[Federal Register Volume 72, Number 109 (Thursday, June 7, 2007)]
[Notices]
[Pages 31591-31593]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 07-2851]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Substances 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 (SAMSHA) 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, call the SAMSHA Reports Clearance Officer on (240) 276-1243.

Project: Community Mental Health Services Block Grant Application 
Guidance and Instruction, FY 2008-2010 (OMB No. 0930-0168)--Revisions

    Sections 1911 through 1920 of the Public Health Service Act (42 
U.S.C. 300x through 300x-9) provide for annual allotments to assist 
States to establish or expand an organized, community-based system of 
care for adults with serious mental illnesses and children with serious 
emotional disturbances. Under these provision of the law, States may 
receive allotments only after an application is submitted and approved 
by the Secretary of the Department of Health and Human Services.
    For the FY 2008-2010 Community Mental Health Services Block Grant 
application cycle, SAMSHA will provide States guidance and instructions 
to guide development of comprehensive State applications/plans and 
implementation reports. Proposed revisions to the guidance include:
    (1) The integration of mental health transformation as a guiding 
principle in the development of State mental health plans. State plans 
for FY 2008-2010 will describe State mental health transformation 
efforts and activities within the context of the five (5) legislative 
criteria, identify mental health transformation activities funded by 
the MHBG and other State funding sources, identify activities of the 
State mental health planning council that contribute to and support 
State transformation efforts, include one State transformation 
performance indicator in the plan, and include a description of the 
services provided to older adults under criterion 4 of the State's 
plan.
    (2) The introduction of the Web Block Grant Application System 
(WebBGAS). WebBGAS enables States to submit applications/plans, and 
implementation reports electronically thus reducing the burden of 
paperwork required for submission, revision, and reporting purposes. In 
FY 2008, all States and Territories will be encouraged to submit State 
plans using WebBGAS. Other advantages to using WebBGAS include:
    <bullet> Eliminating redundancy in data entry by pre-populating the 
States' previous year data in the current year's plans and 
implementation reports.
    <bullet> Standardizing Mental Health Block Grant data for reporting 
and quantitative analysis.
    <bullet> Allowing the States' mental health planning councils to 
have access to state plans and implementation reports throughout the FY 
as a means to enable councils to meet their Federal mandate of 
reviewing the plans and providing recommendations to the State.
    <bullet> Adhering to the Federal Government's e-governments and e-
grants initiatives, where applicable.
    (3) A requirement for States to report nine CMHS National Outcome 
Measures (NOMS) for mental health. All nine measures are derived from 
tables in the Uniform Reporting System (URS) which was developed in 
collaboration with the States. Four (4) of the nine measures were 
established, in concert with OMB PART, to support the long-term goals 
of the Mental Health Block Grant program and SAMSHA's Government 
Results and Performance Act (GPRA) measures. The nine CMHS measures 
are:
    <bullet> Increased access to services
    <bullet> Reduced utilization of psychiatric inpatient beds for 30 
and 180 days
    <bullet> Number of evidenced-based practices and number of persons 
served in these programs
    <bullet> Client perception of care
    <bullet> Increased/retained employment or returned to/stayed in 
school
    <bullet> Decreased criminal justice involvement
    <bullet> Increased stability in housing
    <bullet> Increased social supports and social connectedness, and
    <bullet> Improved level of functioning.
    Two of the NOMS, Increased Social Supports and Social 
Connectedness, and Improved Functioning, are currently under 
development at SAMSHA. States that are unable to report data on these 
or other indicators will be required to describe their current 
reporting capacity and efforts underway to make collection of the data 
possible.
    (4) Revisions to tables in the Uniform Reporting System (URS). 
Since FY 2001, States have reported annual data on the public mental 
health system to the MHBG Program through 21 tables in the URS. For the 
past three years, CMHS worked collaboratively with States, using the 
Data Infrastructure Grant (DIG) process, to refine the data and make

[[Page 31592]]

reporting more meaningful to both States and CMHS. This effort resulted 
in a list of revisions to the basic and development tables in the FY 
2005-2007 MHBG guidance. The revisions to the URS tables are described 
below:

