Federal Register / Vol. 89, No. 7 / Wednesday, January 10, 2024 / Notices 1581 

would constitute a clearly unwarranted 

invasion of personal privacy. 

Name of Committee: National Institute on 

Aging Special Emphasis Panel; Alpha Herpes 

Viruses and Alzheimer’s Disease Progression. 

Date: January 26, 2024. 

Time: 12:00 p.m. to 5:00 p.m. 

Agenda: To review and evaluate grant 

applications. 

Place: National Institute on Aging, 

Gateway Building, 7201 Wisconsin Avenue, 

Bethesda, MD 20892 (Virtual Meeting). 

Contact Person: Ivan Tadeu Rebustini, 

Ph.D., Scientific Review Branch, NIA, 7201 

Wisconsin Ave., Rm 100, Bethesda, MD 

20814, (301) 555–1212, ivan.rebustini@

nih.gov. 

This notice is being published less than 15 

days prior to the meeting due to the timing 

limitations imposed by the review and 

funding cycle. 

(Catalogue of Federal Domestic Assistance 

Program Nos. 93.866, Aging Research, 

National Institutes of Health, HHS) 

Dated: January 4, 2024. 

Miguelina Perez, 

Program Analyst, Office of Federal Advisory 

Committee Policy. 

[FR Doc. 2024–00283 Filed 1–9–24; 8:45 am] 

BILLING CODE 4140–01–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, contact the SAMHSA 

Reports Clearance Officer at 

samhsapra@samhsa.hhs.gov. 

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. 

Project: 2023–2026 Advancing Wellness 

and Resilience in Education and 

Trauma Informed Services in Schools 

Cross-Site Evaluation—New Collection 

The Substance Abuse and Mental 

Health Services Administration 

(SAMHSA) Center for Mental Health 

Services (CMHS) is requesting clearance 

for data collection associated with a 

national cross-site evaluation of process, 

outcomes, and impact for the Advancing 

Wellness and Resilience in Education 

(hereinafter referred to as Project 

AWARE) and Trauma-Informed Services 

in Schools (TISS) programs. 

The purpose of the Project AWARE– 

TISS Cross-Site Evaluation is to better 

understand how each program is 

implemented, the extent to which they 

facilitate collaboration between 

education agencies and mental health 

systems, and how each program 

contributes to access and referral to 

mental health services and improved 

outcomes for youth. 

The AWARE–TISS Cross-Site 

Evaluation incorporates four evaluation 

components to provide a robust 

understanding of the implementation 

(process), outcomes, and associated 

impacts of the AWARE and TISS 

Programs and includes program-specific 

components to ensure programmatic 

differences and commonalities are 

understood. With this integrated 

evaluation design, SAMHSA maintains 

the ability to evaluate and report on 

each program separately, while 

additionally benefiting from the ability 

to understand the overarching impact of 

both programs collectively. 

Approval is being requested for data 

collection associated with a Process 

Evaluation and an Outcome Evaluation. 

Several program specific sub-studies 

and cross-program impact analyses will 

also be conducted to assess 

implementation and outcomes overall as 

well as those outcomes specific to highneed subpopulations and underresourced communities. A behavioral 

health equity and cultural equity lens 

will be applied to each area of 

evaluation to ensure a culturally 

specific understanding of intervention 

implementation, outcomes, and 

impacts. 

The Process Evaluation will contain 

two studies (Implementation and 

Sustainability Study and Systems 

Change Study) that examine strategies 

common to both programs related to 

program implementation facilitators and 

barriers, workforce development, and 

grantees’ plans to sustain critical 

program components beyond their grant 

period. This assessment of common 

elements will provide a means to 

compare the implementation strategies 

that are successful across both AWARE 

and TISS grantees and identify 

successes and challenges in changing 

systems, policies, service provision, and 

school climate; increasing behavioral 

health equity in access and service 

delivery; and increasing social and 

emotional development and well-being 

in school-aged children and youth. The 

Process Evaluation will also address 

implementation of program-specific 

components. 

