[Federal Register Volume 69, Number 222 (Thursday, November 18, 2004)]
[Notices]
[Pages 67599-67600]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-25539]


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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

    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 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) 276-1243.
    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: Access to Recovery (ATR) Program--New

    In preparation for implementing Performance Partnership Grants, 
SAMHSA has developed a set of performance outcome measures for 
substance abuse treatment that cover seven domains. The domains are: 
Abstinence from drug use and alcohol abuse, or decreased mental illness 
symptomatology; increased or retained employment and school enrollment; 
decreased involvement with the criminal justice system; increased 
stability in family and living conditions; increased access to 
services; increased retention in services for substance abuse treatment 
or decreased utilization of psychiatric inpatient beds for mental 
health treatment; and increased social connectedness to family, 
friends, co-workers and classmates.
    SAMHSA's Center for Substance Abuse Treatment (CSAT), is 
responsible for implementing the new Access to Recovery (ATR) grant 
program. States funded in the ATR program will use these outcome 
measures to meet the reporting requirements of the Government 
Performance and Results Act (GPRA) by quantifying the effects and 
accomplishments of the funded programs. The ATR Program is part of a 
Presidential initiative to: (1) Provide client choice among substance 
abuse clinical treatment and recovery support service providers, (2) 
expand access to a comprehensive array of clinical treatment and 
recovery support options (including faith-based programmatic options), 
and (3) increase substance abuse treatment capacity. Monitoring 
outcomes, tracking costs, and preventing waste, fraud and abuse to 
ensure accountability and effectiveness in the use of Federal funds are 
also important elements of the ATR program. Grantees, as a contingency 
of their award, are responsible for collecting data from their clients 
at intake, discharge, at 30 days after intake, and every two months 
during an episode of care. An episode of care is defined as a client's 
entry to and exit from the ATR.
    The following tables summarize the annual response burden for the 
ATR activities using the performance outcome measures.

[[Page 67600]]



                                                   ATR Program
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                                                     Number of     Responses per     Hours per    Annual  burden
              Data collection point                 respondents     respondent       response          hours
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Client Interviews:
    ATR Intake..................................          42,095               1            0.33          13,891
Those still in treatment at:
    Discharge/30 day interview*.................          42,095               1            0.33          13,891
    3 months....................................          28,625               1            0.33           9,446
    5 months....................................          22,732               1            0.33           7,502
    7 months....................................          18,101               1            0.33           5,973
    9 months....................................          15,155               1            0.33           5,001
    11 months...................................          11,787               1            0.33           3,890
    12+ months..................................           7,999               1            0.33           2,640
                                                 -----------------
      Client Total..............................          42,095                                          62,234
Record Management by Provider Staff:
Sections A & G at 30 days, 3, 5, 7, 9, 11 and           [dagger]               1              .1          14,649
 12+ months.....................................         146,494
Voucher Information.............................          42,095             1.5             .03           1,894
States--15:
    State extract & upload......................              15               4             .03               2
                                                 -----------------
      Total.....................................          42,095                                         78,779
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* The ATR interview will be administered every 2 months beginning at 30 days. It is assumed that those who are
  discharged at 30 days or less will receive an intake and discharge interview only and are included in the
  number in the first two rows. The number of respondents who are still in treatment by month is based on
  experience with CSAT's GPRA services data.
[dagger] Clients.

    Send comments to Summer King, SAMHSA Reports Clearance Officer, 
Room 7-1045, 1 Choke Cherry Road, Rockville, MD 20850. Written comments 
should be received by January 18, 2005.

Patricia S. Bransford,
Acting Executive Officer, SAMHSA.
[FR Doc. 04-25539 Filed 11-17-04; 8:45 am]
BILLING CODE 4162-20-P