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[Federal Register Volume 89, Number 225 (Thursday, November 21, 2024)]
[Notices]
[Pages 92133-92137]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-27294]

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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: Minority AIDS Initiative: Substance Use Disorder 
Prevention and Treatment Pilot Program (MAI PT Pilot) Data Collection 
Instruments

    The Substance Abuse and Mental Health Services Administration's 
(SAMHSA) Center for Substance Abuse Prevention (CSAP) and Center for 
Substance Abuse Treatment (CSAT) are requesting approval from the 
Office of Management and Budget (OMB) to monitor the Minority AIDS 
Initiative: Substance Use Disorder Prevention and Treatment Pilot 
Program (MAI PT Pilot)

[[Page 92134]]

through administration of a suite of data collection instruments for 
grant compliance and programmatic performance monitoring. This package 
describes the data collection activities and proposed instruments. Two 
instruments will facilitate grant compliance monitoring, and the third 
instrument is designed for program performance monitoring.
     The MAI PT Pilot--Organizational Readiness Assessment 
(MAI-ORA) is a one-time self-assessment tool intended to guide MAI PT 
Pilot grant recipients to objectively assess their capacity to provide 
substance use prevention, substance use disorder or co-occurring mental 
health disorder treatment, and HIV, viral hepatitis, and sexually 
transmitted infection prevention, screening, testing, and referral 
services for racial and ethnic individuals vulnerable to these 
conditions. Results from the MAI-ORA will allow SAMHSA to determine 
grantee readiness and capacity to implement their grant program, so 
that SAMHSA can provide additional support, as needed, to ensure grant 
compliance.
     The MAI PT Pilot--Programmatic Progress Report (MAI-PPR) 
is a template that grantees will use to report annual progress and will 
be used to monitor grant compliance.
     The MAI PT Pilot--Online Reporting Tool (MAI-PORT) will be 
used to conduct programmatic performance monitoring. The MAI-PORT is 
comprised of two main sections: (1) Annual Targets Report section for 
MAI PT Pilot grant recipients to report annual federal fiscal year 
programmatic goals, and (2) Quarterly Performance Report for grantees 
to report grant activities implemented during each federal fiscal 
quarter. In developing the MAI-PORT Annual Targets Report and the 
Quarterly Performance Report, CSAP/CSAT sought the ability to elicit 
programmatic information that demonstrates impact at the program 
aggregate level.
    Data collected through the MAI-PORT are necessary to ensure SAMHSA 
and grantees comply with requirements under the Government Performance 
and Results Act Modernization Act of 2010 (GPRA) that requires regular 
reporting of performance measures. Additionally, data collected through 
these tools will provide critical information to SAMHSA's Government 
Project Officers (GPOs) related to grant oversight, including barriers 
and facilitators that the grantees have experienced, and an 
understanding of the technical assistance needed to help grantees 
implement their programs. The information also provides a mechanism to 
ensure grantees are meeting the requirements of the grant funding 
announcement as outlined in their notice of grant award. In addition, 
the tools reflect CSAP's and CSAT's desire to elicit pertinent program 
level data that can be used not only to guide future programs and 
practices, but also to respond to stakeholder, congressional and agency 
inquiries.

