21986 Federal Register / Vol. 77, No. 71 / Thursday, April 12, 2012 / Notices 

Send comments to Summer King, 

SAMHSA Reports Clearance Officer, 

Room 8–1099, One Choke Cherry Road, 

Rockville, MD 20857 or email a copy at 

summer.king@samhsa.hhs.gov. 

Written comments must be received 

before 60 days after the date of the 

publication in the Federal Register. 

Summer King, 

Statistician. 

[FR Doc. 2012–8799 Filed 4–11–12; 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 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: National Evaluation 

of the Comprehensive Community 

Mental Health Services for Children 

and Their Families Program: Phase VI 

(OMB No. 0930–0307)—REVISION 

The Substance Abuse and Mental 

Health Services Administration 

(SAMHSA), Center of Mental Health 

Services is responsible for the national 

evaluation of the Comprehensive 

Community Mental Health Services for 

Children and Their Families Program 

(Children’s Mental Health Initiative— 

CMHI) that will collect data on child 

mental health outcomes, family life, and 

service system development. Data will 

be collected on 47 service systems, and 

approximately 6,561 children and 

families. 

Principal changes from the previous 

Phase VI OMB approval include: 

• Addition of nine (9) communities 

awarded cooperative agreements in 

FY2010 for data collection. 

• Replacement of intake and followup questionnaires for the Child Welfare 

Sector and Comparison Study with an 

administrative record review form to 

lessen burden. 

• Addition of a brief 8-item Education 

Sector Caregiver Questionnaire to the 

Education Sector and Comparison Study 

to capture family involvement in the 

development and use of Individualized 

Education Plans (IEPs). 

• Removal of data collection activities 

for the Alumni Networking Study, the 

CQI Initiative Evaluation, and the 

Sustainability Study. 

Data collection for this evaluation will 

be conducted over a five-year period. 

Child and family outcomes of interest 

will be collected at intake and during 

subsequent follow-up sessions at sixmonth intervals. The length of time that 

individual families will participate in 

the study is up to 24 months. The 

outcome measures include the 

following: child symptomatology and 

functioning, family functioning, 

satisfaction, and caregiver strain. The 

core of service system data will be 

collected every 18–24 months 

throughout the 5-year evaluation period. 

Service utilization and cost data will be 

tracked and submitted to the national 

evaluation every six months using two 

tools: the Flex Fund Tool and the 

Services and Costs Data Tool to estimate 

average cost of treatment per child, 

distribution of costs, and allocation of 

costs across service categories. Service 

delivery and system variables of interest 

include the following: maturity of 

system of care development in funded 

system of care communities, adherence 

to the system of care program model, 

and client service experience. 

In addition, the evaluation will 

include one special study: The Sector 

and Comparison Study will examine in 

more detail the outcomes and service 

experience of children from multiple 

child-serving sectors and, through childlevel matching, compare these outcomes 

with those not receiving system of care 

services. 

Internet-based technology such as 

data entry and management tools will be 

used in this evaluation. The measures of 

the national evaluation address annual 

Congressional reporting requirements of 

the program’s authorizing legislation, 

and the national outcome measures for 

mental health programs as currently 

established by SAMHSA. 

The average annual respondent 

burden is estimated below. The estimate 

reflects the average number of 

respondents in each respondent 

category, the average number of 

responses per respondent per year, the 

average length of time it will take to 

complete each response, and the total 

average annual burden for each category 

of respondent, and for all categories of 

respondents combined. 

Instrument Respondent Number of 

respondents 

Total 

average 

number of 

responses per 

respondent 

Hours per 

response 

Total burden 

hours 

5-Year 

average 

annual 

burden hours 

System of Care Assessment 

Interview Guides A–S ......... Key site informants ............ 1,081 3 1.00 3,243 649 

Child and Family Outcome Study 

Caregiver Information Questionnaire, Revised: Caregiver—Intake (CIQ–RC–I).Caregiver ............................ 6,561 1 0.37 2,406 481 

Caregiver Information Questionnaire, Revised: Staff 

as Caregiver—Intake 

(CIQ–RS–I).

Staff as Caregiver. 

