Federal Register / Vol. 86, No. 145 / Monday, August 2, 2021 / Notices 41495 

1United States Government Accountability 

Office. (2020, November). Drug Misuse: Agencies 

Have Not Fully Identified How Grants That Can 

Support Drug Prevention Education Programs 

Contribute to National Goals. https://www.gao.gov/ 

assets/gao-21-96.pdf. 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Substance Abuse and Mental Health 

Services Administration 

Agency Information Collection 

Activities: Proposed Collection; 

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 project 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 collections of information 

are necessary for the proper 

performance of the functions of the 

agency, including whether the 

information shall 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: State Opioid Response (SOR)/ 

Tribal Opioid Response (TOR) Program 

Instrument (OMB No. 0930–0384)— 

Revision 

SAMHSA is requesting approval to 

modify its existing CSAT SOR/TOR 

Program Instrument by (1) collapsing 

the original three questions into two 

questions for clarity and (2) adding ten 

questions, in order to collect 

information on Congressionally 

mandated and programmatic activities 

and comply with reporting 

requirements. The program-level 

information is collected quarterly and 

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 prevention and 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 (GPRA) of 2010 

reporting requirements that quantify the 

effects and accomplishments of its 

discretionary grant programs. 

The SOR/TOR programs were first 

authorized under Title II Division H of 

the Consolidated Appropriations Act, 

2018, Public Law 115–141. SOR/TOR 

programs aim to address the opioid 

crisis by increasing access to 

medication-assisted treatment using the 

three FDA-approved medications for the 

treatment of Opioid Use Disorder 

(OUD), reducing unmet treatment need, 

and reducing opioid overdose-related 

deaths through the provision of 

prevention, treatment and recovery 

activities for OUD (including illicit use 

of prescription opioids, heroin, and 

fentanyl and fentanyl analogs). 

SAMHSA is proposing to revise the 

SOR/TOR Program Instrument data 

collection instrument (OMB No. 0930– 

0384), in order to collect information on 

Congressionally mandated and 

programmatic activities and comply 

with reporting requirements. 

SAMHSA developed the SOR/TOR 

Program Instrument to collect minimum 

data on naloxone purchase and 

distribution, but the SOR/TOR programs 

are unique in that they have prevention 

requirements. SOR/TOR grantees are 

required to engage in the following 

prevention activities: (1) Implement 

prevention and education services, 

including training of peers and first 

responders on recognition of opioid 

overdose and appropriate use of the 

opioid overdose antidote naloxone, (2) 

develop evidence-based community 

prevention efforts, including strategic 

messaging on the consequences of 

opioid misuse, and (3) purchase and 

distribute naloxone and train on its use. 

The revised tool will allow SAMHSA to 

collect data on the required education 

and prevention activities, and better 

assess grantee performance on these 

activities. 

Based on a recent United States 

Government Accountability Office 

(GAO) Report to Congress GAO 21–96, 

‘‘Drug Misuse: Agencies Have Not Fully 

Identified How Grants That Can Support 

Drug Prevention Education Programs 

Contribute to National Goals,’’ 1 GAO 

found that SAMHSA’s performance 

measures for the SOR program partially 

reflect its core program activities, and 

that although SAMHSA reported three 

performance measures for the SOR 

program, all three measures focused on 

treatment or recovery services only. 

GAO recommended, and SAMHSA 

committed to, implementing the 

following: ‘‘The Secretary of Health and 

Human Services should determine how 

the State Opioid Response program 

contributes to the prevention goals of 

the National Drug Control Strategy and 

develop performance measures that 

relate to achieving those goals including 

the prevention education goal.’’ 

Collection of the data in the revised tool 

will enable SAMHSA to implement the 

recommendations of GAO. 

Finally, the revisions will assist 

SAMHSA in providing comprehensive 

data on the full range of required 

activities to inform Congressionally 

mandated reports for the SOR program. 

In order to address these issues, 

SAMHSA is proposing to (1) collapse 

the three questions into two questions 

for clarity and (2) add ten questions, in 

order to collect information on 

Congressionally mandated and 

programmatic activities and comply 

with reporting requirements. A 

summary of the proposed changes 

includes: 

• The revised question will provide 

CSAT with clarification on the purchase 

and distribution of naloxone kits. 

• The ten additional questions will 

provide data on the following: 

Æ Reported overdose reversals; 

Æ Purchase and distribution of 

fentanyl test strips; 

Æ Training of first responders and key 

community sectors on recognizing an 

opioid overdose and the appropriate use 

of naloxone overdose reversal kits; 

Æ Educating individuals, including 

school-aged children, on the 

consequences of opioid and/or 

stimulant misuse using strategic 

messaging and prevention activities; 

Æ Training individuals to provide 

school-based prevention and education 

activities to school-aged children; and 

Æ Providing targeted prevention 

outreach activities to underserved and/ 

or diverse populations. 


khammond on DSKJM1Z7X2PROD with NOTICES
41496 Federal Register / Vol. 86, No. 145 / Monday, August 2, 2021 / Notices 

2The hourly wage estimate is $24.78 based on the 

Occupational Employment and Wages, Mean 

Hourly Wage Rate for 21–1018 Substance Abuse, 

Behavioral Disorder, and Mental Health Counselors 

= $24.78/hr. as of May 2020 (https://www.bls.gov/ 

oes/current/oes211018.htm Accessed on May 4, 

2021.) 

