35670 Federal Register / Vol. 83, No. 145 / Friday, July 27, 2018 / Notices 

participate in delivery system reform 

efforts in the future. 

Collaboration between the Office of 

the National Coordinator for Health 

Information Technology (ONC) and 

SAMHSA on this data collection effort 

will provide an efficient manner to track 

trends in health IT adoption, use, and 

interoperability among behavioral 

health care providers. In addition, this 

collaboration will contribute to the 

development of strategic efforts to 

leverage health IT in behavioral health 

care settings to provide cost effective, 

high quality and patient-centered care. 

Results from this testing will allow ONC 

and SAMHSA to work together to 

quantitatively assess health IT adoption 

and interoperability among behavioral 

health care providers using SAMHSA’s 

current national surveys, the National 

Survey of Substance Abuse Treatment 

Services (N–SSATS) and the National 

Mental Health Services Survey (N– 

MHSS). 

The information obtained from these 

efforts will be used to develop a new set 

of questions on the use and 

implementation of EHRs in behavioral 

health facilities for the N–SSATS and 

the N–MHSS surveys. Specifically, the 

information from the testing will be 

used to reduce respondent burden while 

simultaneously improving the quality of 

the data collected in these surveys. 

Data from this testing will be 

collected mostly via telephone 

interviews, and few cases conducted 

with in-person interviews. Results of 

this test will not be disseminated or 

used to inform policy, program, or 

budget decisions. Findings will be 

shared between ONC and SAMHSA staff 

to decide how the tested questions will 

be incorporated in the surveys. 

It is estimated that the total burden for 

this project is 40 hours, based on a 

maximum of 80 interviews with an 

average of 30 minutes per interview. 

The request for OMB seeks approval 

to conduct this testing of EHR questions 

during the Fall of 2018 for possible 

implementation starting in 2020. 

The total estimated burden for this 

study is 39.2 hours for the period from 

September through December 2018. 

Survey Number of 

respondents 

Responses 

per 

respondent 

Total number 

of responses 

Hours per 

response 

Total burden 

hours 

Interviews ............................................................................. 80 1 80 .50 40 

Send comments to Summer King, 

SAMHSA Reports Clearance Officer, 

5600 Fishers Lane, Room 15E57–B, 

Rockville, MD 20857 OR email a copy 

at summer.king@samhsa.hhs.gov. 

Written comments should be received 

by September 25, 2018. 

Summer King, 

Statistician. 

[FR Doc. 2018–16046 Filed 7–26–18; 8:45 am] 

BILLING CODE 4162–20–P 

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 (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– 

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: National Survey of 

Substance Abuse Treatment Services 

(N–SSATS) (OMB No. 0930–0106)— 

Revision 

The Substance Abuse and Mental 

Health Services Administration 

(SAMHSA) is requesting a revision of 

the National Survey of Substance Abuse 

Treatment (N–SSATS) data collection 

(OMB No. 0930–0106), which expires 

on December 31, 2018. N–SSATS 

provides both national and state-level 

data on the numbers and types of 

patients treated and the characteristics 

of facilities providing substance abuse 

treatment services. It is conducted 

under the authority of Section 505 of the 

Public Health Service Act (42 U.S.C. 

290aa–4) to meet the specific mandates 

for annual information about public and 

private substance abuse treatment 

providers and the clients they serve. 

This request includes: 

• Collection of N–SSATS, which is an 

annual survey of substance abuse 

treatment facilities; and 

• Updating of the Inventory of 

Behavioral Health Services (I–BHS) 

which is the facility universe for the N– 

SSATS as well as the annual survey of 

mental health treatment facilities, the 

National Mental Health Services Survey 

(N–MHSS). The I–BHS includes all 

substance abuse treatment and mental 

health treatment facilities known to 

SAMHSA. (The N–MHSS data 

collection is covered under OMB No. 

0930–0119.) 

The information in I–BHS and N– 

SSATS is needed to assess the nature 

and extent of these resources, to identify 

gaps in services, and to provide a 

database for treatment referrals. Both I– 

BHS and N–SSATS are components of 

the Behavioral Health Services 

Information System (BHSIS). 

The request for OMB approval will 

include a request to update the I–BHS 

facility listing on a continuous basis and 

to conduct the N–SSATS and the 

between cycle N–SSATS (N–SSATS BC) 

in 2019, 2020, and 2021. The N–SSATS 

BC is a procedure for collecting services 

data from newly identified facilities 

between main cycles of the survey and 

will be used to improve the listing of 

treatment facilities in the online 

Behavioral Health Treatment Services 

Locator. 

