Federal Register / Vol. 87, No. 12 / Wednesday, January 19, 2022 / Notices 2885 

requirements of Section 508 of the 

Rehabilitation Act to permit 

accessibility to people with disabilities. 

From February 2022 to April 2022, 

the Organizer Survey—Initial will be 

completed by an estimated 500 

Communities Talk activity organizers 

and will require only one response per 

respondent. It will take an average of 10 

minutes (0.167 hours) to review the 

instructions and complete the survey. 

Similarly, from February 2023 to April 

2023, the Organizer Survey—Follow-up 

will be completed by an estimated 500 

Communities Talk activity organizers 

and will require only one response per 

respondent. It will take an average of 10 

minutes (0.167 hours) to review the 

instructions and complete the survey. 

This burden estimate is based on 

comments from three 2019 

Communities Talk activity organizers 

who reviewed the survey and provided 

comments on how long it would take 

them to complete it. 

ESTIMATED ANNUALIZED BURDEN TABLE

Form name Number of 

respondents 

Responses 

per 

respondent 

Total 

responses 

Hours per 

response 

Total hour 

burden 

Organizer Survey—Initial ..................................................... 500 1 500 0.167 83.50 

Organizer Survey—Follow-Up ............................................. 500 1 500 0.167 83.50 

Total .............................................................................. 500 ........................ 1,000 ........................ 167.00 

Send comments to Carlos Graham, 

SAMHSA Reports Clearance Officer, 

5600 Fisher Lane, Room 15E57–A, 

Rockville, MD 20852 OR email him a 

copy at carlos.graham@samhsa.hhs.gov. 

Written comments should be received 

by March 21, 2022. 

Carlos Graham, 

Reports Clearance Officer. 

[FR Doc. 2022–00860 Filed 1–18–22; 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: Submission for OMB 

Review; 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 at (240) 276– 

0361. 

Comments are invited on: (a) Whether 

the proposed collection of information 

is necessary for the proper performance 

of the functions of the agency, including 

whether the information will 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: Mental and Substance Use 

Disorders Prevalence Study (MDPS) 

Grant Funded by SAMHSA, Grant 

Number H79FG000030 

SAMHSA is requesting from the 

Office of Management and Budget 

(OMB) approval to conduct recruitment 

activities and clinical interviews with 

household respondents and nonhousehold facilities and respondents as 

part of the Mental and Substance Use 

Disorders Prevalence Study (MDPS) 

pilot program. Activities conducted will 

include: A household rostering and 

mental health screening of household 

participants and a clinical interview of 

both household and non-household 

participants. The information gathered 

by the clinical interview will be used to 

determine prevalence estimates of 

schizophrenia or schizoaffective 

disorder; bipolar I disorder; major 

depressive disorder; generalized anxiety 

disorder; posttraumatic stress disorder 

(PTSD); obsessive-compulsive disorder; 

anorexia nervosa; and alcohol, 

benzodiazepine, opioid, stimulant, and 

cannabis use disorders among U.S. 

adults ages 18 to 65 years. 

Household Rostering 

The household rostering includes 

inquiries about all adults ages 18 and 

older residing in the household, to 

assess eligibility for inclusion in the 

study, and then selecting up to two 

adults for the household mental health 

screening. The total number of 

household members and numbers of 

adults and children are first asked, 

followed by the first name, age and sex 

of all adult household members, as well 

as whether any adult in the household 

has had a serious medical condition. 

The best time to be interviewed is 

collected as well. The computerized 

roster can be completed online, by 

phone, on paper, or in-person. The 

target population is adults ages 18–65 

residing in U.S. households; it is 

estimated that 45,000 household rosters 

will be completed. The primary 

objective of the household roster is to 

select up to two age-eligible participants 

for the mental health screening 

interview. 

