73666 Federal Register / Vol. 89, No. 176 / Wednesday, September 11, 2024 / Notices 

Reports Clearance Officer at (240) 276– 

0166. 

Proposed Project: Government 

Performance and Results Act (GPRA) 

Client/Participant Outcomes Measure— 

(OMB No. 0930–0208)—Revision 

SAMHSA is requesting approval for a 

revision of the CSAT Client-level GPRA 

instrument to collect performance and 

program monitoring data of its 

substance use services grant programs. 

Currently, the information collected 

from this instrument is entered and 

stored in SAMSHA’s Performance 

Accountability and Reporting System, 

which is a real-time, performance 

management system that captures 

information on the substance abuse 

treatment and mental health services 

delivered in the United States. 

Continued approval of this information 

collection will allow SAMHSA to 

continue to meet Government 

Performance and Results Modernization 

Act of 2010 reporting requirements that 

quantify the effects and 

accomplishments of its discretionary 

grant programs, which are consistent 

with OMB guidance. 

SAMHSA will use the data for annual 

reporting required by GPRA and 

comparing baseline with follow-up and 

discharge data. The additional 

information collected through this 

process will allow SAMHSA to: (1) 

report results of these performance 

outcomes; (2) maintain consistency with 

SAMHSA-specific performance 

domains, and (3) assess the 

accountability and performance of its 

discretionary grant programs including 

a focus on health equity. 

Currently, there are 379,037 total 

burden hours in the OMB-approved 

CSAT Client-level GPRA instrument. 

SAMHSA is now requesting an increase 

to 631,682 burden hours. The increase 

of 252,645 burden hours is due to the 

following: 

• Additional time allocated for 

interviews, but also improved estimates 

of the number of clients who would 

likely consent to complete the 

interview; and 

• Additional time allocated for 

administrative collection of data by 

grantees, including the information that 

is collected for all clients regardless of 

whether they completed the clientportion of the interview or not. 

The estimated time to complete the 

baseline, follow-up, and discharge 

interviews is 45 (0.75) minutes each. 

This includes the completion of the 

administrative sections of the tool for all 

clients including those who decline an 

interview. The estimated time to 

complete the SBIRT program-specific 

measures was increased from 12 (0.2) 

minutes to 15 minutes (0.25). 

TABLE 1—ESTIMATES OF ANNUALIZED HOUR BURDEN

SAMHSA tool Number of 

respondents 

Responses per 

respondent 

Total 

number of 

responses 

Burden 

hours per 

response 

Total burden 

hours 

Hourly wage 

[1] 

Total hour 

cost 

Baseline Interview Includes SBIRT Brief TX, Referral to 

TX, and Program-specific questions ........................... 337,857 1 337,857 0.75 253,393 $28.89 $7,320,523 

Follow-Up Interview with Program-specific questions [2] 270,286 1 270,286 0.75 202,715 28.89 5,856,436 

Discharge Interview with Program-specific questions [3] 175,686 1 175,686 0.75 131,765 28.89 3,806,431 

SBIRT Program—Screening Only .................................. 150,296 1 150,296 0.17 25,550 28.89 738,140 

SBIRT Program—Brief Intervention Only Baseline ........ 31,481 1 31,481 0.25 7,870 28.89 227,364 

SBIRT Program—Brief Intervention Only Follow-Up 2 .... 25,184 1 25,184 0.25 6,296 28.89 181,891 

SBIRT Program—Brief Intervention Only Discharge 3 .... 16,370 1 16,370 0.25 4,093 28.89 118,247 

CSAT Total .............................................................. 1,007,160 .......................... 1,007,160 .................... 631,682 .................... 18,249,032 

[1]The hourly wage estimate is $28.89 based on the Occupational Employment and Wages, Mean Hourly Wage Rate for 21–1011 Substance Abuse and Behavioral 

Disorder Counselors = $28.89/hr. as of May 11, 2023. (http://www.bls.gov/oes/current/oes211011.htm. Accessed on June 20, 2024.) [2] It is estimated that 80% of baseline clients will complete this interview. [3] It is estimated that 52% of baseline clients will complete this interview. Substance Abuse and Mental Health Services Administration (SAMHSA): Treating Concurrent Substance Use Among Adults. SAMHSA Publication No. PEP21–06–02–002. Rockville, MD: National Mental Health and Substance Use Policy Laboratory. Substance Abuse and Mental Health Services Administration, 2021. 

