Federal Register / Vol. 89, No. 235 / Friday, December 6, 2024 / Notices 97015 

1. Threat, or the likelihood of a 

particular threat event occurring, 

quantified by the number of events 

occurring within a recipient’s 

jurisdiction (e.g., the ‘‘flood’’ threat 

parameter is comprised of the number of 

flooding events occurring within a 

recipient’s jurisdiction). 

2. Vulnerability, or a community’s or 

communities’ access to health care 

services and surge capacity (or lack 

thereof), quantified by proportion-based 

public health metrics (e.g., the ‘‘health 

care access’’ vulnerability parameter is 

comprised of the number of staffed 

hospital beds per capita by recipient). 

3. Consequence, or the potential 

negative impacts associated with a 

particular threat/hazard occurring, 

quantified by the historic number of 

casualties per event associated with 

each threat/hazard (e.g., the ‘‘flood’’ 

consequence parameter captures the 

expected number of casualties 

associated with a flooding event). 

Information Requested 

Please reference the tables found at 

https://aspr.hhs.gov/ 

HealthCareReadiness/HPP/Pages/ 

rfi.aspx to answer the following 

questions. 

(1) What, if any, feedback do you have 

regarding the current datasets? For 

example, are there any current datasets 

you recommend retiring? Please specify 

why and if you would recommend any 

replacements. 

(2) What, if any, additional datasets 

would you recommend including in the 

risk calculation? Please specify the data 

source and associated risk 

subcomponent (i.e., threat, 

vulnerability, consequence). You may 

recommend adding one of the ‘‘potential 

datasets’’ included in the tables found at 

https://aspr.hhs.gov/HealthCare

Readiness/HPP/Pages/rfi.aspx and/or 

suggest new datasets for consideration. 

(3) What, if any, additional 

considerations would you recommend 

including in the calculation of risk (e.g., 

threats that are not included in the 

current datasets)? Please also include 

datasets that can be used to measure 

these factors. 

You may address as many or as few 

questions as you choose. You may 

provide additional feedback relevant to 

the HPP funding formula. When 

responding, please identify the 

corresponding question. Datasets used 

for the risk calculation must be national 

in scope and either publicly available or 

readily available to the federal 

government. 

This RFI is for planning purposes 

only and should not be construed as a 

policy, solicitation for applications, or 

as an obligation on the part of the 

government to provide support for any 

ideas in response to it. ASPR will use 

the information submitted in response 

to this RFI at its discretion and will not 

provide comments to any of your 

submissions. The government is under 

no obligation to acknowledge receipt of 

the information received or provide 

feedback with respect to any 

information submitted. No proprietary, 

classified, confidential, or sensitive 

information should be included in a 

response. The contents of all 

submissions may be made available to 

the public in the future. Submitted 

materials should therefore be publicly 

available or be able to be made public. 

The Administrator and Assistant 

Secretary for Preparedness and 

Response of ASPR, Dawn O’Connell, 

having reviewed and approved this 

document, authorizes Adam DeVore, 

who is the Federal Register liaison, to 

electronically sign this document for 

purposes of publication in the Federal 

Register. 

Adam DeVore, 

Federal Register Liaison, Administration for 

Strategic Preparedness and Response. 

[FR Doc. 2024–28740 Filed 12–5–24; 8:45 am] 

BILLING CODE 4150–37–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, email the SAMHSA Reports 

Clearance Officer at samhsapra@

samhsa.hhs.gov. 

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 clientlevel 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 selfadministered 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, 


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[ Risk l 
97016 Federal Register / Vol. 89, No. 235 / Friday, December 6, 2024 / Notices 

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 multicomponent 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. 

SAMHSA tool Included domains Number of 

respondents 

Responses 

per 

respondent 

Total 

responses 

Hours 

per 

response 

Total 

hour 

burden 

Hourly 

cost Total cost 

Client-level baseline assessment— 

SUPRT–C Adult.

Demographics, SDOH, Core Outcomes of Recovery, Goals.488,775 1 488,775 0.250 122,194 $28.9 $3,530,177 

Client-level baseline assessment— 

SUPRT–C Youth, Child, or 

Young Child.