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Federal Register / Vol. 77, No. 71 / Thursday, April 12, 2012 / Notices 21987 

Instrument Respondent Number of 

respondents 

Total 

average 

number of 

responses per 

respondent 

Hours per 

response 

Total burden 

hours 

5-Year 

average 

annual 

burden hours 

Caregiver Information Questionnaire, Revised: Caregiver—Follow-Up (CIQ– 

RC–F).

Caregiver ............................ 6,561 4 0.28 7,436 1,487 

Caregiver Information Questionnaire, Revised: Staff 

as Caregiver—Follow-Up 

(CIQ–RS–F).

Staff as Caregiver. 

Caregiver Strain Questionnaire (CGSQ).Caregiver ............................ 6,561 5 0.17 5,478 1,096 

Child Behavior Checklist 

11⁄2–5 (CBCL 11⁄2–5).

Caregiver ............................ 6,561 5 0.33 10,924 2,185 

Child Behavior Checklist 6– 

18 (CBCL 6–18) 

Education Questionnaire, 

Revision 2 (EQ–R2).

Caregiver ............................ 6,561 5 0.33 10,924 2,185 

Living Situations Questionnaire (LSQ).Caregiver ............................ 6,561 5 0.08 2,723 545 

Behavioral and Emotional 

Rating Scale—Second 

Edition, Parent Rating 

Scale (BERS–2C).

Caregiver ............................ 5,389 5 0.17 4,500 900 

Columbia Impairment Scale 

(CIS).

Caregiver ............................ 6,281 5 0.08 2,607 521 

Parenting Stress Index 

(PSI).

Caregiver ............................ 2,151 5 0.08 896 179 

Devereux Early Childhood 

Assessment for Infants 

(DECA 1–18M).

Caregiver ............................ 1,576 5 0.08 657 131 

Devereux Early Childhood 

Assessment for Toddlers 

(DECA 18–36M) 

Devereux Early Childhood 

Assessment (DECA 2– 

5Y) 

Preschool Behavioral and 

Emotional Rating 

(PreBERS).

Caregiver ............................ 1,576 5 0.10 788 158 

Delinquency Survey, Revised (DS–R).Youth .................................. 3,986 5 0.13 2,657 531 

Behavioral and Emotional 

Rating Scale—Second 

Edition, Youth Rating 

Scale (BERS–2Y).

Youth .................................. 3,986 5 0.17 3,328 666 

Gain Quick–R: Substance 

Problem Scale (GAIN).

Youth .................................. 3,986 5 0.08 1,654 331 

Substance Use Survey, Revised (SUS–R).Youth .................................. 3,986 5 0.10 1,993 399 

Revised Children’s Manifest 

Anxiety Scale, Second 

Edition (RCMAS–2).

Youth .................................. 3,986 5 0.07 1,329 266 

Reynolds Adolescent Depression Scale, Second 

Edition (RADS–2).

Youth .................................. 3,986 5 0.05 997 199 

Youth Information Questionnaire, Revised—Intake 

(YIQ–R–I).

Youth .................................. 3,986 1 0.25 997 199 

Youth Information Questionnaire, Revised—FollowUp (YIQ–R–F).Youth .................................. 3,986 4 0.25 3,986 797 

Service Experience Study 

Multi-Sector Service Contacts, Revised: Caregiver—Intake (MSSC– 

RC–I).

Caregiver ............................ 6,561 1 0.25 1,640 328 

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21988 Federal Register / Vol. 77, No. 71 / Thursday, April 12, 2012 / Notices 

Instrument Respondent Number of 

respondents 

Total 

average 

number of 

responses per 

respondent 

Hours per 

response 

Total burden 

hours 

5-Year 

average 

annual 

burden hours 

Multi-Sector Service Contacts, Revised: Staff as 

Caregiver—Intake 

(MSSC–RS–I).

Staff as Caregiver. 

Multi-Sector Service Contacts, Revised: Caregiver—Follow-Up 

(MSSC–RC–F).

Caregiver ............................ 6,561 4 0.25 6,561 1,312 

Multi-Sector Service Contacts, Revised: Staff as 

Caregiver—Follow-Up 

(MSSC–RS–F).

Staff as Caregiver. 

Cultural Competence and 

Service Provision Questionnaire, Revised 

(CCSP–R).

Caregiver ............................ 6,561 4 0.13 3,499 700 

Youth Services Survey for 

Families (YSS–F).

