41492 Federal Register / Vol. 86, No. 145 / Monday, August 2, 2021 / Notices 

entered and stored in SAMSHA’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 

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 SAMHSAspecific performance domains, and (3) 

assess the accountability and 

performance of its discretionary grant 

programs including a focus on health 

equity. 

In revising the CSAT–GPRA tool, 

CSAT 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. The tool 

reflects CSAT’s desire to elicit pertinent 

client and program level data that can 

be used to not only guide future 

programs and practice, but to also 

respond to stakeholder, congressional 

and agency enquiries. 

TABLE 1—ESTIMATES OF ANNUALIZED HOUR BURDEN

SAMHSA tool Number of 

respondents 

Responses 

per 

respondent 

Total 

number of 

responses 

Burden 

hours per 

response 

Total 

burden 

hours 

Hourly wage 1

Total 

hour 

cost 

Baseline Interview Includes SBIRT Brief 

TX, Referral to TX, 

and Program-specific 

questions .................. 179,668 1 179,668 0.6 107,801 $24.78 $2,671,309 

Follow-Up Interview 

with Program-specific 

questions 2 ................ 143,734 1 143,734 0.6 86,240 24.78 2,137,027 

Discharge Interview 

with Program-specific 

questions 3 ................ 93,427 1 93,427 0.6 56,056 24.78 1,389,068 

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 

CSAT Total ........... 1,269,495 ........................ 1,269,495 ........................ 379,037 ........................ 9,392,537 

1The 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. 

Send comments to Carlos D. 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. 2021–16405 Filed 7–30–21; 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: Revision of Mental Health 

Client/Participant Outcome Measures 

and Infrastructure, Prevention, and 

Mental Health Promotion Indicators 

(OMB No. 0930–0285) 

SAMHSA is requesting approval for 

revisions to the previously approved 

instruments and data collection 

activities for the Government 

Performance and Results Act (GPRA) 

Center Mental Health Services (CMHS) 

(OMB No. 0930–0285) that expires on 

February 28, 2022. 


khammond on DSKJM1Z7X2PROD with NOTICES
Federal Register / Vol. 86, No. 145 / Monday, August 2, 2021 / Notices 41493 

To be fully accountable for the 

spending of federal funds, SAMHSA 

requires all programs to collect and 

report data to ensure that program goals 

and objectives are met. Data is collected 

and used to monitor and improve 

performance of each program and 

ensure appropriate and thoughtful 

spending of federal funds. 

SAMHSA requests the following 

revisions to the National Outcome 

Measures (NOMS) Mental Health Client/ 

Participant Outcome measures: (1) 

Merge the CMHS NOMS Child Clientlevel Measures for Discretionary 

Programs data collection instrument 

with the current CMHS NOMS Adult 

Client-level Measures for Discretionary 

Programs data collection instrument; (2) 

delete questions for data not being 

utilized for program monitoring and 

quality improvement; (3) reduce grantee 

burden by shifting questions for a fivepoint psychometric response scale to 

‘‘Yes’’, ‘‘No’’, ‘‘No response’’, or ‘‘Not 

applicable’’ responses; (4) modify IDC– 

10 diagnoses to expand the F40–48, 

F60–63, and F90–99 codes to allow for 

more specificity. Also, add ICD–10 ‘‘Z’’ 

codes to allow for a focus on social 

determinants of health that may affect 

the diagnosis, course, prognosis, or 

treatment of a client/consumer mental 

disorder; (6) shift reporting NOMS data 

to baseline assessment, 3-month or 6- 

month reassessment, and a final clinical 

discharge assessment; (7) reduce the 

number of physical health indictors and 

reporting frequency from quarterly to 

three points in time (baseline, 3- or 6- 

month reassessment, clinical discharge) 

to further reduce grantee burden. 