Demographics, SDOH ................... 91,225 1 91,225 0.133 12,163 28.9 351,399 

Client-level baseline—SUPRT–A ... Record Management, Behavioral 

Health History, Behavioral 

Health Screening, Behavioral 

Health Diagnoses.

2,125 314 668,250 0.280 187,110 28.9 5,405,608 

Client-level 3- or 6-month reassessment—SUPRT–C Adult.SDOH, Core Outcomes of Recovery, Goals.329,212 1 329,212 0.167 54,869 28.9 1,585,156 

Client-level 3- or 6-month reassessment—SUPRT–C Youth, 

Child, or Young Child.

SDOH ............................................. 61,444 1 61,444 0.050 3,072 28.9 88,756 

Client-level 3- or 6-month— 

SUPRT–A.

Record Management, Behavioral 

Health History, Behavioral 

Health Screening, Behavioral 

Health Diagnoses, Services Received.

2,125 212 450,097 0.330 148,532 28.9 4,291,086 

Client-level close-out record— 

SUPRT–A.

Record Management, Services Received.2,125 256 543,097 0.100 54,310 28.9 1,569,551 

Client-level annual SUPRT–C Adult Core Outcomes of Recovery, 

Goals.

91,540 1 91,540 0.117 10,680 28.9 308,535 

Client-level annual—SUPRT–A ...... Record Management, Behavioral 

Health History, Behavioral 

Health Screening, Behavioral 

Health Diagnosis, Services Received.

2,125 59 125,153 0.330 41,300 28.9 1,193,170 

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, 


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Federal Register / Vol. 89, No. 235 / Friday, December 6, 2024 / Notices 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: 

OIRA_Submission@omb.eop.gov. 

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 

DEPARTMENT OF HOMELAND 

SECURITY 

Federal Emergency Management 

Agency 

[Internal Agency Docket No. FEMA–4712– 

DR; Docket ID FEMA–2024–0001] 

Tennessee; Amendment No. 3 to 

Notice of a Major Disaster Declaration 

AGENCY: Federal Emergency 

Management Agency, DHS. 

ACTION: Notice. 

SUMMARY: This notice amends the notice 

of a major disaster declaration for the 

State of Tennessee (FEMA–4712–DR), 

dated May 17, 2023, and related 

determinations. 

DATES: This change occurred on October 

7, 2024. 

FOR FURTHER INFORMATION CONTACT: 

Dean Webster, Office of Response and 

Recovery, Federal Emergency 

Management Agency, 500 C Street SW, 

Washington, DC 20472, (202) 646–2833. 

SUPPLEMENTARY INFORMATION: The 

Federal Emergency Management Agency 

(FEMA) hereby gives notice that 

pursuant to the authority vested in the 

Administrator, under Executive Order 

12148, as amended, Darryl L. Dragoo, of 

FEMA is appointed to act as the Federal 

Coordinating Officer for this disaster. 

This action terminates the 

appointment of Leda M. Khoury as 

Federal Coordinating Officer for this 

disaster. 

The following Catalog of Federal Domestic 

Assistance Numbers (CFDA) are to be used 

for reporting and drawing funds: 97.030, 

Community Disaster Loans; 97.031, Cora 

Brown Fund; 97.032, Crisis Counseling; 

97.033, Disaster Legal Services; 97.034, 

Disaster Unemployment Assistance (DUA); 

97.046, Fire Management Assistance Grant; 

97.048, Disaster Housing Assistance to 

Individuals and Households In Presidentially 

Declared Disaster Areas; 97.049, 

Presidentially Declared Disaster Assistance— 

Disaster Housing Operations for Individuals 

and Households; 97.050, Presidentially 

Declared Disaster Assistance to Individuals 

and Households—Other Needs; 97.036, 

Disaster Grants—Public Assistance 

(Presidentially Declared Disasters); 97.039, 

Hazard Mitigation Grant. 

Deanne Criswell, 

Administrator, Federal Emergency 

Management Agency. 