Background and Purpose

    According to the Centers for Disease Control and Prevention (CDC), 
the spread of HIV in the United States is mainly through anal or 
vaginal sex or by sharing drug-use equipment. Although these risk 
factors are the same for everyone, due to a range of social, economic, 
and demographic factors, such as stigma, discrimination, income, 
education, and geographic region, some racial and ethnic groups are 
more affected than others. In 2021, CDC reported that although Black/
African Americans represented 13 percent of the US population, they 
accounted for 42 percent (15,305) of the 36,801 new HIV diagnoses; 
Latino/Hispanic people represent 18.7 percent of the US population but 
accounted for 29 percent (10,494) of HIV diagnoses (CDC, 2024; United 
States Census Bureau, 2024).1 2 Between 2017 and 2021, 
American Indian/Alaska Native (AI/AN), Native Hawaiian and other 
Pacific Islander populations were the only demographic groups 
identified by the CDC with an increase in HIV diagnoses in the United 
States (CDC, 2024).\3\ Of the 31,800 new HIV infections in 2022, CDC 
reports that 71% (22,500) were among gay and bisexual men.\4\
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    \1\ 2020 Census Illuminates Racial and Ethnic Composition of the 
Country.
    \2\ HIV Diagnoses.
    \3\ HIV in the United States by Race/Ethnicity: HIV Diagnoses.
    \4\ Fast Facts: HIV and Gay and Bisexual Men.
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    Viral hepatitis also impacts some racial and ethnic groups 
disproportionally. In 2020, non-Hispanic blacks were 1.4 times as 
likely to die from viral hepatitis, as compared to non-Hispanic whites 
(Office of Minority Health, 2022). Non-Hispanic blacks were almost 
twice as likely to die from hepatitis C as compared to the white 
population, and while having comparable case rates for hepatitis B in 
2020, non-Hispanic blacks were 2.5 times more likely to die from 
hepatitis B than non-Hispanic whites (Office of Minority Health, 2022). 
Additionally, the percentage of people aged 12 or older with past year 
substance use disorder (SUD) differed by race and ethnicity with the 
highest rates among American Indian/Alaska Native populations (24.0 
percent), followed by Black, non-Hispanic populations (18.4 percent) 
(SAMHSA, 2023).\5\
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    \5\ Substance Abuse and Mental Health Services Administration. 
(2023). Strategic Plan: Fiscal Year 2023-2026. Publication No. 
PEP23-06-00-002. National Mental Health and Substance Use Policy 
Laboratory. https://www.samhsa.gov/sites/default/files/samhsa-strategic-plan.pdf.
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    The data clearly show the disproportionate burden faced by minority 
racial and ethnic groups and that these three issues should not be 
regarded as separate diseases acting independently, rather as a 
syndemic. To address this, SAMHSA is taking a syndemic approach to HIV, 
viral hepatitis, and substance use disorder through the MAI PT Pilot 
program. The purpose of this program is to provide substance use 
prevention, SUD treatment, HIV, and viral hepatitis prevention and 
treatment services for racial and ethnic medically underserved 
individuals vulnerable to a SUD and/or mental health condition, HIV, 
viral hepatitis, and other infectious disease (e.g., sexually 
transmitted infection (STI)). The populations of focus for this program 
are individuals who are particularly vulnerable to or living with HIV/
AIDS, including an emphasis on gay, bisexual, and other men who have 
sex with men, men who have sex with men and women (MSMW), Black, 
Latino, and AI/AN men who have sex with men (MSM), Asian and Pacific 
Islander, Black women, transgender men and women, youth aged 13-24 
years, and People who Inject Drugs (PWID).
    SAMHSA's MAI PT Pilot is informed by the key strategies and 
priority jurisdictions outlined in the Ending the HIV Epidemic in the 
U.S. (EHE) initiative, Viral Hepatitis National Strategic Plan and STI 
National Strategic Plan. The program also supports the National HIV/
AIDS Strategy (NHAS) and 2023-2026 SAMHSA Strategic Plan. Recipients 
will be expected to take a syndemic approach to SUD, HIV, viral 
hepatitis, and STI by providing SUD prevention and treatment to racial 
and ethnic individuals at risk for or living with HIV. MAI PT Pilot is 
authorized under Sections 509 and 516 of the Public Health Service Act, 
as amended.

Annualized Data Collection Burden

    Table 1 and Table 2 provides an overview of the data collection 
method,

[[Page 92135]]

frequency of data collection, and number of data collections for each 
data collection instruments.

                                 Table 1--Grant Compliance: MAI-ORA and MAI-PPR
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                                    Data collection        Frequency of data      Maximum number of   Attachment
           Instrument                    method               collection          data collections       No.
----------------------------------------------------------------------------------------------------------------
MAI-ORA.........................  Grantees submit      Once....................  Once in Year 1....            1
                                   into SPARS.
MAI-PPR.........................  Grantees submit      Annually................  Annually: 5 times             2
                                   into eRA.                                      (1 time per year
                                                                                  in Years 1-5).
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                                Table 2--Program Performance Monitoring: MAI-PORT
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                                    Data collection        Frequency of data      Maximum number of   Attachment
           Instrument                    method               collection          data collections       No.
----------------------------------------------------------------------------------------------------------------
MAI-PORT........................  Grantees submit      Yearly: Annual Targets    Yearly: 5 times (1            3
                                   into SPARS.          Report (ATR).             time per year in
                                                       Quarterly: Quarterly       Years 1-5).
                                                        Performance Report       Quarterly: 20
                                                        (QPR).                    times (4 times
                                                                                  per year in Years
                                                                                  1-5).
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    The estimated time to complete each instrument by year is shown in 
Tables 3 through 8.