For AWARE, the evaluation will 

document how the grantees implement 

the three-tiered public health model in 

schools and the referral pathways to 

increase access to mental health 

promotion, prevention, and 

intervention. The evaluation will assess 

the grantee collaborative efforts and 

grantee activities intended to increase 

workforce capacity to identify the signs 

and symptoms of mental illness and 

ability to refer to appropriate services 

promptly. 

For TISS, the Process Evaluation will 

focus on examining what innovative 

strategies the grantees use to increase 

access to trauma informed services for 

school-aged youth and how the 

collaborative efforts of grantees and 

their partners develop/improve a 

school-based system for identification, 

referral, early intervention, treatment, 

and supportive services. Additionally, 

the Process Evaluation will assess the 

implementation of training to improve 

school capacity to address trauma 

support needs and engagement of 

families and communities to increase 

awareness of the effects of trauma on 

children and youth. 

The Outcome Evaluation will include 

two studies that examine important 

facets of the AWARE and TISS 

programs: (1) identification and referral 

infrastructure (Identification and 

Referral Study); and (2) youth resiliency 

and outcomes (Youth Resiliency and 

Outcomes Study). Both studies will 

provide critical information about the 

effectiveness of the AWARE and TISS 

programs in establishing and enhancing 

school-based mental health supports for 

students. 

Program specific sub-studies, 

inclusive of two TISS case studies and 

an AWARE Suicide Awareness and 

Prevention Sub-Study, will be 

conducted to provide more extensive 

contextual and implementation 

information related to the AWARE and 

TISS programs. 

Finally, in addition to assessing the 

process and outcomes of each of the 

AWARE and TISS programs, we will 


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1582 Federal Register / Vol. 89, No. 7 / Wednesday, January 10, 2024 / Notices 

conduct two cross-program analyses 

that examine the associated impacts of 

the both programs on the establishment 

and enhancement of school-based 

mental health supports for students 

(Cross-Program Impact Analysis) and 

the relationships of program and 

contextual factors with outcomes 

(Behavioral Health Equity Cross-Study 

Analysis). 

The proposed multimethod approach 

considers allowable and required 

activities, variation in the partnerships 

and provider networks/infrastructure, 

program settings, populations being 

served, the range of program 

implementation plans and goals, 

existing data systems, and grant 

infrastructures that support 

implementation and evaluation 

participation. In addition, the design 

considers the stage of implementation of 

currently funded grantees to seamlessly 

integrate cohorts appropriately into the 

evaluation studies. 

Fourteen primary data collection 

activities compose the AWARE–TISS 

Cross-Site Evaluation. 

Instrument Descriptions 

D IS: The IS is a web-based survey 

that includes questions on protocols, 

policies, and structures present as part 

of schools’ AWARE and TISS 

implementation processes; school/ 

community integration; barriers and 

facilitators to implementation, and 

sustainability capacity. The survey also 

includes questions to gather programspecific information—for example, 

implementation of the pyramid model 

and suicide prevention policies in the 

case of AWARE grantees and details on 

trauma-informed services in the case of 

TISS grantees. The IS will be completed 

by project coordinator and program staff 

representatives annually. IS data will 

inform the Implementation and 

Sustainability Study, AWARE Suicide 

Awareness and Prevention Sub-Study 

and Behavioral Health Equity CrossStudy Analysis. 

D IKII: Supplementing IS findings, 

IKIIs will be conducted to obtain indepth information about AWARE and 

TISS program implementation and 

sustainability based on the perspectives 

of grantee program staff and local 

mental health system partner staff. In 

each year of the 3-year data collection 

period, individual semi-structured 

interviews will be conducted with key 

representatives of each grantee’s 

collaborative partnership group. 

