Notice2024-28556
Agency Information Collection Activities: Submission for OMB Review; Comment Request
Primary source
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Published
December 6, 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 235 (Friday, December 6, 2024)</title>
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[Federal Register Volume 89, Number 235 (Friday, December 6, 2024)]
[Notices]
[Pages 97015-97017]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-28556]
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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, email the SAMHSA Reports Clearance Officer at
<a href="/cdn-cgi/l/email-protection#95e6f4f8fde6f4e5e7f4d5e6f4f8fde6f4bbfdfde6bbf2fae3"><span class="__cf_email__" data-cfemail="c7b4a6aaafb4a6b7b5a687b4a6aaafb4a6e9afafb4e9a0a8b1">[email protected]</span></a>.
Project: SAMHSA Unified Client-Level Performance Reporting Tool
(SUPRT)--(OMB No. 0930-NEW)
SAMHSA is the agency within the U.S. Department of Health and Human
Services that leads public health efforts to advance the behavioral
health of the nation. SAMHSA is seeking approval for the new SAMHSA
Unified Performance Reporting Tool (SUPRT) which will (1) combine and
align the existing client-level performance instrument for the SAMHSA
Center for Substance Abuse Treatment (CSAT) and National Outcomes
Measures (NOMs) instrument for the SAMHSA Center for Mental Health
Services (CMHS), and (2) create a two-component tool that will allow
for a client (or caregiver) self-administered questionnaire (called
SAMHSA Unified Performance Reporting Tool (SUPRT)-C: Client or
Caregiver Form or `SUPRT-C') and a grantee completion of administrative
data (called SAMHSA Unified Performance Reporting Tool (SUPRT)-A:
Administrative Report or `SUPRT-A'). The revisions also allow for the
client portion to move from interviewer-administered to self-
administered with the aim of potentially reducing burden and increasing
reporting accuracy.
SUPRT will allow SAMHSA to (1) continue to meet Government
Performance and Results Modernization Act (GPRAMA) of 2010 reporting
requirements; (2) reduce the scope and associated burden of questions
requiring responses directly from clients; (3) standardize questions
across programs wherever possible; and, (4) elicit programmatic
information that will help to assess the impact of discretionary grant
programs on the achievement of SAMHSA's 2023-2026 Strategic Priority
Area goals and objectives.
Furthermore, this effort is designed to align performance reporting
requirements with other parts of the Federal Statistical System. For
example,
[[Page 97016]]
to the extent possible, SAMHSA aims to align with measurement
indicators used by the Centers for Medicare & Medicaid Services; the
Centers for Disease Control and Prevention; the U.S. Census Bureau; and
the Office of Management and Budget. For instance, the race and
ethnicity question is aligned with the Office of Management and
Budget's race and ethnicity standards.
Currently, over 7,500 grantees across a range of prevention, harm
reduction, treatment, and recovery support discretionary grant programs
have reported program performance data into SAMHSA's Performance
Accountability and Reporting System (SPARS) that serves as a central
data repository. SPARS functions as a performance management system
that captures information on the substance use and mental health
services delivered via the range of SAMHSA's discretionary grants.
The new SUPRT tool reflects diverse feedback SAMHSA obtained
through multiple listening sessions conducted with key stakeholders, in
addition to extensive deliberations conducted by different working
groups within SAMHSA. Accordingly, SUPRT aligns with some prior
questions and deletes other questions from the client-level performance
reporting tools currently in use. SUPRT also incorporates select new
measures/questions into a multi-component client-level tool. SAMHSA
will provide guidance about these changes, specifying which items
grantees can complete using administrative data and which can be self-
administered to clients. This new SUPRT will reduce client reporting
burden and is projected to enhance the accuracy of the collected
performance data.
SAMHSA will use the data collected through the new SUPRT for annual
reporting required by GPRAMA, grantee monitoring, and continuous
improvement of its discretionary grant programs. The SUPRT will also
align with, and strengthen, SAMHSA's complementary evaluation
activities of its discretionary grant programs providing client
services.
