Notice2024-27294
Agency Information Collection Activities: Proposed Collection; Comment Request
Primary source
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Published
November 21, 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 225 (Thursday, November 21, 2024)</title>
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[Federal Register Volume 89, Number 225 (Thursday, November 21, 2024)]
[Notices]
[Pages 92133-92137]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-27294]
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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 the 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: Minority AIDS Initiative: Substance Use Disorder
Prevention and Treatment Pilot Program (MAI PT Pilot) Data Collection
Instruments
The Substance Abuse and Mental Health Services Administration's
(SAMHSA) Center for Substance Abuse Prevention (CSAP) and Center for
Substance Abuse Treatment (CSAT) are requesting approval from the
Office of Management and Budget (OMB) to monitor the Minority AIDS
Initiative: Substance Use Disorder Prevention and Treatment Pilot
Program (MAI PT Pilot)
[[Page 92134]]
through administration of a suite of data collection instruments for
grant compliance and programmatic performance monitoring. This package
describes the data collection activities and proposed instruments. Two
instruments will facilitate grant compliance monitoring, and the third
instrument is designed for program performance monitoring.
<bullet> The MAI PT Pilot--Organizational Readiness Assessment
(MAI-ORA) is a one-time self-assessment tool intended to guide MAI PT
Pilot grant recipients to objectively assess their capacity to provide
substance use prevention, substance use disorder or co-occurring mental
health disorder treatment, and HIV, viral hepatitis, and sexually
transmitted infection prevention, screening, testing, and referral
services for racial and ethnic individuals vulnerable to these
conditions. Results from the MAI-ORA will allow SAMHSA to determine
grantee readiness and capacity to implement their grant program, so
that SAMHSA can provide additional support, as needed, to ensure grant
compliance.
<bullet> The MAI PT Pilot--Programmatic Progress Report (MAI-PPR)
is a template that grantees will use to report annual progress and will
be used to monitor grant compliance.
<bullet> The MAI PT Pilot--Online Reporting Tool (MAI-PORT) will be
used to conduct programmatic performance monitoring. The MAI-PORT is
comprised of two main sections: (1) Annual Targets Report section for
MAI PT Pilot grant recipients to report annual federal fiscal year
programmatic goals, and (2) Quarterly Performance Report for grantees
to report grant activities implemented during each federal fiscal
quarter. In developing the MAI-PORT Annual Targets Report and the
Quarterly Performance Report, CSAP/CSAT sought the ability to elicit
programmatic information that demonstrates impact at the program
aggregate level.
Data collected through the MAI-PORT are necessary to ensure SAMHSA
and grantees comply with requirements under the Government Performance
and Results Act Modernization Act of 2010 (GPRA) that requires regular
reporting of performance measures. Additionally, data collected through
these tools will provide critical information to SAMHSA's Government
Project Officers (GPOs) related to grant oversight, including barriers
and facilitators that the grantees have experienced, and an
understanding of the technical assistance needed to help grantees
implement their programs. The information also provides a mechanism to
ensure grantees are meeting the requirements of the grant funding
announcement as outlined in their notice of grant award. In addition,
the tools reflect CSAP's and CSAT's desire to elicit pertinent program
level data that can be used not only to guide future programs and
practices, but also to respond to stakeholder, congressional and agency
inquiries.
Background and Purpose
According to the Centers for Disease Control and Prevention (CDC),
the spread of HIV in the United States is mainly through anal or
vaginal sex or by sharing drug-use equipment. Although these risk
factors are the same for everyone, due to a range of social, economic,
and demographic factors, such as stigma, discrimination, income,
education, and geographic region, some racial and ethnic groups are
more affected than others. In 2021, CDC reported that although Black/
African Americans represented 13 percent of the US population, they
accounted for 42 percent (15,305) of the 36,801 new HIV diagnoses;
Latino/Hispanic people represent 18.7 percent of the US population but
accounted for 29 percent (10,494) of HIV diagnoses (CDC, 2024; United
States Census Bureau, 2024).<SUP>1 2</SUP> Between 2017 and 2021,
American Indian/Alaska Native (AI/AN), Native Hawaiian and other
Pacific Islander populations were the only demographic groups
identified by the CDC with an increase in HIV diagnoses in the United
States (CDC, 2024).\3\ Of the 31,800 new HIV infections in 2022, CDC
reports that 71% (22,500) were among gay and bisexual men.\4\
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\1\ 2020 Census Illuminates Racial and Ethnic Composition of the
Country.