Planned Changes 

I–BHS: Only minor form changes 

corresponding with updated technology 

are planned. 

N–SSATS: The N–SSATS with client 

counts will continue to be conducted in 

alternate years, as in the past, and the 

Treatment Locator will be updated 

monthly. 


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Federal Register / Vol. 83, No. 145 / Friday, July 27, 2018 / Notices 35671 

Version A (2019 and 2021) 

The following items have been added 

compared to the 2017 N–SSATS: 

Add questions about: Where clients 

obtain their medications for opioid use 

disorder if they originate elsewhere; 

how facilities treat alcohol use disorder; 

where clients obtain their medications 

for alcohol use disorder if they originate 

elsewhere; whether the facility only 

treats alcohol use disorder; 

detoxification from opioids of abuse 

with lofexidine or clonidine; the percent 

of clients on MAT for opioid use 

disorder that receive maintenance 

services, detoxification, and relapse 

prevention; testing for metabolic 

syndrome; drug and alcohol oral fluid 

testing; professional interventionist/ 

educational consultant; recovery coach; 

vocational training or educational 

support; Naloxone and overdose 

education; ‘‘Outcome follow-up after 

discharge’’ which was moved from 

another question; medications for HIV 

treatment; medications for Hepatitis C 

treatment; the medications lofexidine 

and clonidine; Hepatitis A and B 

vaccinations; Buprenorphine (extendedrelease, injectable, for example, 

Sublocade®)’’; clients with co-occurring 

pain and substance use; Federally 

Qualified Health Centers (FQHC); 

Disulfiram, Naltrexone, or Acamprosate 

for alcohol use disorder for outpatient, 

inpatient, and residential. Also, 

response categories were added to select 

that services are not provided, and for 

medication services provided, an 

‘‘other’’ category was added. 

The following items have been 

deleted compared to the 2017 N– 

SSATS: Questions about religious 

affiliation, standard operating 

procedures, outpatient capacity, how 

(paper/electronic/both) a facility 

performs selected activities, and the 

item asking about Access To Recovery 

(ATR) client payments have been 

deleted. 

The following additional changes 

have been made compared to the 2017 

N–SSATS: Removed the asterisk from 

the question about primary focus of 

facilities, which means the information 

will no longer be published on the N– 

SSATS treatment locator; reorganized 

the question about services offered; 

moved the question on types of 

counseling to the question about 

services offered; changed the wording 

from Screening for Hepatitis B and C to 

Testing for Hepatitis B and C; changed 

‘‘Screening for mental health disorders’’ 

to ‘‘Screening for mental disorders’’; 

changed the question about clinical/ 

therapeutic approaches to a ‘‘mark all 

that apply’’ format; changed the 

wording from ‘‘Computerized substance 

abuse treatment/telemedicine’’ to 

‘‘Telemedicine/telehealth’’; changed the 

question wording about the number of 

outpatient clients so it states, ‘‘As of 

March 29, 2019, how many active 

clients were receiving each of the 

following outpatient substance abuse 

services at this facility?’’ and changed 

the instructions to state ‘‘An active 

client is a client who received treatment 

in March and is still enrolled in 

treatment on March 29, 2019.’’; and 

changed the question about halfway 

houses so it states, ‘‘Does this facility 

operate transitional housing, a halfway 

house, or a sober home for substance 

abuse clients at this location, that is, the 

location listed on the front cover?’’ 

For the question about how facilities 

treat opioid use disorder, information 

was added about the question that 

states, ‘‘For this question, MAT refers to 

any or all of these medications unless 

specified.’’ Also, category 5 was 

reworded to say ‘‘This facility 

administers naltrexone to treat opioid 

use disorder. Naltrexone use is 

authorized through any medical staff 

who have prescribing privileges.’’ In 

addition, a category was added, ‘‘This 

facility prescribes buprenorphine to 

treat opioid use disorder. 

Buprenorphine use is authorized 

through a DATA 2000 waivered 

physician, physician assistant, or nurse 

practitioner.’’ Finally, for the last 

option, the wording was changed to 

‘‘This facility is a federally-certified 

Opioid Treatment Program (OTP). (Most 

OTPs administer/dispense methadone; 

some only use buprenorphine.)’’ 