                                         Table 3--Estimates of Annual Burden for MAI PT Data Collection: Year 1
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                                                                                            Total                     Total       Average       Total
                        Instrument                           Number of    Responses per   number of    Hours per      burden    hourly wage   respondent
                                                            respondents    respondent     responses     response      hours         \1\          cost
--------------------------------------------------------------------------------------------------------------------------------------------------------
MAI-ORA...................................................            8               1            8           14          112       $48.35    $5,415.20
MAI-PPR...................................................            8               1            8            3           24        48.35     1,160.40
MAI-PORT/ATR..............................................            8               1            8            1            8        48.35       386.80
MAI-PORT/QPR..............................................            8               4           32            2           64        48.35     3,094.40
                                                           ---------------------------------------------------------------------------------------------
    Total.................................................            8               7           56           20          208        48.35    10,056.80
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\1\ Average hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the
  Bureau of Labor Statistics (BLS) found at https://www.bls.gov/oes/current/naics4_999200.htm#11-0000. Accessed on January 15, 2024.

                                         Table 4--Estimates of Annual Burden for MAI PT Data Collection: Year 2
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                                                                                            Total                     Total       Average       Total
                        Instrument                           Number of    Responses per   number of    Hours per      burden    hourly wage   respondent
                                                            respondents    respondent     responses     response      hours         \1\          cost
--------------------------------------------------------------------------------------------------------------------------------------------------------
MAI-ORA...................................................            8               0            0           14            0       $48.35        $0.00
MAI-PPR...................................................            8               1            8            3           24        48.35     1,160.40
MAI-PORT/ATR..............................................            8               1            8            1            8        48.35       386.80
MAI-PORT/QPR..............................................            8               4           32            2           64        48.35     3,094.40
                                                           ---------------------------------------------------------------------------------------------
    Total.................................................            8               6           48           20           96        48.35     4,641.60
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ Average hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the
  Bureau of Labor Statistics (BLS) found at https://www.bls.gov/oes/current/naics4_999200.htm#11-0000. Accessed on January 15, 2024.

                                         Table 5--Estimates of Annual Burden for MAI PT Data Collection: Year 3
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                                                                                            Total                     Total       Average       Total
                        Instrument                           Number of    Responses per   number of    Hours per      burden    hourly wage   respondent
                                                            respondents    respondent     responses     response      hours         \1\          cost
--------------------------------------------------------------------------------------------------------------------------------------------------------
MAI-ORA...................................................            8               0            0           14            0       $48.35        $0.00
MAI-PPR...................................................            8               1            8            3           24        48.35     1,160.40
MAI-PORT/ATR..............................................            8               1            8            1            8        48.35       386.80
MAI-PORT/QPR..............................................            8               4           32            2           64        48.35     3,094.40
                                                           ---------------------------------------------------------------------------------------------
    Total.................................................            8               6           48           20           96       $48.35    $4,641.60
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ Average hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the
  Bureau of Labor Statistics (BLS) found at https://www.bls.gov/oes/current/naics4_999200.htm#11-0000. Accessed on January 15, 2024.

[[Page 92136]]

                                         Table 6--Estimates of Annual Burden for MAI PT Data Collection: Year 4
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                                                                                            Total                     Total       Average       Total
                        Instrument                           Number of    Responses per   number of    Hours per      burden    hourly wage   respondent
                                                            respondents    respondent     responses     response      hours         \1\          cost
--------------------------------------------------------------------------------------------------------------------------------------------------------
MAI-ORA...................................................            8               0            0           14            0       $48.35        $0.00
MAI-PPR...................................................            8               1            8            3           24        48.35     1,160.40
MAI-PORT/ATR..............................................            8               1            8            1            8        48.35       386.80
MAI-PORT/QPR..............................................            8               4           32            2           64        48.35     3,094.40
                                                           ---------------------------------------------------------------------------------------------
    Total.................................................            8               6           48           20           96        48.35     4,641.60
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ Average hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the
  Bureau of Labor Statistics (BLS) found at https://www.bls.gov/oes/current/naics4_999200.htm#11-0000. Accessed on January 15, 2024.

                                         Table 7--Estimates of Annual Burden for MAI PT Data Collection: Year 5
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                                                                                            Total                     Total       Average       Total
                        Instrument                           Number of    Responses per   number of    Hours per      burden    hourly wage   respondent
                                                            respondents    respondent     responses     response      hours         \1\          cost
--------------------------------------------------------------------------------------------------------------------------------------------------------
MAI-ORA...................................................            8               0            0           14            0       $48.35        $0.00
MAI-PPR...................................................            8               1            8            3           24        48.35     1,160.40
MAI-PORT/ATR..............................................            8               1            8            1            8        48.35       386.80
MAI-PORT/QPR..............................................            8               4           32            2           64        48.35     3,094.40
                                                           ---------------------------------------------------------------------------------------------
    Total.................................................            8               6           48           20           96        48.35     4,641.60
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ Average hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the
  Bureau of Labor Statistics (BLS) found at https://www.bls.gov/oes/current/naics4_999200.htm#11-0000. Accessed on January 15, 2024.

