39702 Federal Register / Vol. 74, No. 151 / Friday, August 7, 2009 / Notices 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare and Medicaid 

Services 

[Document Identifier: CMS–416] 

Emergency Clearance: Public 

Information Collection Requirements 

Submitted to the Office of Management 

and Budget (OMB) 

AGENCY: Center for Medicare and 

Medicaid Services. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare and Medicaid 

Services (CMS), Department of Health 

and Human Services, is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this burden 

estimate or any other aspect of this 

collection of information, including any 

of the following subjects: (1) The 

necessity and utility of the proposed 

information collection for the proper 

performance of the agency’s functions; 

(2) the accuracy of the estimated 

burden; (3) ways to enhance the quality, 

utility, and clarity of the information to 

be collected; and (4) the use of 

automated collection techniques or 

other forms of information technology to 

minimize the information collection 

burden. 

1. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Annual Early 

and Periodic Screening, Diagnostic and 

Treatment (EPSDT) Services 

Participation Report; Form Number: 

CMS–416 (OMB#: 0938–0354); Use: 

States are required to submit an annual 

report on the provision of EPSDT 

services pursuant to section 

1902(a)(43)(D) of the Social Security 

Act. These reports provide CMS with 

data necessary to assess the 

effectiveness of State EPSDT programs, 

to determine a State’s results in 

achieving its participation goal and to 

respond to inquiries. Respondents are 

State Medicaid Agencies. CMS has 

revised the form by withdrawing the 

three additional lines of data (lines 12d, 

12e and 12f) that were included on the 

form which was recently approved on 

April 28, 2009. Frequency: Yearly; 

Affected Public: State, Tribal and Local 

governments; Number of Respondents: 

56; Total Annual Responses: 56; Total 

Annual Hours: 504. (For policy 

questions regarding this collection 

contact Cindy Ruff at 410–786–5916. 

For all other issues call 410–786–1326.) 

CMS is requesting OMB review and 

approval of this collection by September 

21, 2009, with a 180-day approval 

period. Written comments and 

recommendation will be considered 

from the public if received by the 

individuals designated below by the 

noted deadline below. 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS’s Web 

Site address at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995 or 

e-mail your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786– 

1326. 

In commenting on the proposed 

information collections please reference 

the document identifier or OMB control 

number. To be assured consideration, 

comments and recommendations must 

be submitted in one of the following 

ways by September 8, 2009: 

1. Electronically. You may submit 

your comments electronically to 

http://www.regulations.gov. Follow the 

instructions for ‘‘Comment or 

Submission’’ or ‘‘More Search Options’’ 

to find the information collection 

document(s) accepting comments. 

2. By regular mail. You may mail 

written comments to the following 

address: CMS, Office of Strategic 

Operations and Regulatory Affairs, 

Division of Regulations Development, 

Attention: Document Identifier/OMB 

Control Number (CMS–416), Room C4– 

26–05, 7500 Security Boulevard, 

Baltimore, Maryland 21244–1850 and, 

OMB Office of Information and 

Regulatory Affairs, Attention: CMS Desk 

Officer, New Executive Office Building, 

Room 10235, Washington, DC 20503. 

Fax Number: (202) 395–6974. 

Dated: July 31, 2009. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E9–18995 Filed 8–6–09; 8:45 am] 

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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 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: Jail Diversion and 

Trauma Recovery—Priority to Veterans 

Program Evaluation—NEW 

The Substance Abuse and Mental 

Health Services Administration’s 

(SAMHSA), Center for Mental Health 

Services (CMHS) has implemented the 

Jail Diversion and Trauma Recovery 

Program (JDTR)—Priority to Veterans to 

support local implementation and Statewide expansion of trauma-integrated jail 

diversion programs to reach individuals 

with post-traumatic stress disorder 

(PTSD) and trauma-related disorders 

involved in the justice system. JDTR 

requires grantees to implement a State 

infrastructure program linked to a local 

pilot criminal justice diversion project. 