SAMHSA also requests the following 

revisions to the Infrastructure, 

Prevention, and Mental Health 

Promotion indicators: (1) Delete ten 

indicators not used by any SAMSHA 

programs (A3, A6, F1, F2, F3, O2, T4, 

WD1, WD3, and WD4); (2) revise two 

indicators to provide more clarity (A1 

and A5); and (3) add ten indicators to 

reflect program developments during 

the past three years (R2, S2, S3, T5, T6, 

T7, T8, TR2, TR3, and TR4). 

These changes will lessen grantee 

burden with data collection and 

improve capacity to report qualitative 

performance and quantitative outcomes 

for all discretionary grant programs, 

including: Demographic characteristics 

of clients served; clinical characteristics 

of clients served before, during, and 

after receipt of services; numbers of 

clients served; and characteristics of 

services and activities provided to 

clients. 

Currently, the information collected 

from this instrument is entered and 

stored on SAMHSA’s Performance 

Accountability and Reporting System 

(SPARS), which is a real-time, 

performance management system that 

captures information on mental health 

and substance abuse treatment 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 (GPRMA) reporting 

requirements that quantify the effects 

and accomplishments of its 

discretionary grant programs, which are 

consistent with OMB guidance. 

SAMHSA will use the data collected 

for annual reporting required by 

GPRMA, to describe and understand 

changes in outcomes from baseline to 

follow-up to discharge. SAMHSA and 

its Centers will use the data for annual 

reporting comparing baseline with 

discharge and follow-up data. 

SAMHSA’s report for each fiscal year 

will include actual results of 

performance monitoring for the three 

preceding fiscal years. Information 

collected through this request will allow 

SAMHSA to report on the results of 

these performance outcomes as well as 

be consistent with SAMHSA-specific 

performance domains, and to assess the 

accountability and performance of its 

discretionary and formula grant 

programs. The additional information 

collected through this request will allow 

SAMHSA to improve its ability to assess 

the impact of its programs on key 

outcomes of interest and to gather vital 

diagnostic information about clients 

served by discretionary grant programs. 

The requested changes will result in 

a reduction of total burden hours. 

Currently, there are 104,168 total 

burden hours in the OMB-approved 

inventory. SAMHSA is requesting a 

reduction to 68,673 hours or an 

estimated decrease of 35,494 burden 

hours. The proposed estimate of time to 

collect data and complete the 

instruments is shown in Table 1. 

TABLE 1—ESTIMATES OF ANNUALIZED HOUR BURDEN

SAMHSA tool Number of 

respondents 

Responses per 

respondent 

Total 

responses 

Hours per 

response 

Total 

hour burden 

Client-level baseline interview ............................................................................. 40,280 1 40,280 0.33 30,901 

Client-level 3- or 6-month reassessment interview ............................................ 40,280 1 40,280 0.33 30,901 

Client-level clinical discharge interview .............................................................. 6,668 1 6,668 0.33 2,200

Section H Physical Health Data Baseline ........................................................... 39,231 1 39,231 .10 3,923 

Section H Program Specific Data: Baseline, 3- or 6-month reassessment, and 

clinical discharge ............................................................................................. 14,800 2 29,600 .08 2,368 

Subtotal ........................................................................................................ 141,259 .......................... 154,059 ........................ 68,673 

Infrastructure development, prevention, and mental health promotion quarterly 

record abstraction ............................................................................................ 942 4 3,768 2.0 7,536 

Total ............................................................................................................. 142,201 .......................... 157,827 ........................ 104,168 

Send comments to Carlos Graham, 

SAMHSA Reports Clearance Officer, 

5600 Fisher Lane, Room 15E57A, 

Rockville, MD 20852 OR email him a 

copy at carlos.graham@samhsa.hhs.gov. Written comments should be received 

by October 1, 2021. 

Carlos Graham, 

Social Science Analyst. 

[FR Doc. 2021–16406 Filed 7–30–21; 8:45 am] 

BILLING CODE 4162–20–P 


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