Questions will focus on partnership 

development, coordination, and shared 

decision-making; perspectives on 

implementation including challenges, 

strategies, and successes; contextual, 

systems, or other factors that affect 

implementation; and approaches to 

planning for program sustainability. 

Interviews will be conducted in person 

during training and technical assistance 

(TTA) site visits or virtually when 

needed. IKII data will inform the 

Implementation and Sustainability 

Study, TISS Case Studies and 

Behavioral Health Equity Cross-Study 

Analysis. 

D YFFG–Y and YFFG–F: The YFFG–Y 

and YFFG–F will be used to conduct 

focus groups with youth (aged 14–18 or 

older if appropriate) who attend schools 

implementing the AWARE or TISS 

programs and/or their parents/family 

representatives. The moderator guides 

will be semi-structured and include 

open-ended questions to understand 

experiences and perspectives related to 

school climate, positive supports, youth 

or parent engagement, student resiliency 

and coping skills, awareness of schoolbased programs or resources to promote 

mental health literacy and meet mental 

health needs, mental health resource 

availability, and satisfaction with the 

program. Youth and family focus groups 

will be conducted annually and will 

include youth or parents representing a 

sample of AWARE and TISS grantees 

per year, such that all grantees will 

participate in the focus groups at least 

once during the evaluation. The YFFG– 

Y and YFFG–F will inform the 

Implementation and Sustainability 

Study and Behavioral Health Equity 

Cross-Study Analysis. Data collected 

through the YFFG–Y will also inform 

the Youth and Resiliency Outcomes 

Study. 

D CPS: CPS is a web-based survey that 

assesses communication, working 

relationships, leadership, roleexpectations, resources, and partner 

engagement/commitment. Respondents 

will also be asked whether their 

organization currently has a formal, 

signed memorandum of agreement with 

the grantee and what changes to policy 

and infrastructure have been made in 

the past year. State and local entities, 

including project coordinators, school 

administrators, and mental health 

providers, identified as partners by 

AWARE and TISS Grantees will be 

considered for participation. The CPS 

will be administered annually and will 

inform the Systems Change Study. 

D TSF: TSF is a web-based form that 

will be used annually by AWARE and 

TISS grantees to document training and 

educational seminars. It will include 

training dates, length of time of training 

(in hours), topic of the training, training 

objectives, format of training delivery 

(in-person, webinar, online 

asynchronous, etc.), intended audience, 

and number of training participants. It 

is estimated that grantees will conduct 

up to 10 trainings annually for different 

groups (e.g., teachers, mental health 

professionals, instructional support 

personnel). The TSF will inform the 

Systems Change Study and AWARE 

Suicide Awareness and Prevention SubStudy. 

D PFF: The PFF is a web-based form 

that assesses perceptions of immediate 

and longer-term benefits in training 

areas that research has linked to 

effective implementation and practice 

change. The PFF will be completed 

annually by grantee training 

participants after training events to 

gather perception of the training 

experience and perceived feasibility of 

using the information. The PFF will 

inform the Systems Change Study. 

D APPTS and TPPTS: The APPTS and 

TPPTS are web-based surveys intended 

to be taken before and after AWARE or 

TISS grantee trainings across the 3-year 

data collection period. The APPTS will 

be completed by a sample of training 

participants per AWARE grantee 

annually and assesses knowledge, 

attitudes, and beliefs related to 

identifying students in need of mental 

health services and referring them for 

mental health services, mental health 

literacy, attitudes, beliefs (including 

stigma), and self-efficacy to provide 

support and referrals to youth 

experiencing mental health symptoms. 

The TPPTS will be completed by 

sample of training participants per TISS 

grantee annually and assesses trainee’s 

knowledge of and self-efficacy to use 

trauma-informed strategies in their 

work. The APPTS and TPPTS will 

inform the Systems Change Study. 

D WFS: The WFS is a web-based 

survey that assesses barriers and 

facilitators to training use and the extent 

to which participants identified 

students in need of mental health 

services and referred them to services. 