Note: Numbers may not add to the totals due to rounding and some individual participants completing more than one form. 

Send comments to SAMHSA Reports 

Clearance Officer, 5600 Fishers Lane, 

Room 15E45, Rockville, Maryland 

20857, OR email a copy to samhsapra@

samhsa.hhs.gov. Written comments 

should be received by November 12, 

2024. 

Alicia Broadus, 

Public Health Advisor. 

[FR Doc. 2024–20434 Filed 9–10–24; 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– 

0361. 

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: Zero Suicide in Health Systems 

Evaluation—New Package 

The Substance Abuse and Mental 

Health Services Administration 

(SAMHSA) is requesting clearance for 

the new data collection associated with 

the Evaluation of the SAMHSA Zero 


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Federal Register / Vol. 89, No. 176 / Wednesday, September 11, 2024 / Notices 73667 

Suicide in Health Systems (Zero Suicide 

Evaluation). Per the Public Health 

Services Act (42 U.S.C. 290bb–43), 

SAMHSA is required to evaluate the 

Zero Suicide grant, specifically (1) 

‘‘evaluate the activities supported by 

grants awarded, disseminate, as 

appropriate, the findings from the 

evaluation; and (2) provide appropriate 

information, training, and technical 

assistance, as appropriate, to eligible 

entities that receive a grant under this 

section, in order to help such entities to 

meet the requirements of this section, 

including assistance with selection and 

implementation of evidence.’’ 

The goal of the Zero Suicide program 

is reduction of suicide and suicide 

attempts across America, focusing on 

individuals who are 25 years and older. 

The purpose of this program is to 

implement the Zero Suicide 

intervention and prevention model for 

adults throughout a health system or 

systems. The Zero Suicide model is a 

comprehensive, multi-setting approach 

to suicide prevention in health. To 

accomplish this critical, lifesaving work, 

it is essential that the effectiveness of 

these programs be evaluated on an 

ongoing basis, with implementation of 

suicide prevention programs 

continually informed by high-quality 

evaluation results. SAMHSA will use 

this data to reduce suicide ideation, 

suicide attempts, and deaths due to 

suicide. 

SAMHSA has awarded new grants 

and continued funding to 25 grantees, 

Cohort 5 (15 grantees) with project 

period of Sept 30, 2023, to Sept 29, 

2028; and Cohort 4 (10 grantees; 

includes one tribal organization) with 

project period of March 31, 2021, to 

March 30, 2026. SAMHSA has 

requested funding for 11 grantees to be 

funded as Cohort 6 in the President’s 

fiscal year 2025 budget. 

The Zero Suicide Evaluation is 

designed to evaluate the 

implementation, effectiveness, and 

overall impact of the Zero Suicide 

program upon grantees in the United 

States. The evaluation will assess Zero 

Suicide program activities implemented 

by grantees and ultimately provide 

SAMHSA with the information needed 

to understand and document program 

effectiveness on reducing suicide 

morbidity and mortality, specifically 

among those who encounter the 

healthcare system. While 

acknowledging the lack of evidence for 

cultural adaptations to evidence-based 

and empirically supported treatments 

and interventions, and that research has 

not been conducted with historically 

marginalized and underserved 

communities (e.g., Black, Asian, 

Autistic, Lesbian, Gay, Bisexual, 

Transgender, Queer, and Intersex plus 

(LGBTQI+), and others), Zero Suicide 

pushes systems to ensure that clients’ 

cultural contexts are considered and 

honored in what treatments are offered 

and how those treatments are adapted. 

Thus, with behavioral health equity as 

a central component woven throughout 

the Zero Suicide Framework, the 

proposed evaluation will ensure that 

each study includes specific behavioral 

health equity tenets to ensure a 

culturally specific understanding of 

Zero Suicide implementation, 

outcomes, and impacts. 

The Zero Suicide Evaluation includes 

four studies: Systems Change, 

Workforce, Consumer Experience, and 

Impact. The Systems Change Study is 

designed to understand how grantees 

are implementing the Zero Suicide 

Program in accordance with the Zero 

Suicide Framework, the core activities 

accomplished, and indicators of 

sustainable systems change (i.e., policy 

and practice changes, infrastructure 

changes, organizational culture). The 

Systems Change Study will leverage two 

surveys: the Prevention Strategies 

Inventory (PSI), and the Behavioral 

Health Provider Survey (BHPS). 