[FR Doc. 2024–28633 Filed 12–5–24; 8:45 am] 

BILLING CODE 9111–23–P 

DEPARTMENT OF HOMELAND 

SECURITY 

Federal Emergency Management 

Agency 

[Internal Agency Docket No. FEMA–4832– 

DR; Docket ID FEMA–2024–0001] 

Tennessee; Amendment No. 4 to 

Notice of a Major Disaster Declaration 

AGENCY: Federal Emergency 

Management Agency, DHS. 

ACTION: Notice. 

SUMMARY: This notice amends the notice 

of a major disaster declaration for the 

State of Tennessee (FEMA–4832–DR), 

dated October 2, 2024, and related 

determinations. 

DATES: This amendment was issued 

November 4, 2024. 

FOR FURTHER INFORMATION CONTACT: 

Dean Webster, Office of Response and 

Recovery, Federal Emergency 

Management Agency, 500 C Street SW, 

Washington, DC 20472, (202) 646–2833. 

SUPPLEMENTARY INFORMATION: The notice 

of a major disaster declaration for the 

State of Tennessee is hereby amended to 

include the following areas among those 

areas determined to have been adversely 

affected by the event declared a major 

disaster by the President in his 

declaration of October 2, 2024. 

Hancock County for Public Assistance, 

including direct Federal assistance. 

Sevier County for permanent work 

[Categories C–G] (already designated for 

debris removal and emergency protective 

measures [Categories A and B], including 

direct Federal assistance, under the Public 

Assistance program). 

The following Catalog of Federal Domestic 

Assistance Numbers (CFDA) are to be used 

for reporting and drawing funds: 97.030, 

Community Disaster Loans; 97.031, Cora 

Brown Fund; 97.032, Crisis Counseling; 

97.033, Disaster Legal Services; 97.034, 

Disaster Unemployment Assistance (DUA); 

97.046, Fire Management Assistance Grant; 

97.048, Disaster Housing Assistance to 

Individuals and Households In Presidentially 

Declared Disaster Areas; 97.049, 

Presidentially Declared Disaster Assistance— 

Disaster Housing Operations for Individuals 

and Households; 97.050, Presidentially 

Declared Disaster Assistance to Individuals 

and Households—Other Needs; 97.036, 

Disaster Grants—Public Assistance 

(Presidentially Declared Disasters); 97.039, 

Hazard Mitigation Grant. 

Deanne Criswell, 

Administrator, Federal Emergency 

Management Agency. 

[FR Doc. 2024–28672 Filed 12–5–24; 8:45 am] 

BILLING CODE 9111–23–P 

DEPARTMENT OF HOMELAND 

SECURITY 

Federal Emergency Management 

Agency 

[Internal Agency Docket No. FEMA–3617– 

EM; Docket ID FEMA–2024–0001] 

North Carolina; Emergency and 

Related Determinations 

AGENCY: Federal Emergency 

Management Agency, DHS. 

ACTION: Notice. 

SUMMARY: This is a notice of the 

Presidential declaration of an 

emergency for the State of North 

Carolina (FEMA–3617–EM), dated 

September 26, 2024, and related 

determinations. 

DATES: The declaration was issued 

September 26, 2024. 

FOR FURTHER INFORMATION CONTACT: 

Dean Webster, Office of Response and 

Recovery, Federal Emergency 

Management Agency, 500 C Street SW, 

Washington, DC 20472, (202) 646–2833. 

SUPPLEMENTARY INFORMATION: Notice is 

hereby given that, in a letter dated 

September 26, 2024, the President 

issued an emergency declaration under 

the authority of the Robert T. Stafford 

Disaster Relief and Emergency 

Assistance Act, 42 U.S.C. 5121–5207 

(the Stafford Act), as follows: 

I have determined that the emergency 

conditions in certain areas of the State of 

North Carolina resulting from Hurricane 

Helene beginning on September 25, 2024, 

and continuing, are of sufficient severity and 

magnitude to warrant an emergency 

declaration under the Robert T. Stafford 

Disaster Relief and Emergency Assistance 

Act, 42 U.S.C. 5121 et seq. (‘‘the Stafford 

Act’’). Therefore, I declare that such an 

emergency exists in the State of North 

Carolina. 

You are authorized to provide appropriate 

assistance for required emergency measures, 


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