The WFS will be administered to 

approximately 50% of AWARE and 

TISS training participants that also 

completed the APPTS or TPPTS. The 

WFS will be completed 3- and 12- 

months after training events and will be 

used to measure behavioral changes and 

longer-term impact on systems and 

communities. The WFS will inform the 

Systems Change Study. 

D STCSS, SSCSS, and PCSS: The 

STCSS, SSCSS, and PCSS are web-based 

surveys assessing school climate and 

safety among students attending grantee 

LEAs, parents of students, school 

personnel, and LEA staff. Surveys will 

be administered in year one and in year 

three of the evaluation and assess 

availability and utilization of referral for 


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Federal Register / Vol. 89, No. 7 / Wednesday, January 10, 2024 / Notices 1583 

services (for students, parents, and 

school staff), trauma-informed practices 

(for school staff), respect for diversity 

(for school staff), racial climate (for 

students). The STCSS, SSCSS, and PCC 

will inform the Systems Change Study. 

D SIRF: The SIRF is a web-based form 

that gathers existing data detailing each 

how youth in need of mental health, 

substance use, or trauma-specific 

support services were identified because 

of an AWARE or TISS program, whether 

and to which services youth were 

referred, and resulting services received. 

Establishing identification and referral 

systems, including coordination with 

support service providers equipped to 

meet the needs of youth, is a core 

component of AWARE and TISS grant 

requirements. The SIRF will be 

completed by grantee program staff for 

up to 100 youth annually per grantee as 

part of a record review for each youth 

identified and referred to support 

services. Information about the initial 

identification, including the location 

and pathway to identification (e.g., 

individual, screening tool, staff role), is 

obtained, along with information about 

referrals and support services received 

following identification. The form also 

includes deidentified demographic 

information about the youth receiving 

the identification, referral, and followup care. SIRF data can be extracted from 

case records of school-based care 

coordinators or mental health providers, 

or other existing data sources, including 

any school staff, support service 

provider, and family members who 

make a mental health, substance use, or 

trauma-related identification and 

referral. No personal identifiers are 

requested on the SIRF. SIRF data will 

inform the Identification and Referral 

Study and Behavioral Health Equity 

Cross-Study Analysis. 

The estimated response burden to 

collect this information associated with 

the AWARE–TISS Cross-Site Evaluation 

is as follows annualized over the 

requested 3-year clearance period is 

presented below. Annual Burden 

(hours) and Total Cost ($) are rounded 

to the nearest whole number. 

TOTAL AND ANNUALIZED AVERAGES: RESPONDENTS, RESPONSES, AND HOURS

Instrument Type of 

respondent 

Number of 

respondents 

Responses 

per 

respondent 

Total 

number of 

responses 

Burden per 

response 

(hours) 

Annual 

burden 

(hours) 

Hourly 

wage rate 

($) 

Total 

cost 

($) 

IS .................................................. Project Coordinator ...................... 143 1 143 0.5 72 1 $35.52 $2,557 

IS .................................................. Program Staff ............................... 15 1 15 0.5 8 2 21.71 174 

IKII ................................................ Project Coordinator ...................... 94 1 94 1 94 35.52 3,339 

IKII ................................................ Mental Health Provider ................ 141 1 141 1 141 3 69.39 9,784 

IKII ................................................ School Administrator .................... 47 1 47 1 47 4 54.21 2,548 

YFFG–Y ........................................ Youth ............................................ 79 1 79 1.5 119 5 7.25 863 

YFGG–F ....................................... Parent of Youth ............................ 79 1 79 1.5 119 7.25 863 

CPS .............................................. Project Coordinator ...................... 143 1 143 0.25 36 35.52 1,279 

CPS .............................................. Program Staff ............................... 47 1 47 0.25 12 21.71 261 

CPS .............................................. School Administrator .................... 47 1 47 0.25 12 54.21 651 