TABLE 1—ESTIMATE OF ANNUALIZED HOUR BURDEN FOR SOR/TOR GRANTEES

SAMHSA data collection Number of 

respondents 

Responses per 

respondent 

Total number 

of responses 

Burden hours 

per response 

Total 

burden hours Hourly wage 2 Total wage 

cost 

Grantee-Level Instrument ........................... 159 4 636 .30 190.80 $24.78 $4,728.02 

CSAT Total .......................................... 159 4 636 .30 190.80 24.78 4,728.02 

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 October 1, 2021. 

Carlos Graham, 

Social Science Analyst. 

[FR Doc. 2021–16407 Filed 7–30–21; 8:45 am] 

BILLING CODE 4162–20–P 

DEPARTMENT OF HOMELAND 

SECURITY 

Federal Emergency Management 

Agency 

[Docket ID FEMA–2021–0002] 

Changes in Flood Hazard 

Determinations 

AGENCY: Federal Emergency 

Management Agency, Department of 

Homeland Security. 

ACTION: Notice. 

SUMMARY: New or modified Base (1- 

percent annual chance) Flood 

Elevations (BFEs), base flood depths, 

Special Flood Hazard Area (SFHA) 

boundaries or zone designations, and/or 

regulatory floodways (hereinafter 

referred to as flood hazard 

determinations) as shown on the 

indicated Letter of Map Revision 

(LOMR) for each of the communities 

listed in the table below are finalized. 

Each LOMR revises the Flood Insurance 

Rate Maps (FIRMs), and in some cases 

the Flood Insurance Study (FIS) reports, 

currently in effect for the listed 

communities. The flood hazard 

determinations modified by each LOMR 

will be used to calculate flood insurance 

premium rates for new buildings and 

their contents. 

DATES: Each LOMR was finalized as in 

the table below. 

ADDRESSES: Each LOMR is available for 

inspection at both the respective 

Community Map Repository address 

listed in the table below and online 

through the FEMA Map Service Center 

at https://msc.fema.gov. 

FOR FURTHER INFORMATION CONTACT: Rick 

Sacbibit, Chief, Engineering Services 

Branch, Federal Insurance and 

Mitigation Administration, FEMA, 400 

C Street SW, Washington, DC 20472, 

(202) 646–7659, or (email) 

patrick.sacbibit@fema.dhs.gov; or visit 

the FEMA Mapping and Insurance 

eXchange (FMIX) online at https://

www.floodmaps.fema.gov/fhm/fmx_

main.html. 

SUPPLEMENTARY INFORMATION: The 

Federal Emergency Management Agency 

(FEMA) makes the final flood hazard 

determinations as shown in the LOMRs 

for each community listed in the table 

below. Notice of these modified flood 

hazard determinations has been 

published in newspapers of local 

circulation and 90 days have elapsed 

since that publication. The Deputy 

Associate Administrator for Insurance 

and Mitigation has resolved any appeals 

resulting from this notification. 

The modified flood hazard 

determinations are made pursuant to 

section 206 of the Flood Disaster 

Protection Act of 1973, 42 U.S.C. 4105, 

and are in accordance with the National 

Flood Insurance Act of 1968, 42 U.S.C. 

4001 et seq., and with 44 CFR part 65. 

For rating purposes, the currently 

effective community number is shown 

and must be used for all new policies 

and renewals. 

The new or modified flood hazard 

information is the basis for the 

floodplain management measures that 

the community is required either to 

adopt or to show evidence of being 

already in effect in order to remain 

qualified for participation in the 

National Flood Insurance Program 

(NFIP). 

This new or modified flood hazard 

information, together with the 

floodplain management criteria required 

by 44 CFR 60.3, are the minimum that 

are required. They should not be 

construed to mean that the community 

must change any existing ordinances 

that are more stringent in their 

floodplain management requirements. 

The community may at any time enact 

stricter requirements of its own or 

pursuant to policies established by other 

Federal, State, or regional entities. 

This new or modified flood hazard 

determinations are used to meet the 

floodplain management requirements of 

the NFIP and are used to calculate the 

appropriate flood insurance premium 

rates for new buildings, and for the 

contents in those buildings. The 

changes in flood hazard determinations 

are in accordance with 44 CFR 65.4. 

Interested lessees and owners of real 

property are encouraged to review the 

final flood hazard information available 

at the address cited below for each 

community or online through the FEMA 

Map Service Center at https://

msc.fema.gov. 

(Catalog of Federal Domestic Assistance No. 

97.022, ‘‘Flood Insurance.’’) 

Michael M. Grimm, 

Assistant Administrator for Risk 

Management, Department of Homeland 

Security, Federal Emergency Management 

Agency. 

State and county Location and case 

No. 

Chief executive officer of 

community Community map repository Date of modification 

Community 

No. 

Florida: 

Alachua (FEMA 

Docket No.: B– 

2125).

Unincorporated areas 

of Alachua County 

(20–04–2956P). 

Ms. Michele L. Lieberman, 

Alachua County Manager, 12 

Southeast 1st Street, Gainesville, FL 32601. 

Alachua County Public Works Department, 5620 Northwest 120th 

Lane, Gainesville, FL 32653. 

July 6, 2021 .................... 120001 


khammond on DSKJM1Z7X2PROD with NOTICES