\2\ HIV Diagnoses.
\3\ HIV in the United States by Race/Ethnicity: HIV Diagnoses.
\4\ Fast Facts: HIV and Gay and Bisexual Men.
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Viral hepatitis also impacts some racial and ethnic groups
disproportionally. In 2020, non-Hispanic blacks were 1.4 times as
likely to die from viral hepatitis, as compared to non-Hispanic whites
(Office of Minority Health, 2022). Non-Hispanic blacks were almost
twice as likely to die from hepatitis C as compared to the white
population, and while having comparable case rates for hepatitis B in
2020, non-Hispanic blacks were 2.5 times more likely to die from
hepatitis B than non-Hispanic whites (Office of Minority Health, 2022).
Additionally, the percentage of people aged 12 or older with past year
substance use disorder (SUD) differed by race and ethnicity with the
highest rates among American Indian/Alaska Native populations (24.0
percent), followed by Black, non-Hispanic populations (18.4 percent)
(SAMHSA, 2023).\5\
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\5\ Substance Abuse and Mental Health Services Administration.
(2023). Strategic Plan: Fiscal Year 2023-2026. Publication No.
PEP23-06-00-002. National Mental Health and Substance Use Policy
Laboratory. <a href="https://www.samhsa.gov/sites/default/files/samhsa-strategic-plan.pdf">https://www.samhsa.gov/sites/default/files/samhsa-strategic-plan.pdf</a>.
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The data clearly show the disproportionate burden faced by minority
racial and ethnic groups and that these three issues should not be
regarded as separate diseases acting independently, rather as a
syndemic. To address this, SAMHSA is taking a syndemic approach to HIV,
viral hepatitis, and substance use disorder through the MAI PT Pilot
program. The purpose of this program is to provide substance use
prevention, SUD treatment, HIV, and viral hepatitis prevention and
treatment services for racial and ethnic medically underserved
individuals vulnerable to a SUD and/or mental health condition, HIV,
viral hepatitis, and other infectious disease (e.g., sexually
transmitted infection (STI)). The populations of focus for this program
are individuals who are particularly vulnerable to or living with HIV/
AIDS, including an emphasis on gay, bisexual, and other men who have
sex with men, men who have sex with men and women (MSMW), Black,
Latino, and AI/AN men who have sex with men (MSM), Asian and Pacific
Islander, Black women, transgender men and women, youth aged 13-24
years, and People who Inject Drugs (PWID).
SAMHSA's MAI PT Pilot is informed by the key strategies and
priority jurisdictions outlined in the Ending the HIV Epidemic in the
U.S. (EHE) initiative, Viral Hepatitis National Strategic Plan and STI
National Strategic Plan. The program also supports the National HIV/
AIDS Strategy (NHAS) and 2023-2026 SAMHSA Strategic Plan. Recipients
will be expected to take a syndemic approach to SUD, HIV, viral
hepatitis, and STI by providing SUD prevention and treatment to racial
and ethnic individuals at risk for or living with HIV. MAI PT Pilot is
authorized under Sections 509 and 516 of the Public Health Service Act,
as amended.
Annualized Data Collection Burden
Table 1 and Table 2 provides an overview of the data collection
method,
[[Page 92135]]
frequency of data collection, and number of data collections for each
data collection instruments.
Table 1--Grant Compliance: MAI-ORA and MAI-PPR
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Data collection Frequency of data Maximum number of Attachment
Instrument method collection data collections No.
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MAI-ORA......................... Grantees submit Once.................... Once in Year 1.... 1
into SPARS.
MAI-PPR......................... Grantees submit Annually................ Annually: 5 times 2
into eRA. (1 time per year
in Years 1-5).
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Table 2--Program Performance Monitoring: MAI-PORT
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Data collection Frequency of data Maximum number of Attachment
Instrument method collection data collections No.
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MAI-PORT........................ Grantees submit Yearly: Annual Targets Yearly: 5 times (1 3
into SPARS. Report (ATR). time per year in
Quarterly: Quarterly Years 1-5).
Performance Report Quarterly: 20
(QPR). times (4 times
per year in Years
1-5).
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The estimated time to complete each instrument by year is shown in
Tables 3 through 8.