                                        Table 8--Estimates of Annual Burden for MAI PT Data Collection: All Years
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                                                                                            Total                     Total       Average       Total
                        Instrument                           Number of    Responses per   number of    Hours per      burden    hourly wage   respondent
                                                            respondents    respondent     responses     response      hours         \1\          cost
--------------------------------------------------------------------------------------------------------------------------------------------------------
MAI-ORA...................................................            8               1            8           14          112       $48.35    $5,415.20
MAI-PPR...................................................            8               5           40            3          120        48.35     5,802.00
MAI-PORT/ATR..............................................            8               5           40            1           40        48.35     1,934.00
MAI-PORT/QPR..............................................            8              20          160            2          320        48.35    15,472.00
                                                           ---------------------------------------------------------------------------------------------
    Total.................................................            8              31          248           20          592        48.35    28,623.20
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\1\ Average hourly wage is based on the mean hourly wage for state government managers, as reported in the 2022 Occupational Employment (OES) by the
  Bureau of Labor Statistics (BLS) found at https://www.bls.gov/oes/current/naics4_999200.htm#11-0000. Accessed on January 15, 2024.

    No comments were received during the 60-Day Federal Register 
comment period. However, the instruments have been revised to reflect 
comments received from the cognitive testing. Changes include:

MAI PT Pilot Organizational Readiness Assessment (MAI-ORA)

     Added/revised instructions throughout to clarify meaning.
     Added list of definitions in appendix.
     Combined:
    [cir] service delivery and leveraging resources sections and
    [cir] four narrative sections and moved to the end of the 
instrument.
     Simplified/reformatted tables to improve flow and reduce 
grantee burden.
     Revised measures to clarify meaning, eliminate compound 
constructs, and reduce social desirability bias.
     Renumbered measures.

MAI PT Pilot--Programmatic Progress Report (MAI-PPR)

     Corrected typographical error in Public Burden Statement: 
Changed annual burden estimate from 24 hours to 3 hours.
     Added:
    [cir] general instructions in the beginning,
    [cir] instructions in Section 1 table, and
    [cir] additional instructions and examples throughout.
     Omitted:
    [cir] bottom three signature rows in Section 1 table and
    [cir] budget section.

MAI PT Pilot Online Reporting Tool (MAI-PORT)

     Added/updated instructions for clarification.
     Added:
    [cir] skip patterns to reduce grantee burden,
    [cir] two questions regarding content focus and level of 
implementation of planned prevention strategy, and
    [cir] items to QPR regarding details of inactive strategies.
     Updated:
    [cir] Race/ethnicity measures in ATR and QPR to be compliant with 
OMB's Statistical Policy Directive No. 15.
    [cir] SOGI measures in ATR and QPR.
    [cir] Appendix A: Added/revised definitions and
    [cir] Appendix B: Revised title from ``list of EBPs'' to ``List of 
Prevention Strategies,'' and added additional prevention strategies.
     Standardized language (e.g., direct/individual-based, 
indirect/population based, unduplicated count).
     Reordered reached/served items of ATR and QPR so that 
``reached'' is listed first.
     Eliminated demographics for ``reached'' in ATR and QPR.
     Grantees are now asked to report whether interventions are 
EBPP in ATR (added new status ``community-defined evidence practice'' 
and ``other'' criteria response options).
    Written comments and recommendations concerning the proposed 
information collection should be sent by December 23, 2024 to the 
SAMHSA Desk Officer at the Office of Information and Regulatory 
Affairs, Office of Management and Budget

[[Page 92137]]

(OMB). To ensure timely receipt of comments, and to avoid potential 
delays in OMB's receipt and processing of mail sent through the U.S. 
Postal Service, commenters are encouraged to submit their comments to 
OMB via email to: [email protected]. Although commenters are 
encouraged to send their comments via email, commenters may also fax 
their comments to: 202-395-7285. Commenters may also mail them to: 
Office of Management and Budget, Office of Information and Regulatory 
Affairs, New Executive Office Building, Room 10102, Washington, DC 
20503.

Krishna Palipudi,
Social Science Analyst.
[FR Doc. 2024-27294 Filed 11-20-24; 8:45 am]
BILLING CODE 4162-20-P
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