[Federal Register Volume 87, Number 12 (Wednesday, January 19, 2022)]
[Notices]
[Pages 2881-2882]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-00858]


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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. To request a copy of these documents, call the SAMHSA 
Reports Clearance Officer on (240) 276-0361.

Project: Revision of Mental Health Client/Participant Outcome Measures 
and Infrastructure, Prevention, and Mental Health Promotion Indicators 
(OMB No. 0930-0285)

    SAMHSA is requesting approval from the Office of Management and 
Budget (OMB) for revisions to the previously approved instruments and 
data collection activities for the Government Performance and Results 
Act (GPRA) Center Mental Health Services (OMB No 0930-0285) that 
expires on February 28, 2022.
    To be fully accountable for the spending of federal funds, SAMHSA 
requires all programs to collect and report data to ensure that program 
goals and objectives are met. Data is collected and used to monitor and 
improve performance of each program and ensure appropriate and 
thoughtful spending of federal funds.
    SAMHSA requests the following revisions to the NOMS Mental Health 
Client/Participant Outcome measures: (1) Merge the CMHS NOMS Child 
Client-level Measures for Discretionary Programs data collection 
instrument with the current CMHS NOMS Adult Client-level Measures for 
Discretionary Programs data collection instrument; (2) delete questions 
for data not being utilized for program monitoring and quality 
improvement; (3) reduce grantee burden by shifting questions for a 
five-point psychometric response scale to ``Yes'', ``No'', and ``No 
response/Refused'' responses; (4) modify IDC-10 diagnoses to expand the 
F 40-48, F60-63, and F90-99 codes to allow for more specificity. Also, 
add ICD-10 ``Z'' codes to allow for a focus on social determinants of 
health that may affect the diagnosis, course, prognosis, or treatment 
of a client/consumer mental disorder; (6) shift reporting NOMS data to 
baseline assessment, 3-month or 6-month reassessment, and a final 
clinical discharge assessment; (7) reduce the number of physical health 
indictors and reporting frequency from quarterly to three points in 
time (baseline, 3- or 6-month reassessment, clinical discharge).
    SAMHSA also requests the following revisions to the Infrastructure, 
Prevention, and Mental Health Promotion indicators:

    (1) Delete four indicators not used by any SAMSHA programs: PD1: 
The number of policy changes completed as a result of the grant; 
WD4: The number of changes made to credentialing and licensing 
policies in order to incorporate expertise needed to improve mental 
health-related practices/activities; F1: The amount of additional 
funding obtained for specific mental health-related practices/
activities that are consistent with the goals of the grant; and O2: 
The total number of contacts made through program outreach efforts).
    (2) Revise two indicators to provide more clarity A3: The number 
of communities that enhance health information-sharing for provision 
of services between agencies and program; and A1: The number of 
grant project activities in which fidelity is monitored as a result 
of the grant); and
    (3) Add eleven indicators to reflect program developments during 
the past three years: R2: The number of individuals referred to 
trauma-informed care services as a result of the grant; R3: The 
number of individuals referred to crisis or other mental health 
services for suicidality; S2: The number of individuals screened for 
trauma-related experiences as a result of the grant; S3: The number 
of individuals screened for suicidal ideation as a result of the 
grant; T5: The number of activities modified, adapted, or changed to 
reflect trauma-informed practices for the population(s) being served 
by the grant; T6: The number of activities modified, adapted, or 
changed to reflect culturally appropriate services for the 
population(s) being served by the grant; T7: As a result of the 
grant, reduce the percentage of individuals who died by suicide; and 
T8: As a result of the grant, reduce the number of individuals who 
attempted suicide).

    These changes will lessen grantee burden with data collection and 
improve capacity to report qualitative performance and quantitative 
outcomes for all discretionary grant programs, including: Demographic 
characteristics of clients' served; clinical characteristics of 
clients' served before, during, and after receipt of services; numbers 
of clients served; and characteristics of services and activities 
provided to clients'.
    Currently, the information collected from this instrument is 
entered and stored on SAMHSA's Performance Accountability and Reporting 
System (SPARS), a real-time, performance management system that 
captures information on mental health and substance abuse treatment 
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 (GPRMA) reporting 
requirements that quantify the effects and accomplishments of its 
discretionary grant programs, which are consistent with OMB guidance.
    SAMHSA and its Centers will use the data collected for annual 
reporting required by required by GPRMA, to describe and understand 
changes in outcomes from baseline to follow-up to discharge. SAMHSA and 
its Centers will use the data for annual reporting comparing baseline 
with discharge and follow-up data. SAMHSA's report for each fiscal year 
will include actual results of performance monitoring for the three 
preceding fiscal years. Information collected through this request will 
allow SAMHSA to report on the results of these performance outcomes as 
well as be consistent with SAMHSA-specific performance domains, and to 
assess the

[[Page 2882]]

accountability and performance of its discretionary and formula grant 
programs. The additional information collected through this request 
will allow SAMHSA to improve its ability to assess the impact of its 
programs on key outcomes of interest and to gather vital diagnostic 
information about clients served by discretionary grant programs.
    The requested changes will result in a reduction of total burden 
hours. Currently, there are 104,168 total burden hours in the OMB-
approved inventory. SAMSHA is requesting a reduction to 68,673 hours or 
an estimated decrease of 35,494 burden hours. The proposed estimate of 
time to collect data and complete the instruments is shown in Table 1.

                                  Table 1--Estimates of Annualized Hour Burden
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                                    Number of     Responses per        Total         Hours per      Total hour
          SAMHSA tool              respondents      respondent       responses       response         burden
----------------------------------------------------------------------------------------------------------------
Client-level baseline interview          40,280                1          40,280            0.33          30,901
Client-level 3- or 6-month               40,280                1          40,280            0.33          30,901
 reassessment interview........
Client-level clinical discharge           6,668                1           6,668            0.33           2,200
 interview.....................
Section H Physical Health Data           39,231                1          39,231             .10           3,923
 Baseline......................
Section H Program Specific               14,800                2          29,600             .08           2,368
 Data: Baseline, 3- or 6-month
 reassessment, and clinical
 discharge.....................
                                --------------------------------------------------------------------------------
    Subtotal...................         141,259  ...............         154,059  ..............          68,673
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Infrastructure development,                 942                4           3,768             2.0           7,536
 prevention, and mental health
 promotion quarterly record
 abstraction...................
                                --------------------------------------------------------------------------------
            Total..............         142,201  ...............         157,827  ..............         104,168
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    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.

Carlos Graham,
Reports Clearance Officer.
[FR Doc. 2022-00858 Filed 1-18-22; 8:45 am]
BILLING CODE 4162-20-P