Table 3--Estimates of Annual Burden for MAI PT Data Collection: Year 1
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Total Total Average Total
Instrument Number of Responses per number of Hours per burden hourly wage respondent
respondents respondent responses response hours \1\ cost
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MAI-ORA................................................... 8 1 8 14 112 $48.35 $5,415.20
MAI-PPR................................................... 8 1 8 3 24 48.35 1,160.40
MAI-PORT/ATR.............................................. 8 1 8 1 8 48.35 386.80
MAI-PORT/QPR.............................................. 8 4 32 2 64 48.35 3,094.40
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Total................................................. 8 7 56 20 208 48.35 10,056.80
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\1\ Average hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the
Bureau of Labor Statistics (BLS) found at <a href="https://www.bls.gov/oes/current/naics4_999200.htm#11-0000">https://www.bls.gov/oes/current/naics4_999200.htm#11-0000</a>. Accessed on January 15, 2024.
Table 4--Estimates of Annual Burden for MAI PT Data Collection: Year 2
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Total Total Average Total
Instrument Number of Responses per number of Hours per burden hourly wage respondent
respondents respondent responses response hours \1\ cost
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MAI-ORA................................................... 8 0 0 14 0 $48.35 $0.00
MAI-PPR................................................... 8 1 8 3 24 48.35 1,160.40
MAI-PORT/ATR.............................................. 8 1 8 1 8 48.35 386.80
MAI-PORT/QPR.............................................. 8 4 32 2 64 48.35 3,094.40
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Total................................................. 8 6 48 20 96 48.35 4,641.60
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\1\ Average hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the
Bureau of Labor Statistics (BLS) found at <a href="https://www.bls.gov/oes/current/naics4_999200.htm#11-0000">https://www.bls.gov/oes/current/naics4_999200.htm#11-0000</a>. Accessed on January 15, 2024.
Table 5--Estimates of Annual Burden for MAI PT Data Collection: Year 3
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Total Total Average Total
Instrument Number of Responses per number of Hours per burden hourly wage respondent
respondents respondent responses response hours \1\ cost
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MAI-ORA................................................... 8 0 0 14 0 $48.35 $0.00
MAI-PPR................................................... 8 1 8 3 24 48.35 1,160.40
MAI-PORT/ATR.............................................. 8 1 8 1 8 48.35 386.80
MAI-PORT/QPR.............................................. 8 4 32 2 64 48.35 3,094.40
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Total................................................. 8 6 48 20 96 $48.35 $4,641.60
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\1\ Average hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the
Bureau of Labor Statistics (BLS) found at <a href="https://www.bls.gov/oes/current/naics4_999200.htm#11-0000">https://www.bls.gov/oes/current/naics4_999200.htm#11-0000</a>. Accessed on January 15, 2024.
[[Page 92136]]
Table 6--Estimates of Annual Burden for MAI PT Data Collection: Year 4
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Total Total Average Total
Instrument Number of Responses per number of Hours per burden hourly wage respondent
respondents respondent responses response hours \1\ cost
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MAI-ORA................................................... 8 0 0 14 0 $48.35 $0.00
MAI-PPR................................................... 8 1 8 3 24 48.35 1,160.40
MAI-PORT/ATR.............................................. 8 1 8 1 8 48.35 386.80
MAI-PORT/QPR.............................................. 8 4 32 2 64 48.35 3,094.40
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Total................................................. 8 6 48 20 96 48.35 4,641.60
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\1\ Average hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the
Bureau of Labor Statistics (BLS) found at <a href="https://www.bls.gov/oes/current/naics4_999200.htm#11-0000">https://www.bls.gov/oes/current/naics4_999200.htm#11-0000</a>. Accessed on January 15, 2024.
Table 7--Estimates of Annual Burden for MAI PT Data Collection: Year 5
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Total Total Average Total
Instrument Number of Responses per number of Hours per burden hourly wage respondent
respondents respondent responses response hours \1\ cost
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MAI-ORA................................................... 8 0 0 14 0 $48.35 $0.00
MAI-PPR................................................... 8 1 8 3 24 48.35 1,160.40
MAI-PORT/ATR.............................................. 8 1 8 1 8 48.35 386.80
MAI-PORT/QPR.............................................. 8 4 32 2 64 48.35 3,094.40
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Total................................................. 8 6 48 20 96 48.35 4,641.60
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\1\ Average hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the
Bureau of Labor Statistics (BLS) found at <a href="https://www.bls.gov/oes/current/naics4_999200.htm#11-0000">https://www.bls.gov/oes/current/naics4_999200.htm#11-0000</a>. Accessed on January 15, 2024.