TSF ............................................... Program Staff ............................... 47 10 470 0.15 71 21.71 1,541 

PFF ............................................... Program Trainee .......................... 2,775 1 2,775 0.15 416 6 26.81 11,153 

APPTS .......................................... Program Trainee .......................... 4,000 2 8,000 0.25 2,000 26.81 53,620 

TPPTS .......................................... Program Trainee .......................... 750 2 1,500 0.25 375 26.81 10,054 

WFS .............................................. Program Trainee .......................... 2,391 2 4,782 0.25 1,196 26.81 32,065

PCSS ............................................ Parent of Youth ............................ 282 1 282 0.4 113 7.25 819 

STCSS .......................................... Youth ............................................ 282 1 282 0.4 113 7.25 819 

SSCSS ......................................... School Staff .................................. 282 1 282 0.5 141 7 30.20 4,258 

SSCSS ......................................... School Administrator .................... 188 1 188 0.5 94 54.21 5,096 

SIRF ............................................. Program Staff ............................... 47 100 4,700 0.5 2,350 21.71 51,019 

Total ...................................... ...................................................... 11,879 .................... 24,096 .................... 7,529 .................. 192,763 

1BLS OES May 2022 National Industry-Specific Occupation Employment and Wage Estimates average annual salary for Community and Social Service Specialists, All Other (code 21–1099); https://www.bls.gov/oes/current/oes_nat.htm#21-0000. 2BLS OES May 2022 National Industry-Specific Occupation Employment and Wage Estimates average annual salary for Community and Social Service Assistants 

(code 21–1093); https://www.bls.gov/oes/current/oes_nat.htm#21-0000. 3BLS OES May 2022 National Industry-Specific Occupation Employment and Wage Estimates average annual salary for Healthcare Diagnosing or Treating Practitioners (code 29–1000); https://www.bls.gov/oes/current/naics5_541720.htm#29-0000. 4BLS OES May 2022 National Industry-Specific Occupation Employment and Wage Estimates average annual salary for Educational Administrators, All Other 

(code 11–9039); https://www.bls.gov/oes/current/naics5_541720.htm#11-0000. 5 https://www.usa.gov/minimum-wage. 

6BLS OES May 2022 National Industry-Specific Occupation Employment and Wage Estimates average annual salary for Community and Social Service Occupations (code 21–0000); https://www.bls.gov/oes/current/oes_nat.htm#21-0000. 7BLS OES May 2022 National Industry-Specific Occupation Employment and Wage Estimates average annual salary for Educational, Guidance, and Career Counselors and Advisors (code 21–2012); https://www.bls.gov/oes/current/naics5_541720.htm#21-0000. 

Send comments to Carlos Graham, 

SAMHSA Reports Clearance Officer at 

samhsapra@samhsa.hhs.gov. Written 

comments should be received by March 

11, 2024. 

Alicia Broadus, 

Public Health Advisor. 

[FR Doc. 2024–00303 Filed 1–9–24; 8:45 am] 

BILLING CODE 4162–20–P 

DEPARTMENT OF HOUSING AND 

URBAN DEVELOPMENT 

[Docket No. FR–6436–N–01] 

Changes to the Methodology Used for 

Calculating Section 8 Income Limits 

Under the United States Housing Act 

of 1937 

AGENCY: Office of the Assistant 

Secretary for Policy Development and 

Research, HUD. 

ACTION: Notice. 

SUMMARY: The United States Housing 

Act of 1937 provides for assisted 

housing for ‘‘low-income families’’ and 

‘‘very low-income families.’’ These 

designations are defined as percentages 

of area median family income and are 

known as income limits. Since FY 2010, 

HUD has limited the increase from year 

to year in its income limits as the higher 

of five percent or twice the percentage 

change in national median family 

income. This notice adds an express 

stipulation that the annual income limit 

increase may never exceed ten percent. 

HUD further clarifies the definition of 

national median family income for 

purposes of setting income limits. 


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