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[Federal Register Volume 89, Number 235 (Friday, December 6, 2024)]
[Notices]
[Pages 97015-97017]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-28556]

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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, email the SAMHSA Reports Clearance Officer at 
[email protected].

Project: SAMHSA Unified Client-Level Performance Reporting Tool 
(SUPRT)--(OMB No. 0930-NEW)

    SAMHSA is the agency within the U.S. Department of Health and Human 
Services that leads public health efforts to advance the behavioral 
health of the nation. SAMHSA is seeking approval for the new SAMHSA 
Unified Performance Reporting Tool (SUPRT) which will (1) combine and 
align the existing client-level performance instrument for the SAMHSA 
Center for Substance Abuse Treatment (CSAT) and National Outcomes 
Measures (NOMs) instrument for the SAMHSA Center for Mental Health 
Services (CMHS), and (2) create a two-component tool that will allow 
for a client (or caregiver) self-administered questionnaire (called 
SAMHSA Unified Performance Reporting Tool (SUPRT)-C: Client or 
Caregiver Form or `SUPRT-C') and a grantee completion of administrative 
data (called SAMHSA Unified Performance Reporting Tool (SUPRT)-A: 
Administrative Report or `SUPRT-A'). The revisions also allow for the 
client portion to move from interviewer-administered to self-
administered with the aim of potentially reducing burden and increasing 
reporting accuracy.
    SUPRT will allow SAMHSA to (1) continue to meet Government 
Performance and Results Modernization Act (GPRAMA) of 2010 reporting 
requirements; (2) reduce the scope and associated burden of questions 
requiring responses directly from clients; (3) standardize questions 
across programs wherever possible; and, (4) elicit programmatic 
information that will help to assess the impact of discretionary grant 
programs on the achievement of SAMHSA's 2023-2026 Strategic Priority 
Area goals and objectives.
    Furthermore, this effort is designed to align performance reporting 
requirements with other parts of the Federal Statistical System. For 
example,

[[Page 97016]]