Table 8--Estimates of Annual Burden for MAI PT Data Collection: All Years
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Total Total Average Total
Instrument Number of Responses per number of Hours per burden hourly wage respondent
respondents respondent responses response hours \1\ cost
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MAI-ORA................................................... 8 1 8 14 112 $48.35 $5,415.20
MAI-PPR................................................... 8 5 40 3 120 48.35 5,802.00
MAI-PORT/ATR.............................................. 8 5 40 1 40 48.35 1,934.00
MAI-PORT/QPR.............................................. 8 20 160 2 320 48.35 15,472.00
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Total................................................. 8 31 248 20 592 48.35 28,623.20
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\1\ Average hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the
Bureau of Labor Statistics (BLS) found at <a href="https://www.bls.gov/oes/current/naics4_999200.htm#11-0000">https://www.bls.gov/oes/current/naics4_999200.htm#11-0000</a>. Accessed on January 15, 2024.
No comments were received during the 60-Day Federal Register
comment period. However, the instruments have been revised to reflect
comments received from the cognitive testing. Changes include:
MAI PT Pilot Organizational Readiness Assessment (MAI-ORA)
<bullet> Added/revised instructions throughout to clarify meaning.
<bullet> Added list of definitions in appendix.
<bullet> Combined:
[cir] service delivery and leveraging resources sections and
[cir] four narrative sections and moved to the end of the
instrument.
<bullet> Simplified/reformatted tables to improve flow and reduce
grantee burden.
<bullet> Revised measures to clarify meaning, eliminate compound
constructs, and reduce social desirability bias.
<bullet> Renumbered measures.
MAI PT Pilot--Programmatic Progress Report (MAI-PPR)
<bullet> Corrected typographical error in Public Burden Statement:
Changed annual burden estimate from 24 hours to 3 hours.
<bullet> Added:
[cir] general instructions in the beginning,
[cir] instructions in Section 1 table, and
[cir] additional instructions and examples throughout.
<bullet> Omitted:
[cir] bottom three signature rows in Section 1 table and
[cir] budget section.
MAI PT Pilot Online Reporting Tool (MAI-PORT)
<bullet> Added/updated instructions for clarification.
<bullet> Added:
[cir] skip patterns to reduce grantee burden,
[cir] two questions regarding content focus and level of
implementation of planned prevention strategy, and
[cir] items to QPR regarding details of inactive strategies.
<bullet> Updated:
[cir] Race/ethnicity measures in ATR and QPR to be compliant with
OMB's Statistical Policy Directive No. 15.
[cir] SOGI measures in ATR and QPR.
[cir] Appendix A: Added/revised definitions and
[cir] Appendix B: Revised title from ``list of EBPs'' to ``List of
Prevention Strategies,'' and added additional prevention strategies.
<bullet> Standardized language (e.g., direct/individual-based,
indirect/population based, unduplicated count).
<bullet> Reordered reached/served items of ATR and QPR so that
``reached'' is listed first.
<bullet> Eliminated demographics for ``reached'' in ATR and QPR.
<bullet> Grantees are now asked to report whether interventions are
EBPP in ATR (added new status ``community-defined evidence practice''
and ``other'' criteria response options).
Written comments and recommendations concerning the proposed
information collection should be sent by December 23, 2024 to the
SAMHSA Desk Officer at the Office of Information and Regulatory
Affairs, Office of Management and Budget
[[Page 92137]]
(OMB). To ensure timely receipt of comments, and to avoid potential
delays in OMB's receipt and processing of mail sent through the U.S.
Postal Service, commenters are encouraged to submit their comments to
OMB via email to: <a href="/cdn-cgi/l/email-protection#1b5452495a44486e79767268687274755b747679357e746b357c746d"><span class="__cf_email__" data-cfemail="d897918a99878badbab5b1ababb1b7b698b7b5baf6bdb7a8f6bfb7ae">[email protected]</span></a>. Although commenters are
encouraged to send their comments via email, commenters may also fax
their comments to: 202-395-7285. Commenters may also mail them to:
Office of Management and Budget, Office of Information and Regulatory
Affairs, New Executive Office Building, Room 10102, Washington, DC
20503.
Krishna Palipudi,
Social Science Analyst.
[FR Doc. 2024-27294 Filed 11-20-24; 8:45 am]
BILLING CODE 4162-20-P
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