Household Mental Health Screening 

The household mental health 

screening interview utilizes the 

Computerized Adaptive Testing for 

Mental Health Disorders (CAT–MH) or 

the World Health Organization’s 

Composite International Diagnostic 

Interview (CIDI) instruments to assess 

symptoms related to the mental health 

and substance use disorders of interest, 

including schizophrenia or 

schizoaffective disorder; bipolar I 

disorder; major depressive disorder; 

generalized anxiety disorder; 

posttraumatic stress disorder (PTSD); 

obsessive-compulsive disorder; anorexia 

nervosa; and alcohol, benzodiazepine, 

opioid, stimulant, and cannabis use. 

The screening instrument also includes 

questions on treatment, receipt of Social 

Security Disability Income (SSDI), 

military experience, and exposure to 

and impact of COVID–19. The 

computerized mental health screening 

can be completed online, by phone, on 

paper or in-person. The primary 

objectives of the household mental 

health screening interview are to assess 

the symptoms endorsed and determine 

eligibility and selection for the MDPS 

pilot program clinical interview. 


jspears on DSK121TN23PROD with NOTICES1
2886 Federal Register / Vol. 87, No. 12 / Wednesday, January 19, 2022 / Notices 

Clinical Interview 

The MDPS pilot program clinical 

interview includes questions that assess 

the mental health and substance use 

disorders using the NetSCID, a 

computerized version of the Structured 

Clinical Interview for DSM–V (SCID). 

This instrument includes questions on 

symptoms and their duration and 

frequency for the disorders of interest. 

Also collected from respondents is 

demographic information, including 

sex, gender, age, education and 

employment status. Hospitalization and 

treatment history are asked as well as 

questions to assess exposure to COVID– 

19 of self or other close family members 

and the impact on mental health. Up to 

two adults per household will be 

selected to complete the clinical 

interview. Participants from the prisons, 

jails, homeless shelters and state 

psychiatric hospitals will complete the 

clinical interview as well. The 

computer-assisted personal interview 

(CAPI) is administered by a trained 

clinical interviewer, and can be 

conducted by video conference, such as 

Zoom or WebEx, phone or in person. 

Approximately 7,200 clinical interviews 

will be conducted as part of the MDPS 

pilot program. The primary objective of 

the clinical interview is to estimate the 

prevalence of the disorders of interest, 

including schizophrenia or 

schizoaffective disorder; bipolar I 

disorder; major depressive disorder; 

generalized anxiety disorder; 

posttraumatic stress disorder (PTSD); 

obsessive-compulsive disorder; anorexia 

nervosa; and alcohol, benzodiazepine, 

opioid, stimulant, and cannabis use, as 

well as unmet treatment needs. 

Jail Mental Health Screening 

The jail mental health screening 

interview utilizes the CIDI screening 

instruments to assess symptoms related 

to the primary mental health and 

substance use disorders of interest 

including schizophrenia or 

schizoaffective disorder; bipolar I 

disorder; major depressive disorder; 

generalized anxiety disorder; 

posttraumatic stress disorder (PTSD); 

obsessive-compulsive disorder; anorexia 

nervosa; and alcohol, benzodiazepine, 

opioid, stimulant, and cannabis use. 

The screening instrument also includes 

questions on treatment, receipt of Social 

Security Disability Income (SSDI), 

military experience, and exposure to 

and impact of COVID–19. The 

computerized mental health screening 

will be completed in person or by 

phone. The target population is a 

convenience sample of incarcerated 18– 

65-year-old adults, in up to six jails 

identified by the MDPS co-investigator 

team. Up to 208 mental health screening 

interviews will be conducted among 

incarcerated respondents. Respondents 

will be provided with a card that 

includes contact information and asked 

to contact the project personnel when 

they are released for inclusion in the 

household clinical interview sample. 

The primary objective of the jail mental 

health screening interview is to 

determine the feasibility of conducting 

mental health screening interviews 

within a jail population, as well as 

whether they would have been included 

in the household sample during the data 

collection period should they not have 

been incarcerated. 

