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[Federal Register Volume 89, Number 224 (Wednesday, November 20, 2024)]
[Notices]
[Pages 91775-91776]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-27065]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Substance 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 (SAMHSA) 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 SAMHSA Reports Clearance Officer on (240) 276-0361.

Project: Zero Suicide in Health Systems Evaluation--New Package

    The Substance Abuse and Mental Health Services Administration 
(SAMHSA)'s Center for Mental Health Services (CMHS) is requesting 
clearance for the new data collection associated with the evaluation of 
the SAMHSA Zero Suicide in Health Systems (Zero Suicide Evaluation). 
The Zero Suicide program is authorized under the CURES Act. 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 the 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 systems. 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 
fiscal year 2025.
    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, Intersex, and Asexual Plus 
(LGBTQIA+), 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, 
Work Force, Consumer Experience, and Impact. The purpose of the Systems 
Change Study is to understand how grantees are implementing the Zero 
Suicide Program. The Systems Change Study collection instruments 
include the: Prevention Strategies Inventory (PSI), Behavioral Health 
Provider Survey (BHPS), Case Studies, and Cost Sub-Studies.
    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). The 
Workforce Study instruments include the: Work Force Survey (WFS), 
Training Activity Summary Page (TASP), and the Training Utilization and 
Preservation Survey (TUPS).
    The purpose of Consumer Experience Study is to understand 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 instruments include the: BHPS, Consumer 
Experience Survey (CES), Clinical Outcomes Form (COF), and Grantee 
Performance Data.
    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:

[[Page 91776]]

                                             Total and Annualized Averages: Respondents, Responses and Hours
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                                                                          Number of    Responses      Total     Burden per   Annual    Hourly
            Type of respondent                         Form              respondents      per       number of    response    burden     wage      Total
                                                                           per year    respondent   responses    (hours)     (hours)    rate      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 Evaluator \1\....................  TASP........................           40           10         400         0.25       100     36.67     3,667
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.
\1\ BLS 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.
\2\ BLS 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.
\3\ BLS 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.
\4\ BLS 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.
\5\ BLS 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.

    Written comments and recommendations for the proposed information 
collection should be sent within 30 days of publication of this notice 
to www.reginfo.gov/public/do/PRAMain. Find this particular information 
collection by selecting ``Currently under 30-day Review--Open for 
Public Comments'' or by using the search function.

Alicia Broadus,
Public Health Advisor.
[FR Doc. 2024-27065 Filed 11-19-24; 8:45 am]
BILLING CODE 4162-20-P
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