Caregiver ............................ 6,561 4 0.12 3,071 614 

Youth Services Survey 

(YSS).

Youth .................................. 3,986 4 0.08 1,323 265 

Comparison and Sector Study: Juvenile Justice 

Court Representative Questionnaire (CRQ).Court representatives ......... 202 5 0.50 505 101 

Electronic Data Transfer of 

Juvenile Justice Records.

Key site personnel ............. 202 5 0.03 34 7 

Comparison and Sector Study: Education 

Teacher Questionnaire (TQ) Teacher .............................. 202 5 0.50 505 101 

School Administrator Questionnaire (SAQ).School administrators ......... 202 5 0.50 505 101 

Electronic Data Transfer of 

Education Records.

Key site personnel ............. 202 5 0.03 34 7 

Education Sector Caregiver 

Questionnaire (ESCQ).

Caregiver ............................ 202 5 0.08 81 16 

Comparison and Sector Study: Child Welfare 

Electronic Data Transfer of 

Child Welfare Records.

Key site personnel ............. 202 5 0.03 34 7 

Services and Costs Study 

Flex Funds Data Dictionary/ 

Tool.

Local programming staff 

compiling/entering administrative data on children/ 

youth.

1,565 3 0.03 155 31 

Services and Costs Data 

Dictionary/Data Entry Application.

Local evaluator, staff at 

partner agencies, and 

programming staff compiling/entering service 

and cost records on children/youth.

6,561 100 0.05 32,805 6,561 

Respondent Number of 

respondents 

Number of 

responses/ 

respondent 

Average burden/ 

response 

Total average 

annual burden 

Caregiver ................................................................................. 6,561 0.9 2.2 12,838 

Youth ........................................................................................ 3,986 0.9 1.1 3,653 

Provider/Administrator ............................................................. 1,081 12.9 0.5 7,564 

Total .................................................................................. 11,628 .............................. .............................. 24,055 

Send comments to Summer King, 

SAMHSA Reports Clearance Officer, 

Room 8–1099, One Choke Cherry Road, 

Rockville, MD 20857 or email her a 

copy at summer.king@samhsa.hhs.gov. 

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Federal Register / Vol. 77, No. 71 / Thursday, April 12, 2012 / Notices 21989 

Written comments should be received 

within 60 days of this notice. 

Summer King, 

Statistician. 

[FR Doc. 2012–8803 Filed 4–11–12; 8:45 am] 

BILLING CODE 4162–20–P 

DEPARTMENT OF HOMELAND 

SECURITY 

[Docket No. DHS–2012–0001] 

Critical Infrastructure Private Sector 

Clearance Program Request 

AGENCY: National Protection and 

Programs Directorate, DHS. 

ACTION: 60-day notice and request for 

comments; Reinstatement, with change, 

of a previously approved collection. 

SUMMARY: The Department of Homeland 

Security (DHS), National Protection and 

Programs Directorate (NPPD), Office of 

Infrastructure Protection (IP) will 

submit the following Information 

Collection Request to the Office of 

Management and Budget (OMB) for 

review and clearance in accordance 

with the Paperwork Reduction Act of 

1995 (Pub. L. 104–13, 44 U.S.C. Chapter 

35). 

DATES: Comments are encouraged and 

will be accepted until June 11, 2012. 

This process is conducted in accordance 

with 5 CFR 1320.1. 

ADDRESSES: Written comments and 

questions about this Information 

Collection Request should be forwarded 

to DHS/NPPD/IP/Monika Junker, 245 

Murray Lane, SW., Mail Stop 0609, 

Arlington, VA 20598–0609. Emailed 

requests should go to Monika Junker, 

monika.junker@dhs.gov. Written 

comments should reach the contact 

person listed no later than June 11, 

2012. Comments must be identified by 

‘‘DHS–2012–0001’’and may be 

submitted by one of the following 

methods: 

• Federal eRulemaking Portal: http:// 

www.regulations.gov. 

• Email: Include the docket number 

in the subject line of the message. 

Instructions: All submissions received 

must include the words ‘‘Department of 

Homeland Security’’ and the docket 

number for this action. Comments 

received will be posted without 

alteration at http://www.regulations.gov, 

including any personal information 

provided. 

