Federal Register / Vol. 75, No. 105 / Wednesday, June 2, 2010 / Notices 30833 

appropriate stakeholders. A member of 

the Board described in (b), (c), and (d) 

in the above paragraph shall serve for a 

term of 3 years, except that the Secretary 

may adjust the terms of the initial Board 

appointees in order to provide for a 

staggered term of appointment of all 

members. Members who are not fulltime 

or permanent part-time Federal 

employees shall be appointed by the 

Secretary as Special Government 

Employees. 

Dated: May 21, 2010. 

Nicole Lurie, 

Assistant Secretary for Preparedness and 

Response, U.S. Department of Health and 

Human Services. 

[FR Doc. 2010–13177 Filed 6–1–10; 8:45 am] 

BILLING CODE 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) 276–1243. 

Project: Cross-Site Evaluation of the 

Garrett Lee Smith Memorial Suicide 

Prevention and Early Intervention 

Programs (OMB No. 0930–0286)— 

Revision 

The Substance Abuse and Mental 

Health Services Administration’s 

(SAMHSA) Center for Mental Health 

Services (CMHS) will continue to 

conduct the cross-site evaluation of the 

Garrett Lee Smith Memorial Youth 

Suicide Prevention and Early 

Intervention State/Tribal Programs and 

the Garrett Lee Smith Memorial Youth 

Suicide Prevention Campus Programs. 

The data collected through the cross-site 

evaluation addresses four stages of 

program activity: (1) The context stage 

includes a review of program plans, 

such as grantee’s target population, 

target region, service delivery 

mechanisms, service delivery setting, 

types of program activities to be funded 

and evaluation activities; (2) the product 

stage describes the prevention strategies 

that are developed and utilized by 

grantees; (3) the process stage assesses 

progress on key activities and 

milestones related to implementation of 

program plans; and (4) the impact stage 

assesses the impact of the program on 

early identification, referral for services 

and service follow up of youth at risk. 

Additionally, to obtain a 

comprehensive understanding of the 

integration of community-based 

behavioral health services with services 

provided by college or university 

campuses, SAMHSA will conduct case 

studies of four exemplary Campus 

suicide prevention programs. Currently, 

case studies of two campus grantees are 

underway. The goal of the Campus Case 

Studies is to understand how a public 

health approach is successfully applied 

as a model for campus suicide 

prevention efforts, and will explore, in 

a systematic manner: The suicide 

prevention related infrastructures and 

supports (e.g., clinical and non-clinical) 

that exist on selected GLS-funded 

campuses; the various student-level 

factors that are related to suicide 

prevention efforts (e.g., protective 

factors, coping strategies, social norms, 

and facilitators and barriers to student 

access and receipt of behavioral 

healthcare); campus interdepartmental 

collaboration and the relationship 

between various efforts to promote 

student mental health and wellness; and 

the extent to which the campus 

infrastructures and supports promote 

and address these factors. 

To date, 86 State/Tribal grants and 93 

Campus grants have participated in the 

cross-site evaluation, since FY2007. 

Currently, 48 State/Tribal grants and 38 

Campus grants are participating in the 

cross-site evaluation. Data will continue 

to be collected from suicide prevention 

program staff (e.g., project directors, 

evaluators), key program stakeholders 

(e.g., state/local officials, child-serving 

agency directors, gatekeepers, mental 

health providers, and campus 

administrators), training participants, 

college students, and campus faculty/ 

staff through FY2012. 

Since the State/Tribal grantees differ 

from the campus grantees in 

programmatic approaches, specific data 

collection activities also vary by type of 

program. The following describes the 

specific data collection activities and 

data collection instruments to be used 

across State/Tribal and Campus grantees 

for the cross-site evaluation and the 

specific data collection instruments to 

be used by selected Campus grantees for 

the Campus Case Studies. While most of 

the data collection instruments 

described below are revised versions of 

instruments that have previously 

received OMB approval (OMB No. 

0930–0286 with Expiration Date: May 

2010) and are currently in use, the 

Training Utilization and Preservation— 

Survey (TUP–S) for State/Tribal 

grantees and the Training Exit Survey 

for Campus grantees (TES–C) are 

proposed as new instruments. The 

addition of these two new data 

collection activities, the inclusion of the 

Campus Case studies, and an overall 

growth in number of grants for both the 

State/Tribal and Campus programs has 

increased the burden associated with 

the cross-site evaluation. A summary 

table of number of respondents and 

respondent burden has also been 

included. 