                               Revisions to Tables in the Uniform Reporting System
----------------------------------------------------------------------------------------------------------------
                                                Table description
-----------------------------------------------------------------------------------------------------------------
             Table No.                      Table name                  Change              Proposed change
----------------------------------------------------------------------------------------------------------------
Table 1...........................  Profile of State            No Change............  .........................
                                     Population by Diagnosis.
Table 2...........................  Total Unduplicated Served   Minor................  Combine Age 0-3 with Age
                                     by Age, Gender & Race.                             4-12.
Table 3...........................  Total Served by Setting,    No Change............  .........................
                                     by Age & Gender.
Table 4...........................  Employment................  Minor................  Add Optional Table 4a.
                                                                                        Reporting of Employment
                                                                                        Status by 5 Diagnostic
                                                                                        Groupings.
Table 5...........................  Medicaid Status...........  No Change............  .........................
Table 6...........................  Profile of Client Flow and  Minor................  Add Column for Length of
                                     Turnover.                                          Stay for clients in
                                                                                        facility more than 1
                                                                                        year.
Table 7...........................  State MH Expenditures and   No Change............  .........................
                                     Revenues.
Table 8...........................  Profile of Community MHBG   No Change............  .........................
                                     Expenditures.
Table 9...........................  Public Mental Health        Major................  New table added, ``Social
                                     Service System Inventory                           Connectedness and
                                     List (Deleted in 2005).                            Improved Functioning''
                                                                                        for SAMHSA's newest
                                                                                        NOMS.
Table 10..........................  Profile of Agencies         No Change............  .........................
                                     receiving MHBG Funds.
Table 11..........................  Consumer Evaluation of      Minor................  Add revisions to table
                                     Care*.                                             and questions to clarify
                                                                                        the survey instrument
                                                                                        and methodology used to
                                                                                        collect data for this
                                                                                        domain if the
                                                                                        recommended survey was
                                                                                        not used.
Table 12..........................  State Mental Health Agency  No Change............  .........................
                                     Profile.
Table 13..........................  Untreated Prevalence of     No Change............  Continue as developmental
                                     Mental Illness.                                    until refined by DIG
                                                                                        Workgroup.
Table 14..........................  Adults with SMI & SED       Minor................  Combine Age 0-3 with Age
                                     served by Age, gender,                             4-12.
                                     Race, & Ethnicity.
Table 15..........................  Living Situation Profile..  No Change............  .........................
Table 16..........................  EBPs......................  Minor................  Add two questions at the
                                                                                        end of each EBP:
                                                                                       (1) Did the State use the
                                                                                        SAMHSA Toolkit to guide
                                                                                        implementation?
                                                                                       (2) Has staff been
                                                                                        specifically trained to
                                                                                        implement the EBP?
Table 17..........................  EBPs......................  Minor................  Add two questions at the
                                                                                        end of each EBP:
                                                                                       (1) Did the State use the
                                                                                        SAMHSA Toolkit to guide
                                                                                        implementation?
                                                                                       (2) Has staff been
                                                                                        specifically trained to
                                                                                        implement the EBP?
Table 18..........................  Use of New Generation       No Change............  .........................
                                     Atypical Antipsychotics.
Table 19..........................  Outcomes: Criminal Justice  Minor................  Add new questions for two
                                     & School Attendance.                               CMHS NOMS: Arrests, and
                                                                                        School Attendance.
Table 20..........................  30 and 180 day state        Minor................  Combine Age 0-3 with Age
                                     hospital readmissions.                             4-12.
Table 21..........................  30 and 180 day readmission  Minor................  Combine Age 0-3 with Age
                                     to any psych bed.                                  4-12.
----------------------------------------------------------------------------------------------------------------

    The future of the SAMHSA/CMHS State mental data reporting program 
continues to evolve with a related plan to implement a State Client 
level Initiative project with a few States to test the feasibility of 
implementing client level reporting in the States. Activities of this 
pilot in the next three years will include: (1) Identifying and 
documenting the States' most promising approaches to the collection of 
client-level data; (2) developing recommendations for expanding client-
level data collection systems to incorporate the NOMs; and (3) pilot 
testing the most promising approaches with other interested States to 
determine their feasibility. SAMHSA expects that the results of this 
effort will improve the ability of States to report unduplicated 
client-level outcomes comparing Time 2 to Time 1. These data are 
expected to support the CMHS Block Grant in future PART reviews.
    The following table summarizes the annual burden for the revised 
application.

----------------------------------------------------------------------------------------------------------------
                                                                                      Burden
                   Application                       Number of      Responses/       response      Total burden
                                                    respondents     respondent         (hrs)           hours
----------------------------------------------------------------------------------------------------------------
Plan:
    1 year......................................              44               1             180           7,920
    2 year......................................               6               1             150             900
    3 year......................................               9               1             110             990
Implementation Report...........................              59               1              75           4,425
URS Tables......................................              59               1              40           2,360
                                                 ---------------------------------------------------------------
    Total.......................................              59  ..............  ..............          16,595
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[[Page 31593]]

    Written comments and recommendations concerning the proposed 
information collection should be sent by July 9, 2007 to: SAMHSA Desk 
Officer, Human Resources and Housing Branch, Office of Management and 
Budget, New Executive Office Building, Room 10235, Washington, DC 
20503; due to potential delays in OMB's receipt and processing of mail 
sent through the U.S. Postal Service, respondents are encouraged to 
submit comments by fax to: 202-395-6974.

    Dated: June 1, 2007.
Elaine Parry,
Acting Director, Office of Program Services.
[FR Doc. 07-2851 Filed 6-6-07; 8:45 am]
BILLING CODE 4162-20-M