Additionally, the Systems Change Study 

will be informed through Case Studies 

and Cost Sub-Studies, using Key 

Informant Interviews to gather 

information. 

The purpose of the Workforce Study 

is to document staff awareness and 

perceptions associated with the Zero 

Suicide activities implemented by Zero 

Suicide-participating Healthcare 

Organizations (HCOs). This study also 

seeks to understand the utilization, 

outcomes, and sustainment of training 

programs intended to increase the 

knowledge, confidence, and skills 

among staff to address suicide, both in 

the short and long-term. The Workforce 

Study will be informed by several 

surveys: the Workforce Survey (WS), the 

Training Activity Summary Page 

(TASP), and the Training Utilization 

and Preservation Survey (TUPS). 

The Consumer Experience Study will 

assess the relationship between Zero 

Suicide activities and key clinical 

outcomes (i.e., suicide risk, depression), 

along with consumer perceptions of 

care, access to care, services received, 

and treatment adherence. The Consumer 

Experience Study will be informed by 

the BHPS, Consumer Experience Survey 

(CES), Clinical Outcomes Form (COF), 

and Grantee Performance Data. The CES 

and the COF target and follow those 

receiving services through a Zero 

Suicide grantee from the point when 

they enroll in services to when they 

discharge from services. 

The Impact Study will use secondary 

data and quasi-experimental designs to 

develop a control group and estimate 

the causal impact of the Zero Suicide 

Program on suicide morbidity and 

mortality. 

Ultimately, the purpose of the Zero 

Suicide Evaluation is to build the 

program’s knowledge base of 

effectiveness by thoroughly describing 

the implementation, outcomes, and 

impact of a program meant to reduce 

deaths by suicide. 

The total annualized burden is an 

estimated 15,504 respondents for the 

Zero Suicide instruments, with a 

combined hourly estimate to be 4,902 

hours. Burden estimates are based on 

the data collection requirements and the 

number of respondents. The estimated 

response burden to collect this 

information associated with the Zero 

Suicide Evaluation annualized over the 

requested 3-year clearance period is 

presented below: 

TOTAL AND ANNUALIZED AVERAGES: RESPONDENTS, RESPONSES AND HOURS

Type of respondent Form 

Number of 

respondents 

per year 

Responses 

per 

respondent 

Total number 

of responses 

Burden per 

response 

(hours) 

Annual burden 

(hours) 

Hourly wage 

rate Total cost 

Project Evaluator 1 .. PSI .......................... 40 4 160 1 160 $61.53 $9,845 

Grantee/HCO administrator 2.BHPS ...................... 47 1 47 0.5 24 61.53 1,477 

Grantee/HCO administrator 2.KII-Case Studies ..... 7 1 7 1 7 61.53 431 

HCO Staff 3 ............. KII-Case Studies ..... 27 1 27 1 27 26.81 724 

Grantee/HCO administrator 2.KII-Cost Sub studies 2 1 2 1 2 61.53 123 

HCO Staff 3 ............. WFS ........................ 9,400 1 9,400 0.25 2,350 26.81 63,004 

Project Evaluator1 ... TASP ....................... 40 10 400 0.25 100 36.67 3,667 


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73668 Federal Register / Vol. 89, No. 176 / Wednesday, September 11, 2024 / Notices 

TOTAL AND ANNUALIZED AVERAGES: RESPONDENTS, RESPONSES AND HOURS—Continued 

Type of respondent Form 

Number of 

respondents 

per year 

Responses 

per 

respondent 

Total number 

of responses 

Burden per 

response 

(hours) 

Annual burden 

(hours) 

Hourly wage 

rate Total cost 

HCO Staff 3 ............. TUPS-Baseline ....... 3,334 1 3,334 0.25 834 26.81 22,360 

HCO Staff 3 ............. TUPS-6 month ........ 252 1 252 0.5 126 26.81 3,378 

HCO Staff 3 ............. TUPS-12 month ...... 189 1 189 0.5 95 26.81 2,547 

Clinicians .................. C-SIF ....................... 180 8.3 1,494 0.25 374 57.21 21,397 

Consumer ................ CES-Baseline .......... 1,128 1 1,128 0.4 451 7.25 3,270 

Consumer ................ CES-6-month .......... 843 1 843 0.4 337 7.25 2,443 

Consumer ................ C-KII ........................ 15 1 15 1 15 7.25 109 

Total .................. ................................. 15,504 ........................ 17,298 ........................ 4,902 ........................ 134,773 