At the State level, the State Mental 

Health Authority (SMHA) will convene 

a State Advisory Committee that 

provides oversight of pilot projects’ 

training, diversion, service delivery and 

local project evaluation, as well as 

design and implement plans to 

disseminate knowledge about effective 

pilot projects and to replicate them in 

other communities in the State. CMHS 

is requesting approval from the Office of 

Management and Budget (OMB) to 

implement a data collection document, 

the Semi-Annual Progress Report 

(SAPR), to evaluate the implementation, 

expansion, and sustainability of jail 

diversion and trauma-informed services 

developed under the JDTR program. 

The current proposal requests 

implementing the Semi-Annual Progress 

Report (SAPR) to collect information in 

the following areas: 


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Federal Register / Vol. 74, No. 151 / Friday, August 7, 2009 / Notices 39703 

a. Document the State and pilot level 

goals for the project; 

b. Describe the project environment, 

including changes that have helped or 

hindered implementation; 

c. Estimate project spending on State, 

pilot, and evaluation activities; 

d. Describe activities and progress on 

State level infrastructure change 

components, including barriers to 

progress; 

e. Report on pilot project progress, 

including activities related to the pilot 

program, changes to program plans, and 

barriers to implementation; 

f. Describe any project 

accomplishments, including 

documenting numbers and types of 

trainings, as well as any policy changes; 

and 

g. Describe and update progress in 

meeting cross-site client evaluation 

requirements. 

This information would be collected 

twice a year: In March and September. 

Six grantees were awarded 5-year grants 

in FY 2008 and six more 5-year grants 

are anticipated in 2009. The six FY 2008 

grantees began data collection in March 

of FY 2009. Six additional possible 

future grantees awarded on September 

30, 2009 would commence data 

collection in March of FY 2010. The 

burden estimate for completing the 

SAPR is as follows: 

CY 2009 ANNUAL REPORTING BURDEN

Data collection activity Number of 

respondents 1

Responses 

per 

respondent 3

Total 

responses 

Average 

hours per 

response 

Total 

hour 

burden 

Semi-Annual Progress report .............................................. 2 12 1 12 5 60 

Overall Total: ................................................................ 12 12 60 

1The respondents are the State Grantees. 

2The respondents include FY 2008 Grantees and anticipated FY 2009 Grantees. The SAPR will be completed once by all 12 sites, in March 

2010. 3The Project Director for each Grantee is responsible for compiling and submitting the SAPR. 

CY 2010 ANNUAL REPORTING BURDEN

Data collection activity Number of 

respondents 1

Responses 

per 

respondent 3

Total 

responses 

Average 

hours per 

response 

Total 

hour 

burden 

Reporting for FY 2008 and anticipated FY 2009 

Semi-Annual Progress report .............................................. 12 2 24 5 120 

Reporting for possible FY 2010 

Semi-Annual Progress report .............................................. 6 2 1 6 5 30 

Overall Total: ................................................................ 18 30 150 

1The respondents are the States. 

2The SAPR will be completed once by possible FY 2010 sites, in March 2011. 

3The Project Director for each Grantee is responsible for compiling and submitting the SAPR. 

CY 2011 ANNUAL REPORTING BURDEN

Data collection activity Number of 

respondents 1

Responses 

per 

respondent 2

Total 

responses 

Average 

hours per 

response 

Total 

hour 

burden 

Semi-Annual Progress report .............................................. 18 2 36 5 180 

Overall Total: ................................................................ 18 36 180 

1The respondents are the States. 

2The Project Director for each Grantee is responsible for compiling and submitting the SAPR. 

CY 2012 ANNUAL REPORTING BURDEN

Data collection activity Number of 

respondents 1

Responses 

per 

respondent 2

Total 

responses 

Average 

hours per 

response 

Total 

hour 

burden 

Semi-Annual Progress report .............................................. 18 2 36 5 180 

Overall Total: ................................................................ 18 36 180 

1The respondents are the States. 

2The Project Director for each Grantee is responsible for compiling and submitting the SAPR. 

Send comments to Summer King, 

SAMHSA Reports Clearance Officer, 

OAS, Room 7–1044, One Choke Cherry 

Road, Rockville, MD 20857 and e-mail 

her a copy at 

summer.king@samhsa.hhs.gov. Written 

comments should be received within 60 

days of this notice. 

Dated: July 29, 2009. 

Elaine Parry, 

Director, Office of Program Services. 

[FR Doc. E9–18940 Filed 8–6–09; 8:45 am] 

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