Data Collection Activities for State/ 

Tribal Grantees 

For State/Tribal grantees, the 

Prevention Strategies Inventory State/ 

Tribal (PSI ST), Training Exit Survey 

State/Tribal (TES ST), Referral Network 

Survey (RNS) and Training Utilization 

and Preservation—Interview (TUP–I) 

described below are revised versions of 

instruments that previously received 

OMB approval (OMB No. 0930–0286 

with Expiration Date: May 2010) and are 

currently in use. The Training 

Utilization and Preservation—Survey 

(TUP–S) is proposed as a new data 

collection instrument. 

• Prevention Strategies InventoryState/Tribal (PSI ST)—Revised. The 

Prevention Strategies Inventory will 

collect information on the suicide 

prevention strategies that grantees have 

developed and utilized. Prevention 

strategies include outreach and 

awareness, gatekeeper training, 

assessment and referral training for 

mental health professionals and hotline 

staff, lifeskills development programs, 

screening programs, hotlines and 

helplines, means restriction, policies 

and protocols for intervention and 

postvention, coalitions and 

partnerships, and direct services and 

traditional healing practices. Baseline 

data will be collected from the State/ 

Tribal grantees at the beginning of their 

grant cycle. Thereafter, they will 

complete the PSI ST on a quarterly basis 

over the duration of their grant period. 

Baseline data will be collected on 

information on the types of prevention 

strategies grantees have developed and 

utilized, and the follow-up data 

collection asks the grantees to update 

the information they have provided on 

a quarterly basis over the period of the 

grant. On average, 48 State/Tribal 

grantees will fill out the PSI ST per year. 

One respondent from each site will be 

responsible for completing the survey. 

The survey will take approximately 45 

minutes; however, the number of 

products, services and activities 

implemented under each strategy will 


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determine the number of items each 

respondent will complete. The PSI ST 

primarily has multiple-choice questions 

with several open-ended questions. 

• Training Exit Survey State-Tribal 

Version (TES ST)—Revised. The TES ST 

will be administered to all participants 

in suicide prevention training activities 

immediately following their training 

experience in order to assess the content 

of the training, the participants’ 

intended use of the skills and 

knowledge learned and satisfaction with 

the training experience. The survey will 

also contain modules with questions 

tailored to specific types of training. It 

is estimated that approximately 94,848 

trainees per year will respond to the 

TES ST. The questions on the TES ST 

are multiple-choice, Likert-scale, and 

open-ended. The survey includes about 

33 items and will take approximately 10 

minutes to complete. 

• Training Exit Survey Cover Page 

State/Tribal Version (TES CP)— 

Revision. State and Tribal grantees are 

required to report aggregate training 

participant information for all training 

conducted as part of their suicide 

prevention programs. These data are 

aggregated from existing data sources, 

some of which are attendance sheets, 

management information systems, etc. 

Grantees are responsible for aggregating 

these data and submitting to the crosssite evaluation team using the TES CP. 

• Training Utilization and 

Preservation Survey (TUP–S)—New. The 

Training Utilization and Preservation 

Survey (TUP–S) is a quantitative, 

computer-assisted telephone interview 

that will be administered to a random 

sample of trainees two months 

following the training. The TUP–S will 

assess trainee knowledge retention and 

gatekeeper behavior, particularly 

behavior related to identifying youth at 

risk. The TUP–S will ask trainees to 

provide demographic information about 

individuals they have identified at risk, 

information about the subsequent 

referrals or supports provided by the 

trainee, and any available information 

about services accessed by the at-risk 

individual. An average of 2,000 

participants per year will be sampled. 

The TUP–S includes 26 items and will 

take approximately 10 minutes to 

complete. 

• Training Utilization and 

Preservation Key Informant Interview 

(TUP–1)—Revision. The TUP–I is a 

qualitative follow-up interview that is 

targeted towards locally developed and 

understudied standardized training 

curricula as well as towards particular 

understudied gatekeeper trainee 

populations. The TUP–I will be 

administered to respondents two 

months following the training 

experience to assess whether the suicide 

prevention knowledge, skills or 

techniques learned through training 

were utilized and had an impact on 

youth. On average, the TUP–I will be 

administered to 100 respondents per 

year. The interviews are semistructured 

and open-ended. The TUP includes 22 

items and will take approximately 40 

minutes to complete. 