Abbreviation: HCO=Healthcare Organization 

1BLS OES May 2022 National Industry-Specific Occupation Employment and Wage Estimates average annual salary for Survey Researchers (code 19–3022); 

https://www.bls.gov/oes/cuSeetrrent/naics5_541720.htm 2BLS OES May 2022 National Industry-Specific Occupation Employment and Wage Estimates average annual salary for Medical and Health Services Managers 

(code 11–9111); https://www.bls.gov/oes/current/oes119111.htm 3BLS OES May 2022 National Industry-Specific Occupation Employment and Wage Estimates average annual salary for Community and Social Service Occupations (code 29–1000); https://www.bls.gov/oes/current/oes210000.htm 4BLS OES May 2022 National Industry-Specific Occupation Employment and Wage Estimates average annual salary for Health Diagnosing and Treating Practitioners (code 29–1000); https://www.bls.gov/oes/current/oes_nat.htm#29-0000 5BLS OES May 2022 Characteristics of minimum wage workers, 2022; https://www.bls.gov/opub/reports/minimum-wage/2022/home.htm#:∼:text=In%202022%2C

%2078.7%20million%20workers,wage%20of%20%247.25%20per%20hour. 

Send comments to SAMHSA Reports 

Clearance Officer, 5600 Fisher Lane, 

Room 15E45, Rockville, MD 20852 OR 

email him a copy at samhsapra@

samhsa.hhs.gov. Written comments 

should be received by November 12, 

2024. 

Alicia Broadus, 

Public Health Advisor. 

[FR Doc. 2024–20435 Filed 9–10–24; 8:45 am] 

BILLING CODE 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 the 

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– 

0361. 

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: PEERS Harm 

Reduction Evaluation: Point-in-Time 

Harm Reduction (PiT HR) Survey 

Funded in FY 2022, the Harm 

Reduction (HR) Grant Program aims to 

support community-based overdose 

prevention programs, syringe services 

programs, and other harm reduction 

services. Funding is used to enhance 

overdose and other types of prevention 

activities to help control the spread of 

infectious diseases and the 

consequences of such diseases for 

individuals with, or at risk of 

developing substance use disorders 

(SUD), support distribution of FDAapproved overdose reversal medication 

to individuals at risk of overdose, build 

connections for individuals at risk for, 

or with, a SUD to overdose education, 

counseling, and health education, refer 

individuals to treatment for infectious 

diseases such as HIV, sexually 

transmitted infections (STIs), and viral 

hepatitis, and encourage such 

individuals to take steps to reduce the 

negative personal and public health 

impacts of substance use or misuse. As 

part of the Harm Reduction grant 

program evaluation, conducted through 

the Program Evaluation, Effectiveness, 

and Review Services (PEERS) contract, 

SAMHSA’s Center for Substance Abuse 

Prevention (CSAP) is requesting 

approval from the Office of Management 

and Budget (OMB) to administer a 

Point-In-Time Harm Reduction (PiT HR) 

survey to better understand the 

program. 

The PiT HR survey will elicit 

information from participants of the 

Harm Reduction Grant Program grantees 

to assess the extent to which grantees 

have achieved CSAP’s goals of 

strengthening harm reduction programs. 

Data from the survey will help CSAP 

better understand: (1) the sociodemographic and drug use 

characteristics of participants who 

receive HR services and supplies across 

the country; (2) the HR services and 

supplies participants received and 

unmet needs; and (3) the social-cultural 

and structural barriers to receiving HR 

services and supplies. This anonymous 

survey will allow for an assessment of 

whether HR programs are reaching highrisk and underserved populations and 

populations experiencing behavioral 

health disparities and will help guide 

improvements to the HR Grant Program. 

The data will be aggregated across 

grantee programs to provide CSAP with 

a national picture of the population 

receiving HR services and supplies, the 

services and supplies they access, and 

perceived barriers to ensure the HR 

Grant Program meets its goals. Grantees 

will be provided with brief grantee-level 

reports providing actionable 

information to inform and strengthen 

their services. The grantee reports will 

provide insight into the populations 

they serve, the extent to which their 

services reach the populations they’ve 

identified as priority populations, 

whether the program meets the needs of 

their participants, and what barriers 

remain to service access. These reports 

will inform the implementation of their 

programs and help them address gaps in 

service delivery. HR Program Grantees 

do not collect survey data from their 


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