SUPPLEMENTARY INFORMATION: The 

Critical Infrastructure Private Sector 

Clearance Program (PSCP) sponsors 

clearances for private sector partners 

who are responsible for critical 

infrastructure protection, but would not 

otherwise be eligible for a clearance 

under Executive Order 12829. These 

partners are subject matter experts 

within specific industries and sectors. 

The PSCP requires individuals to 

complete a clearance request form that 

initiates the clearance process. DHS 

Sector Specialists or Protective Security 

Advisors email the form to the 

individual who then emails back the 

completed form, minus their date and 

place of birth and social security 

number. The clearance request form is 

signed by both the Federal official who 

nominated the applicant and by the 

Assistant Secretary for Infrastructure 

Protection. Upon approval to process, 

the PSCP Administrator will contact the 

nominee to obtain the social security 

number, date and place of birth, and 

will then enter this data into e-QIP— 

Office of Personnel Management’s 

secure portal for investigation 

processing. Once the data is entered in 

e-QIP, the applicant can complete the 

online security questionnaire. The PSCP 

maintains all applicants’ information in 

the Master Roster, which contains all 

the information found on the clearance 

request form in addition to their 

clearance information (date granted, 

level of clearance, date non-disclosure 

agreements signed, and type/date of 

investigation). The Administrator of the 

Master Roster maintains the information 

so as to track clearance processing and 

investigation information and to have 

the most current contact information for 

the participants from each sector. 

OMB is particularly interested in 

comments that: 

1. Evaluate whether the proposed 

collection of information is necessary 

for the proper performance of the 

functions of the agency, including 

whether the information will have 

practical utility; 

2. Evaluate the accuracy of the 

agency’s estimate of the burden of the 

proposed collection of information, 

including the validity of the 

methodology and assumptions used; 

3. Enhance the quality, utility, and 

clarity of the information to be 

collected; and 

4. Minimize the burden of the 

collection of information on those who 

are to respond, including through the 

use of appropriate automated, 

electronic, mechanical, or other 

technological collection techniques or 

other forms of information technology, 

e.g., permitting electronic submissions 

of responses. 

Analysis 

Agency: Department of Homeland 

Security, National Protection and 

Programs Directorate, Office of 

Infrastructure Protection. 

Title: Critical Infrastructure Private 

Sector Clearance Program Request. 

OMB Number: 1670–0013. 

Frequency: Once. 

Affected Public: Designated private 

sector employees of critical 

infrastructure entities or organizations. 

Number of Respondents: 450 

(estimate). 

Estimated Time per Respondent: 10 

minutes. 

Total Burden Hours: 75. 

Total Burden Cost (capital/startup): 

$0. 

Total Recordkeeping Burden: $0. 

Total Burden Cost (operating/ 

maintaining): $0. 

Dated: April 4, 2012. 

David Epperson, 

Chief Information Officer, National Protection 

and Programs Directorate, Department of 

Homeland Security. 

[FR Doc. 2012–8738 Filed 4–11–12; 8:45 am] 

BILLING CODE 9110–9P–P 

DEPARTMENT OF HOMELAND 

SECURITY 

Coast Guard 

[USCG–2012–0016] 

Collection of Information Under 

Review by Office of Management and 

Budget 

AGENCY: Coast Guard, DHS. 

ACTION: Thirty-day notice requesting 

comments. 

SUMMARY: In compliance with the 

Paperwork Reduction Act of 1995 the 

U.S. Coast Guard is forwarding 

Information Collection Requests (ICRs), 

abstracted below, to the Office of 

Management and Budget (OMB), Office 

of Information and Regulatory Affairs 

(OIRA), requesting approval of a 

revision to the following collection of 

information: 1625–0035, Title 46 CFR 

Subchapter Q: Lifesaving, Electrical, 

Engineering and Navigation Equipment, 

Construction and Materials & Marine 

Sanitation Devices (33 CFR part 159). 

Additionally, the U.S. Coast Guard 

requests an extension of its approval for 

the following collection of information: 

1625–0079, Standards of Training, 

Certification and Watchkeeping for 

Seafarers (STCW), 1995 and 1997 

Amendments to the International 

Convention. Our ICRs describe the 

information we seek to collect from the 

public. Review and comments by OIRA 

ensure we only impose paperwork 

burdens commensurate with our 

performance of duties. 

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