• Referral Network Survey (RNS)— 

Revision. The Referral Network Survey 

(RNS) will be administered to 

representatives of youth-serving 

organizations or agencies that form 

referral networks supporting youth 

identified at risk. The RNS examines 

how collaboration and integration are 

used for sharing and transferring 

knowledge, resources, and technology 

among State/Tribal Program agencies 

and organizational stakeholders, how 

these networks influence referral 

mechanisms and service availability, 

policies and protocols regarding followup for youths who have attempted 

suicide and who are at risk for suicide, 

and access to electronic databases. Most 

State/Tribal grantees will select a single 

referral network for this survey, the 

average size of the network is 11 

agencies/organizations and there will be 

2 respondents per agency. The RNS will 

be administered to referral networks on 

an annual basis over the period of the 

grant. On average, 1,056 respondents 

per year will complete the RNS. 

Questions on the RNS are multiplechoice, Likert-scale, and open-ended. 

The RNS includes 28 items and will 

take approximately 30 minutes to 

complete. 

• Early Identification, Referral and 

Follow up Aggregate Screening Form— 

State/Tribal grantees are also required to 

report aggregate screening information 

for all youth screened as part of their 

suicide prevention programs. These data 

are aggregated from existing data 

sources. Grantees are responsible for 

aggregating these data and submitting to 

the cross-site evaluation team using the 

Early Identification, Referral and Follow 

up Aggregate Screening Form. 

• Early Identification, Referral and 

Follow Up Analyses—State/Tribal 

grantees are required to share existing 

data with the cross-site evaluation team 

on the number of youth identified at 

risk as a result of early identification 

activities, referred for services, and who 

present for services. 

Data Collection Activities for Campuses 

For Campus grantees, the Prevention 

Strategies Inventory-Campus Baseline 

and Follow Up (PSI C), Suicide 

Prevention Exposure, Awareness and 

Knowledge Survey—Student Version 

(SPEAKS–S), Suicide Prevention 

Exposure, Awareness and Knowledge 

Survey—Faculty/StaffVersion 

(SPEAKS–FS) and Campus 

Infrastructure Interviews (CIFI) are 

revised versions of instruments that 

previously received OMB approval 

(OMB No. 0930–0286 with Expiration 

Date: May 2010) and are currently in 

use, and the Training Exit Survey— 

Campus (TES C) is proposed as a new 

data collection instrument. 

• Prevention Strategies InventoryCampus (PSI C)—Revision. The 

Prevention Strategies Inventory will 

collect information on the suicide 

prevention strategies that grantees have 

developed and utilized. Prevention 

strategies include outreach and 

awareness, gatekeeper training, 

assessment and referral training for 

mental health professionals and hotline 

staff, lifeskills development activities, 

screening programs, hotlines and 

helplines, means restriction, policies 

and protocols for intervention and 

postvention, and coalitions and 

partnerships. The Campus grantees will 

first complete collecting baseline data. 

Thereafter, they will collect follow-up 

data on a quarterly basis over the 

duration of their grant period. Baseline 

data will be collected on information on 

the types of prevention strategies 

grantees have developed and utilized, 

and the follow-up data collection asks 

the grantees to update the information 

they have provided on a quarterly basis 

over the period of the grant. On average, 

38 Campus grantees will fill out the PSI 

C per year. One respondent from each 

site will be responsible for completing 

the survey. The survey will take 

approximately 45 minutes. However, 

the number of products, services and 

activities implemented under each 

strategy will determine the number of 

items to complete. The survey primarily 

has multiple choice questions with 

several open-ended questions. 

• Training Exit Survey Campus 

Version (TES C)—New. The TES C will 

be administered to all participants in 

suicide prevention training activities 

immediately following their training 

experience in order to assess the content 

of the training, the participants’ 

intended use of the skills and 

knowledge learned, and satisfaction 

with the training experience. The survey 

will also contain modules with 

questions tailored to specific types of 

training. It is estimated that 

approximately 23,712 trainees per year 

will respond to the Training Exit 

Survey. The questions on the TES C are 

multiple-choice, Likert-scale, and openended. The survey includes about 33 


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items and will take approximately 10 

minutes to complete. 

• Training Exit Survey Cover Page 

Campus Version (TES CP)—Revision. 

State and Tribal grantees are required to 

report aggregate training participant 

information for all training conducted as 

part of their suicide prevention 

programs. These data are aggregated 

from existing data sources, some of 

which are attendance sheets, 

management information systems, etc. 

Grantees are responsible for aggregating 

these data and submitting to the crosssite evaluation team using the TES CP. 

• Suicide Prevention Exposure, 

Awareness and Knowledge Survey— 

Student Version (SPEAKS–S)—Revision. 