Facility Recruitment 

Information packets will be sent to all 

selected prisons, state psychiatric 

hospitals, homeless shelters and jails 

including a letter of invitation, letters of 

support, an overview of the project and 

an overview of the data collection 

process in the facility. Facilities will be 

contacted by telephone, to answer any 

questions and provide additional 

information regarding the MDPS pilot 

program. Once approval is obtained, a 

logistics manager will contact the 

facility to provide instructions on the 

rostering and selection processes, to 

schedule the data collection visit, and to 

determine the appropriate space to 

conduct the interviews and the number 

of days and hours per day for data 

collection. Facilities will be asked to 

provide a roster (deidentified or 

identified) of eligible residents within 

one week of scheduling the data 

collection visit and again one-to-two 

weeks prior to the actual data collection 

visit (note: Data collection can be 

scheduled up to 4 months in advance). 

At the time of data collection, facility 

staff will assist with data collection 

activities including escorting selected 

inmates to and from the data collection 

area. 

The primary objective of the MDPS 

pilot program is to examine methods to 

estimate the prevalence of specific 

mental illnesses, particularly adults 

with psychotic disorders and serious 

functional impairment, and treatment in 

both populations to answer two core 

research questions: 

• What is the prevalence of 

schizophrenia/schizoaffective disorder 

(lifetime and past year), bipolar I 

disorder (past year), major depressive 

disorder (past year), generalized anxiety 

disorder (past year), posttraumatic stress 

disorder (past year), obsessivecompulsive disorder (past year), 

anorexia nervosa (past year), and 

alcohol, benzodiazepine, opioid, 

stimulant, and cannabis use disorders 

(past year) among adults, ages 18–65, in 

the United States? 

• What proportion of adults in the 

United States with these disorders 

received treatment in the past year? 

In addition to these research 

questions, the MDPS pilot program will 

allow for procedural evaluation to: 

D Identify which set of screening 

instruments might be best to accurately 

identify mental and substance use 

disorders within the U.S. household 

population; 

D Understand the best approaches to 

conducting data collection within nonhousehold settings, to gather 

information on mental illness and 

treatment; 

D Design protocols for collecting 

clinical interviews from proxy 

respondents; and 

D Establish a protocol that can be 

used at a larger scale to understand the 

prevalence and burden of specific 

mental disorders in both non-household 

and household populations across the 

United States. 

EXHIBIT 1—TOTAL ESTIMATED ANNUALIZED RESPONDENT BURDEN BY INSTRUMENT AND FACILITY RECRUITMENT

Activity 

Total 

number of 

respondents 

Number of 

responses 

per 

respondent 

Total 

number of 

responses 

Average 

hours per 

response 

Average 

burden 

hours 

Average 

hourly 

wage ** 

Total cost 

Instrument: 

Household Rostering ......................................................... 45,000 1 45,000 0.13 5,850 $19.83 $116,006 

Household contact attempts* ............................................. 45,000 1 45,000 0.17 7,650 19.83 151,700 

Household Screening ......................................................... 45,000 1 45,000 0.25 11,250 19.83 223,088 

Screening contact attempts* .............................................. 45,000 1 45,000 0.17 7,650 19.83 151,700 

Clinical Interview (household and non-household) ............ 7,200 1 7,200 1.40 10,080 19.83 199,886 

Clinical Interview contact attempts* ................................... 7,200 1 7,200 0.25 1,800 19.83 35,694 

Jail Screening Interview ..................................................... 208 1 208 0.33 69 19.83 1,369 


jspears on DSK121TN23PROD with NOTICES1
Federal Register / Vol. 87, No. 12 / Wednesday, January 19, 2022 / Notices 2887 

1Substance 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. 

EXHIBIT 1—TOTAL ESTIMATED ANNUALIZED RESPONDENT BURDEN BY INSTRUMENT AND FACILITY RECRUITMENT— 

Continued 

Activity 

Total 

number of 

respondents 

Number of 

responses 

per 

respondent 

Total 

number of 

responses 

Average 

hours per 

response 

Average 

burden 

hours 

Average 

hourly 

wage ** 

Total cost 

Jail Clinical Interview ......................................................... 63 1 63 1.40 88 19.83 1749 

Sub-total Interviewing Estimates ................................ .................... .................... .................... .................... 44,437 .................... 881,192 

Facility Recruitment 

Information package review for facility administrators ...... 58 1 58 0.75 43.5 25.09 1,091 

