[Federal Register Volume 86, Number 145 (Monday, August 2, 2021)]
[Notices]
[Pages 41492-41493]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-16406]


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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: 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.

[[Page 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 Client-level 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 five-point 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
----------------------------------------------------------------------------------------------------------------
                                    Number of     Responses per        Total         Hours per      Total hour
          SAMHSA tool              respondents      respondent       responses       response         burden
----------------------------------------------------------------------------------------------------------------
Client-level baseline interview          40,280                1          40,280            0.33          30,901
Client-level 3- or 6-month               40,280                1          40,280            0.33          30,901
 reassessment interview........
Client-level clinical discharge           6,668                1           6,668            0.33           2,200
 interview.....................
Section H Physical Health Data           39,231                1          39,231             .10           3,923
 Baseline......................
Section H Program Specific               14,800                2          29,600             .08           2,368
 Data: Baseline, 3- or 6-month
 reassessment, and clinical
 discharge.....................
                                --------------------------------------------------------------------------------
    Subtotal...................         141,259  ...............         154,059  ..............          68,673
Infrastructure development,                 942                4           3,768             2.0           7,536
 prevention, and mental health
 promotion quarterly record
 abstraction...................
                                --------------------------------------------------------------------------------
    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 <a href="/cdn-cgi/l/email-protection#d2b1b3a0bebda1fcb5a0b3bab3bf92a1b3bfbaa1b3fcbabaa1fcb5bda4"><span class="__cf_email__" data-cfemail="1a797b68767569347d687b727b775a697b7772697b34727269347d756c">[email protected]</span></a>. 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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