to the extent possible, SAMHSA aims to align with measurement 
indicators used by the Centers for Medicare & Medicaid Services; the 
Centers for Disease Control and Prevention; the U.S. Census Bureau; and 
the Office of Management and Budget. For instance, the race and 
ethnicity question is aligned with the Office of Management and 
Budget's race and ethnicity standards.
    Currently, over 7,500 grantees across a range of prevention, harm 
reduction, treatment, and recovery support discretionary grant programs 
have reported program performance data into SAMHSA's Performance 
Accountability and Reporting System (SPARS) that serves as a central 
data repository. SPARS functions as a performance management system 
that captures information on the substance use and mental health 
services delivered via the range of SAMHSA's discretionary grants.
    The new SUPRT tool reflects diverse feedback SAMHSA obtained 
through multiple listening sessions conducted with key stakeholders, in 
addition to extensive deliberations conducted by different working 
groups within SAMHSA. Accordingly, SUPRT aligns with some prior 
questions and deletes other questions from the client-level performance 
reporting tools currently in use. SUPRT also incorporates select new 
measures/questions into a multi-component client-level tool. SAMHSA 
will provide guidance about these changes, specifying which items 
grantees can complete using administrative data and which can be self-
administered to clients. This new SUPRT will reduce client reporting 
burden and is projected to enhance the accuracy of the collected 
performance data.
    SAMHSA will use the data collected through the new SUPRT for annual 
reporting required by GPRAMA, grantee monitoring, and continuous 
improvement of its discretionary grant programs. The SUPRT will also 
align with, and strengthen, SAMHSA's complementary evaluation 
activities of its discretionary grant programs providing client 
services.
    The information collected through this process will allow SAMHSA to 
(1) monitor and report on implementation and overall performance of the 
associated grant programs; (2) advance SAMHSA's proposed performance 
goals; and (3) assess the accountability and performance of its 
discretionary grant programs, focused on efforts that promote mental 
health, prevent substance use, and provide treatments and supports to 
foster recovery.
    The first component of SUPRT, the SUPRT-C, is to be completed by 
clients or caregivers. SUPRT-C is composed of (1) standardized 
questions about demographic information (asked directly of clients at 
baseline only); (2) social determinants of health (asked directly of 
clients at baseline and at 3 or 6 months post baseline reassessment); 
and, (3) recovery, quality of life, and client goal measures as 
impacted by services received (asked of clients at baseline and 
reassessment during the client's first year of treatment, then 
annually). Therefore, not all questions are asked of each respondent 
(child/adult) or at each information collection period (e.g., baseline, 
reassessment, annual).
    The second component of SUPRT, SUPRT-A, is to be completed by 
grantees. SUPRT-A consists of a streamlined set of questions describing 
clients' behavioral health history, screening and diagnosis items, and 
services provided to clients. SUPRT-A is collected from client-records 
kept by the grantee, for example in paper or electronic health records 
(EHRs). Grantees may need to adjust their record keeping, intake or 
behavioral health history taking to ensure that they are able to 
complete the SUPRT-A. Question(s) about services provided to the client 
will only be required at reassessment and annually.
    The chart below summarizes the annualized burden for this project.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                      Responses                            Total
               SAMHSA tool                       Included domains        Number of       per         Total    Hours per    hour     Hourly    Total cost
                                                                        respondents   respondent   responses   response   burden     cost
--------------------------------------------------------------------------------------------------------------------------------------------------------
Client-level baseline assessment--SUPRT-C  Demographics, SDOH, Core         488,775            1     488,775      0.250   122,194     $28.9   $3,530,177
 Adult.                                     Outcomes of Recovery,
                                            Goals.
Client-level baseline assessment--SUPRT-C  Demographics, SDOH.........       91,225            1      91,225      0.133    12,163      28.9      351,399
 Youth, Child, or Young Child.
Client-level baseline--SUPRT-A...........  Record Management,                 2,125          314     668,250      0.280   187,110      28.9    5,405,608
                                            Behavioral Health History,
                                            Behavioral Health
                                            Screening, Behavioral
                                            Health Diagnoses.
Client-level 3- or 6-month reassessment--  SDOH, Core Outcomes of           329,212            1     329,212      0.167    54,869      28.9    1,585,156
 SUPRT-C Adult.                             Recovery, Goals.
Client-level 3- or 6-month reassessment--  SDOH.......................       61,444            1      61,444      0.050     3,072      28.9       88,756
 SUPRT-C Youth, Child, or Young Child.
Client-level 3- or 6-month--SUPRT-A......  Record Management,                 2,125          212     450,097      0.330   148,532      28.9    4,291,086
                                            Behavioral Health History,
                                            Behavioral Health
                                            Screening, Behavioral
                                            Health Diagnoses, Services
                                            Received.
Client-level close-out record--SUPRT-A...  Record Management, Services        2,125          256     543,097      0.100    54,310      28.9    1,569,551
                                            Received.
Client-level annual SUPRT-C Adult........  Core Outcomes of Recovery,        91,540            1      91,540      0.117    10,680      28.9      308,535
                                            Goals.
Client-level annual--SUPRT-A.............  Record Management,                 2,125           59     125,153      0.330    41,300      28.9    1,193,170
                                            Behavioral Health History,
                                            Behavioral Health
                                            Screening, Behavioral
                                            Health Diagnosis, Services
                                            Received.
                                                                       ---------------------------------------------------------------------------------
    Total................................  ...........................    1,070,696  ...........   2,848,793  .........   634,230  ........   18,323,437
--------------------------------------------------------------------------------------------------------------------------------------------------------

    Written comments and recommendations concerning the proposed 
information collection should be sent by January 6, 2025 to the SAMHSA 
Desk Officer at the Office of Information and Regulatory Affairs,

[[Page 97017]]

Office of Management and Budget (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.

Alicia Broadus,
Public Health Advisor.
[FR Doc. 2024-28556 Filed 12-5-24; 8:45 am]
BILLING CODE 4162-20-P
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