Initial call with facility staff ................................................. 58 1 58 1 58 25.09 1,455 

Telephone call with facility staff to explain roster file process .................................................................................. 58 1 58 2 116 25.09 2,910 

Facility staff provides roster ............................................... 58 4 232 2 464 25.09 11,642 

Facility staff coordinates time and location for clinical 

interview administration .................................................. 58 4 232 2 464 25.09 11,642 

Sub-total Facility Recruitment Estimates .................... .................... .................... .................... .................... 1,145.5 .................... 28,740 

Total ..................................................................... .................... .................... .................... .................... 45,582.5 .................... 909,932 

*Contact attempts include the time spent reviewing all follow-up letters and study materials, including the respondent website, interactions with field and telephone 

interviewers, the consent process including asking questions regarding rights as a participant and receiving responses, and all other exchanges during the recruitment 

and interviewing processes. 

**To compute total estimated annual cost for Interviewing, the total burden hours were multiplied by the average hourly wage for each adult participant, according to 

a Bureau of Labor Statistics (BLS) chart called ‘‘Median usual weekly earnings of full-time wage and salary workers by educational attainment.’’ (Median usual weekly 

earnings of full-time wage and salary workers by educational attainment (bls.gov)). We used the median salary for full-time employees over the age of 25 who are 

high school graduates with no college experience in the 2nd quarter of 2021 ($19.83 per hour). * For the Facility Recruitment, the total average burden assumes an 

average hourly rate of $25.09 for Community and Social Service Managers, given in the Bureau of Labor Statistic’s Occupational Employment Statistics, May 2020. 

Send comments to Carlos Graham, 

SAMHSA Reports Clearance Officer, 

5600 Fishers Lane, Room 15E57–A, 

Rockville, Maryland 20857, OR email a 

copy to Carlos.Graham@

samhsa.hhs.gov. Written comments 

should be received by March 21, 2022. 

Carlos Graham, 

Reports Clearance Officer. 

[FR Doc. 2022–00861 Filed 1–18–22; 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: 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: Government Performance and 

Results Act (GPRA) Client/Participant 

Outcomes Measure—(OMB No. 0930– 

0208)—Revision 

SAMHSA is requesting approval to 

modify its existing CSAT Client-level 

GPRA instrument by removing 48 

questions and adding 42 questions for a 

net decrease of six questions. In revising 

the CSAT–GPRA tool, we sought to 

improve functionality while also 

eliciting programmatic information that 

demonstrates impact at the client level. 

In this way, data from the revised GPRA 

tool can be used to assess resource 

allocation and to delineate who we 

serve, how we serve them, and how the 

program impacts clients from entry to 

discharge. Beyond this, much of the tool 

has been restructured to make its 

administration flow with greater ease, 

while also eliciting information that 

speaks to a client’s experience with 

substance misuse, the concurrent use of 

substances and mental health. This is 

most apparent in Section B (Substance 

Use and Planned Services), where 

questions have been updated and 

restructured to elicit important aspects 

of a client’s use of substances, namely 

the frequency of use and combinations 

of misused substances. This speaks to 

an emerging and urgent need to 

appropriately manage polysubstance 

misuse,1 and the questions allow for 

evidence of change as the tool is 

readministered at different intervals. 

These questions do not rely on ICD–10 

codes, so as to create a dialogue between 

the client and the individual 

administering the tool. Restructuring the 

tool has also included: 

• Placing many questions from the 

general GPRA Tool, that have 

previously been viewed as being 

specific to patient populations or grants, 

in the menu items found in Section H. 

This section allows Program Officers the 

opportunity to introduce grant specific 

questions as needed; 

• Removing or substantially altering 

existing questions viewed as being 

potentially traumatizing or incentive to 

clients; 

• Removing questions that have not 

been used in program evaluation at the 

federal level; and 

• Incorporating evidence-based 

questions from tools such as the 

Addiction Severity Index to better 

address program performance. 

Currently, the information collected 

from this instrument is entered and 

stored in SAMHSA’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 discharge and 

follow-up data. GPRA requires that 


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