[Federal Register Volume 87, Number 12 (Wednesday, January 19, 2022)]
[Notices]
[Pages 2887-2888]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-00857]


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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: 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:
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    \1\ 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.
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    <bullet> 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;
    <bullet> Removing or substantially altering existing questions 
viewed as being potentially traumatizing or incentive to clients;
    <bullet> Removing questions that have not been used in program 
evaluation at the federal level; and
    <bullet> 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

[[Page 2888]]

SAMHSA's fiscal year report include actual results of performance 
monitoring for the three preceding fiscal years. 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 and formula grant 
programs.

                                                      Table 1--Estimates of Annualized Hour Burden
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                                                                                         Total        Burden
                      SAMHSA tool                        Number of    Responses  per   number of    hours per    Total burden   Hourly wage   Total hour
                                                        respondents     respondent     responses     response        hours          \1\          cost
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Baseline Interview Includes SBIRT Brief TX, Referral        179,668                1      179,668          0.6         107,801       $24.78   $2,671,309
 to TX, and Program-specific questions................
Follow-Up Interview with Program-specific questions         143,734                1      143,734          0.6          86,240        24.78    2,137,027
 \2\..................................................
Discharge Interview with Program-specific questions          93,427                1       93,427          0.6          56,056        24.78    1,389,068
 \3\..................................................
SBIRT Program--Screening Only.........................      594,192                1      594,192         0.13          77,245        24.78    1,914,131
SBIRT Program--Brief Intervention Only Baseline.......      111,411                1      111,411          0.2          22,282        24.78      552,148
SBIRT Program--Brief Intervention Only Follow-Up \2\..       89,129                1       89,129          0.2          17,826        24.78      441,728
SBIRT Program--Brief Intervention Only Discharge \3\..       57,934                1       57,934          0.2          11,587        24.78      287,126
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    CSAT Total........................................    1,269,495  ...............    1,269,495  ...........         379,037  ...........    9,392,537
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\1\ The hourly wage estimate is $21.23 based on the Occupational Employment and Wages, Mean Hourly Wage Rate for 21-1011 Substance Abuse and Behavioral
  Disorder Counselors = $24.78/hr. as of May 11, 2021. (http://www.bls.gov/oes/current/oes211011.htm. Accessed on May 11, 2021.)
\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.
Note: Numbers may not add to the totals due to rounding and some individual participants completing more than one form.

    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. 2022-00857 Filed 1-18-22; 8:45 am]
BILLING CODE 4162-20-P