventually
progress toward meeting the goals of Continuous Quality Improvement
(CQI) efforts and plans for sustainability.
[[Page 66428]]
5. SAMHSA has developed a protocol for interviews with clinic
leadership from a sample of 50 strategically selected grantees for site
visits during the first three option years. Positions of leadership
include project directors, medical directors, and/or quality
improvement directors. Interviews will last approximately one hour.
Clinic leaders will provide valuable insights into understanding their
experiences and perspectives as they implement the CCBHC model; if they
are not conducted, SAMHSA will not adequately understand the more
granular, on-the-ground impacts of model implementation.
6. SAMHSA has developed a protocol for interviews with frontline
clinic staff from a sample of 50 strategically selected grantees for
site visits. Clinic staff positions include mental health and substance
use providers, case managers, and peer mentors/support personnel.
Interviews will last approximately one hour. Clinic staff will provide
valuable insights into understanding their experiences and perspectives
as the site implements the CCBHC model; if they are not conducted,
SAMHSA will not adequately understand the impacts of model
implementation from the perspective of the clinic staff.
7. SAMHSA has developed a protocol for interviews with
representatives of CCBHC partners from a sample of 50 strategically
selected grantees for site visits, including designated collaborating
organizations (DCOs) and Opioid Treatment Programs (OTPs). Interviews
will last approximately one hour. Clinic partner organizations will
provide valuable insights into understanding their experiences and
perspectives; if they are not conducted, SAMHSA will not adequately
understand how partnerships with DCOs and OTPs function, how care is
coordinated between entities, and how CCBHCs maintain clinical
responsibility for DCO services.
8. SAMHSA has developed a protocol for focus groups with people 18
and older who receive CCBHC services from a sample of 50 strategically
selected grantees for site visits. Focus groups will last approximately
one hour and consist of 8-10 adult clients, who will provide valuable
insights into understanding their experience of CCBHC services; if they
are not conducted, SAMHSA will not be able to adequately synthesize and
present similar or different perspectives among diverse stakeholders
from a common clinic.
9. SAMHSA has developed a protocol for focus groups with people
under 18 who receive CCBHC services. Focus groups will last
approximately one hour and consist of 8-10 youth clients, who will
provide valuable insights into understanding their experience of CCBHC
services; if they are not conducted, SAMHSA will not be able to
adequately synthesize and present similar or different perspectives
among diverse stakeholders from a common clinic.
10. SAMHSA has developed a protocol for focus groups with parents
and caregivers of youth who receive CCBHC services. Focus groups will
last approximately one hour and consist of 8-10 parents and caregivers
of youth clients, who will provide valuable insights into understanding
their experience of CCBHC services; if they are not conducted, SAMHSA
will not be able to adequately synthesize and present similar or
different perspectives among diverse stakeholders from a common clinic.
11. SAMHSA has developed a protocol for in-person interviews with a
sample of clients who receive CCBHC services. The interview consists of
33 questions and will take place on no more than three occasions at the
same time as National Outcome Measures (NOMs) data collection.
Interviews will last approximately 15 minutes. If they are not
conducted, the evaluation team will not have adequate information to
evaluate longitudinal changes in client-level outcomes pertaining to
substance use, mental health symptomology and functioning, and
recovery, as these dimensions are not captured in the NOMs data with
sufficient sensitivity to detect change over time. It is essential to
obtain information directly from the clients of CCBHC services to
understand how implementation of the model affects their access to care
and experiences with care.
The estimated response burden is as follows:
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Number Average burden Total Total hour
Type of respondent Number of responses per per response burden Average cost burden
respondents respondent (in hours) hours hourly wage \a\
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Grantee survey................................................... 298 2 0.75 447 $59.07 $26,404.29
GPO interviews................................................... 26 3 1 78 45.85 3,576.30
Consumer & family member organization interviews................. 50 1 1 50 29.14 1,457.00
Grantee phone/virtual interviews................................. 120 1 1 120 59.07 7,088.40
Clinic leadership interviews..................................... \b\ 150 1 1 150 59.07 8,860.50
Clinic staff interviews.......................................... \c\ 250 1 1 250 49.19 12,297.50
Clinic partner interviews........................................ \d\ 150 1 1 150 61.26 9,189.00
Adult client focus groups........................................ \e\ 500 1 1 500 22.26 11,130.00
Youth client focus groups........................................ \f\ 400 1 1 400 N/A N/A
Parents/caregivers of youth clients focus groups................. \g\ 400 1 1 400 22.26 8,904.00
Client interview................................................. 45,700 3 0.25 34,275 22.26 762,961.50
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Total........................................................ \h\ 47,999 .............. .............. 36,820 ........... 851,868.50
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\a\ Total respondent cost is calculated as number of respondents x number of responses per respondent x average burden per response in hours x average
hourly wage.
\b\ 3 respondents per site x 50 site visits = 150 total respondents.
\c\ 5 respondents per site x 50 site visits = 250 total respondents.
\d\ 3 respondents per site x 50 site visits = 150 total respondents.
\e\ 10 respondents per site x 50 site visits = 500 total respondents.
\f\ 8 respondents per site x 50 site visits = 400 total respondents.
\g\ 8 respondents per site x 50 site visits = 400 total respondents.
\h\ Estimated number of total unique respondents; some respondents, such as project directors, will overlap across the data collection activities.
[[Page 66429]]
Send comments to SAMHSA Reports Clearance Officer, Room 15E-57A,
5600 Fishers Lane, Rockville, MD 20857 OR email a copy to
<a href="/cdn-cgi/l/email-protection#4e3d2f23263d2f3e3c2f0e3d2f23263d2f6026263d60292138"><span class="__cf_email__" data-cfemail="7e0d1f13160d1f0e0c1f3e0d1f13160d1f5016160d50191108">[email protected]</span></a>. Written comments should be received by
October 15, 2024.
Alicia Broadus,
Public Health Advisor.
[FR Doc. 2024-18253 Filed 8-14-24; 8:45 am]
BILLING CODE 4162-20-P
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