The information collected through this process will allow SAMHSA to
(1) monitor and report on implementation and overall performance of the
associated grant programs; (2) advance SAMHSA's proposed performance
goals; and (3) assess the accountability and performance of its
discretionary grant programs, focused on efforts that promote mental
health, prevent substance use, and provide treatments and supports to
foster recovery.
The first component of SUPRT, the SUPRT-C, is to be completed by
clients or caregivers. SUPRT-C is composed of (1) standardized
questions about demographic information (asked directly of clients at
baseline only); (2) social determinants of health (asked directly of
clients at baseline and at 3 or 6 months post baseline reassessment);
and, (3) recovery, quality of life, and client goal measures as
impacted by services received (asked of clients at baseline and
reassessment during the client's first year of treatment, then
annually). Therefore, not all questions are asked of each respondent
(child/adult) or at each information collection period (e.g., baseline,
reassessment, annual).
The second component of SUPRT, SUPRT-A, is to be completed by
grantees. SUPRT-A consists of a streamlined set of questions describing
clients' behavioral health history, screening and diagnosis items, and
services provided to clients. SUPRT-A is collected from client-records
kept by the grantee, for example in paper or electronic health records
(EHRs). Grantees may need to adjust their record keeping, intake or
behavioral health history taking to ensure that they are able to
complete the SUPRT-A. Question(s) about services provided to the client
will only be required at reassessment and annually.
The chart below summarizes the annualized burden for this project.
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Responses Total
SAMHSA tool Included domains Number of per Total Hours per hour Hourly Total cost
respondents respondent responses response burden cost
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Client-level baseline assessment--SUPRT-C Demographics, SDOH, Core 488,775 1 488,775 0.250 122,194 $28.9 $3,530,177
Adult. Outcomes of Recovery,
Goals.
Client-level baseline assessment--SUPRT-C Demographics, SDOH......... 91,225 1 91,225 0.133 12,163 28.9 351,399
Youth, Child, or Young Child.
Client-level baseline--SUPRT-A........... Record Management, 2,125 314 668,250 0.280 187,110 28.9 5,405,608
Behavioral Health History,
Behavioral Health
Screening, Behavioral
Health Diagnoses.
Client-level 3- or 6-month reassessment-- SDOH, Core Outcomes of 329,212 1 329,212 0.167 54,869 28.9 1,585,156
SUPRT-C Adult. Recovery, Goals.
Client-level 3- or 6-month reassessment-- SDOH....................... 61,444 1 61,444 0.050 3,072 28.9 88,756
SUPRT-C Youth, Child, or Young Child.
Client-level 3- or 6-month--SUPRT-A...... Record Management, 2,125 212 450,097 0.330 148,532 28.9 4,291,086
Behavioral Health History,
Behavioral Health
Screening, Behavioral
Health Diagnoses, Services
Received.
Client-level close-out record--SUPRT-A... Record Management, Services 2,125 256 543,097 0.100 54,310 28.9 1,569,551
Received.
Client-level annual SUPRT-C Adult........ Core Outcomes of Recovery, 91,540 1 91,540 0.117 10,680 28.9 308,535
Goals.
Client-level annual--SUPRT-A............. Record Management, 2,125 59 125,153 0.330 41,300 28.9 1,193,170
Behavioral Health History,
Behavioral Health
Screening, Behavioral
Health Diagnosis, Services
Received.
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Total................................ ........................... 1,070,696 ........... 2,848,793 ......... 634,230 ........ 18,323,437
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Written comments and recommendations concerning the proposed
information collection should be sent by January 6, 2025 to the SAMHSA
Desk Officer at the Office of Information and Regulatory Affairs,
[[Page 97017]]
Office of Management and Budget (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#d49b9d86958b87a1b6b9bda7a7bdbbba94bbb9b6fab1bba4fab3bba2"><span class="__cf_email__" data-cfemail="256a6c77647a765047484c56564c4a4b654a48470b404a550b424a53">[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.
Alicia Broadus,
Public Health Advisor.
[FR Doc. 2024-28556 Filed 12-5-24; 8:45 am]
BILLING CODE 4162-20-P
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