Version B (2020) 

All changes to the 2019 N–SSATS 

were made for the 2020 N–SSATS 

except: Add the question asking if a 

facility is part of an organization with 

multiple facilities or sites, and if 

applicable, the question asking 

information about the parent site; 

remove the question about the percent 

of clients on MAT for opioid use 

disorder that receive maintenance 

services, detoxification, and relapse 

prevention; All of Section B (Reporting 

Client Counts) has been deleted which 

includes: How the facility will complete 

client counts; number of facilities in 

client counts; names and addresses of 

additional facilities reported for; 

number of hospital inpatient client 

counts by category, by number under 

age 18, number receiving methadone, 

buprenorphine, or naltrexone, and 

number of dedicated beds; number of 

residential client counts by category, by 

number under age 18, and number 

receiving methadone, buprenorphine, or 

naltrexone, and number of dedicated 

beds; number of outpatient client counts 

by category, by number under age 18, 

and number receiving methadone, 

buprenorphine, or naltrexone; type of 

substance abuse problem, percent of cooccurring clients; and 12-month 

admissions; remove questions about 

how many hospital inpatients, 

residential clients, and outpatient 

clients received Disulfiram, Naltrexone, 

and Acamprosate for alcohol use 

disorder; and add several new electronic 

health record questions. 

N–SSATS (Between Cycles—BC) 

The same changes to the 2020 N– 

SSATS (Version B) are requested for the 

N–SSATS BC except the electronic 

health record questions will not be 

added. 

Estimated annual burden for the 

BHSIS activities is shown below: 

Type of respondent 

and activity 

Number of 

respondents 

Responses 

per 

respondent 

Total 

responses 

Hours per 

response 

Total 

burden hours 

STATES: 

I–BHS Online 1 .............................................................. 56 75 4,200 0.08 336 

State Subtotal ........................................................ 56 ........................ 4,200 ........................ 336 

FACILITIES: 

I–BHS application 2 ....................................................... 800 1 800 0.08 64 

Augmentation screener ................................................. 1,300 1 1,300 0.08 104 

N–SSATS questionnaire ............................................... 17,000 1 17,000 0.66 11,333 

N–SSATS BC ............................................................... 1,000 1 1,000 0.58 580 

Facility Subtotal ..................................................... 20,100 ........................ 20,100 ........................ 12,081 


amozie on DSK3GDR082PROD with NOTICES1
35672 Federal Register / Vol. 83, No. 145 / Friday, July 27, 2018 / Notices 

Type of respondent 

and activity 

Number of 

respondents 

Responses 

per 

respondent 

Total 

responses 

Hours per 

response 

Total 

burden hours 

Total ....................................................................... 20,156 ........................ 24,300 ........................ 12,417 

1 States use the I–BHS Online system to submit information on newly licensed/approved facilities and on changes in facility name, address, 

status, etc. 2 New facilities complete and submit the online I–BHS application form in order to get listed on the Inventory. 

Send comments to Summer King, 

SAMHSA Reports Clearance Officer, 

5600 Fisher Lane, Room 15E57B, 

Rockville, MD 20852 OR email a copy 

at summer.king@samhsa.hhs.gov. 

Written comments should be received 

by September 25, 2018. 

Summer King, 

Statistician. 

[FR Doc. 2018–16045 Filed 7–26–18; 8:45 am] 

BILLING CODE 4162–20–P 

ADVISORY COUNCIL ON HISTORIC 

PRESERVATION 

Notice of Amendments to the Program 

Comment for the U.S. General Services 

Administration on Select Envelope and 

Infrastructure Repairs and Upgrades to 

Historic Public Buildings 

AGENCY: Advisory Council on Historic 

Preservation. 

ACTION: Notice. 

SUMMARY: The Advisory Council on 

Historic Preservation (ACHP) has 

approved amendments to the Program 

Comment for the U.S. General Services 

Administration (GSA) that sets forth the 

way in which GSA complies with 

Section 106 of the National Historic 

Preservation Act for select repairs and 

upgrades to windows, lighting, roofing, 

and heating, ventilating, and air 

conditioning (HVAC) systems within 

historic public buildings. The 

amendments extend the life of the 

Program Comment through August 1, 

2033, and update its reporting 

requirements. 

DATES: The amendments took effect on 

July 27, 2018. 

ADDRESSES: Address any questions 

concerning the amendments to Kirsten 

Kulis, Office of Federal Agency 

Programs, Advisory Council on Historic 

Preservation, 401 F Street NW, Suite 

308, Washington, DC 20001. 

FOR FURTHER INFORMATION CONTACT: 

Kirsten Kulis, (202) 517–0217, kkulis@

achp.gov. 

SUPPLEMENTARY INFORMATION: Section 

106 of the National Historic 

Preservation Act requires federal 

agencies to consider the effects of their 

undertakings on historic properties and 

to provide the Advisory Council on 

Historic Preservation (ACHP) a 

reasonable opportunity to comment 

with regard to such undertakings. The 

ACHP has issued the regulations that set 

forth the process through which Federal 

agencies comply with these duties. 

Those regulations are codified under 36 

CFR part 800 (Section 106 regulations). 

Under Section 800.14(e) of those 

regulations, agencies can request the 

ACHP to provide a ‘‘Program Comment’’ 

on a particular category of undertakings 

in lieu of conducting individual reviews 

of each individual undertaking under 

such category, as set forth in 36 CFR 

800.4 through 800.7. An agency can 

meet its Section 106 responsibilities 

with regard to the effects of particular 

aspects of those undertakings by taking 

into account an applicable Program 

Comment and following the steps set 

forth in that comment. 

On August 7, 2009, the ACHP issued 

such a Program Comment, for use by the 

General Services Administration (GSA), 

regarding repairs and upgrades to 

windows, lighting, roofing, and heating, 

ventilating, and air conditioning. Under 

the Program Comment, such repairs are 

undertaken using GSA’s Technical 

Preservation Guidelines (https://

www.gsa.gov/node/80914), and are 

limited to those that do not adversely 

affect the qualities that qualify a subject 

historic building for listing in the 

National Register of Historic Places. 

That Program Comment was set to 

expire on August 1, 2018. Earlier this 

year, GSA requested the ACHP to 

extend its term for fifteen (15) years, 

until August 1, 2033, and to de-couple 

its reporting requirements from those 

that occur under Section 3 of Executive 

Order 13287. 

In late May 2018, after GSA requested 

consideration of such amendments, the 

ACHP held a conference call with the 

National Conference of State Historic 

Preservation Officers and the National 

Park Service (Technical Preservation 

Services). In late June 2018, ACHP 

emailed its members and other 

stakeholders requesting comments. 

Perhaps given the limited nature of the 

Program Comment itself and the 

straightforwardness of the proposed 

amendments, ACHP did not receive any 

substantive comments. The nonsubstantive comments received were 

incorporated and are reflected in final 

amended version (see below). 

The ACHP membership voted 

unanimously to adopt the mentioned 

amendments on July 20, 2018. 

What follows is the text of the 

Program Comment, incorporating the 

adopted amendments: 

Program Comment for General Services 

Administration Repairs and Upgrades 

to Windows, Lighting, Roofing, and 

Heating, Ventilating, and AirConditioning (HVAC), as Amended 

I. Establishment and Authority: This 

Program Comment was issued by the 

Advisory Council on Historic 

Preservation (ACHP) as ‘‘Program 

Comment for General Services 

Administration Repairs and Upgrades to 

Windows, Lighting, Roofing, and 

Heating, Ventilating, and AirConditioning (HVAC)’’ on August 7, 

2009, pursuant to 36 CFR 800.14(e). It 

provides the General Services 

Administration (GSA) with an 

alternative way to comply with its 

responsibilities under Section 106 of the 

National Historic Preservation Act, 54 

U.S.C. 306108, and its implementing 

regulations, 36 CFR part 800 (Section 

106), with regard to the effects of repairs 

and upgrades to windows, lighting, 

roofing, and heating, ventilating and air 

conditioning (HVAC) systems (Repairs/ 

Upgrades) that follow the appended 

GSA Technical Preservation Guidelines 

(Guidelines). The appended Guidelines 

have been reviewed by the National 

Park Service, which confirms that they 

are in keeping with the Secretary of the 

Interior’s Standards on Rehabilitation. 

This Program Comment was amended in 

July 2018 to, among other things, extend 

its duration to August 1, 2033. 

II. Applicability to General Services 

Administration: Only GSA may use this 

Program Comment. 

III. Date of Effect: This Program 

Comment went into effect on August 7, 

2009 and was amended in July 2018. 

IV. Use of This Program Comment To 

Comply With Section 106 Regarding the 

Effects of the Repairs and Upgrades: 

(1) GSA may comply with Section 106 

regarding the effects of Repairs/ 

Upgrades on historic properties by: 


amozie on DSK3GDR082PROD with NOTICES1