This survey will examine: The exposure 

of campus populations to suicide 

prevention initiatives; awareness of 

appropriate crisis interventions, 

supports, services, and resources for 

mental health seeking; knowledge of 

myths and facts related to suicide and 

suicide prevention; perceived and 

personal stigma related to depression 

and mental health seeking; and 

behaviors related to seeking help and 

referring for mental health services. This 

survey will be administered annually 

over the grant period. It is estimated that 

7,600 students per year will respond to 

the SPEAKS S. The SPEAKS–S is Webbased and includes multiple-choice, 

Likert-scale and true/false questions. 

The SPEAKS–Student Version includes 

85 items and will take approximately 25 

minutes to complete. 

• Suicide Prevention Exposure, 

Awareness and Knowledge Survey— 

(SPEAKS FS)—Revision. The SPEAKS– 

FS assesses the exposure, awareness and 

knowledge of suicide prevention 

activities among faculty/staff on campus 

as result of the suicide prevention 

program. Questions include whether 

faculty/staff have been exposed to 

suicide prevention materials, their 

agreement with myths and facts about 

suicide, and the availability of resources 

to provide assistance to those at risk for 

suicide. This survey will be 

administered annually over the grant 

period. It is estimated that 1,900 faculty/ 

staff per year will respond to the 

SPEAKS FS. The SPEAKS–FS is Webbased and includes multiple-choice, 

Likert-scale and true/false questions. 

The survey includes 54 items and will 

take approximately 15 minutes to 

complete. 

• Campus Infrastructure Interviews 

(CIFI)—Revision. CIFI is designed to 

gather information around campus 

infrastructure, program, policy, and 

planning related to suicide prevention; 

it involves key informant interviews 

conducted by the cross-site evaluation 

team via teleconference for each campus 

twice during the life of the grant. These 

semistructured interviews are 

conducted with up to five site 

representatives to gather information 

from multiple and varied perspectives 

on campus-based infrastructure 

development around suicide prevention 

activities. These representatives 

include; (1) Administrator, (2) Student 

Leader, (3) Counseling Center Staff, (4) 

Faculty/Staff-human services 

department, and (5) Faculty/Staff-nonhuman service department. Questions 

on the Campus Infrastructure Interview 

include whether respondents are aware 

of suicide prevention activities, what 

the campus culture is related to suicide 

prevention, and what specific efforts are 

in place to prevent suicide among the 

campus population. Questions will 

include close-ended background 

questions, with the remaining questions 

being open-ended and semi-structured. 

It is estimated that on average 64 

respondents per year will respond to 

CIFI. The Campus Infrastructure 

Interviews include 29 items and will 

take approximately 60 minutes to 

complete. 

Data Collection Activities for Campus 

Case Studies 

For Campus Case Studies, the 

instruments described below are 

currently used by 2 Campus grantees. 

These instruments are proposed for 4 

additional Campus grantees. The 

Campus Case Studies will take place 

over the period of the grant. 

• Student Focus Group Moderator’s 

Guide. This component will assess 

student risk and protective factors 

related to mental health, help-seeking 

behaviors, and knowledge of prevention 

activities on campus and their perceived 

effectiveness. This will help researchers 

more fully understand student-level 

factors in relation to population-level 

factors addressed by the SPEAKS–S. 

Questions address stressors that 

different groups of students face while 

in college, barriers to seeking help, 

attitudes and stigma related to seeking 

help, and the accessibility of the 

campus counseling center. Six focus 

groups will be conducted on each 

campus twice over the data collection 

period. The following groups of 

students will potentially be represented 

in the focus groups, as decided by the 

campus: (1) First-year students, (2) 

athletes, (3) international students, (4) 

Lesbian, Gay, Bisexual, and Transgender 

(LGBT) students, (5) Greek life students, 

(6) graduate students, and (7) residential 

advisors/peer educators. Recruitment 

will be conducted by campus project 

staff. Focus groups will include a 

maximum of 9 students. It is estimated 

that on average 432 students will 

participate in focus groups. Groups will 

last approximately 90 minutes. 

• Faculty/Staff Focus Group 

Moderator’s Guide. The faculty and staff 

focus groups will assess the campus’ 

approach to prevention, attitudes and 

stigma around student mental health 

and wellness on campus, campus 

infrastructure supports for students who 

need mental health help, and the 

general campus climate around mental 

health and wellness. Faculty and staff 

will also describe their knowledge of 

prevention activities on campus and 

their perceived effectiveness of these 

efforts. Local campus staff will recruit 

appropriate respondents for the faculty 

and staff focus groups to include a 

maximum of 9 respondents per group. 

Two faculty focus groups and one staff 

focus group will be conducted on each 

campus twice over the period of data 

collection. It is estimated that 216 

faculty/staff will participate in focus 

groups. The groups will last 

approximately 90 minutes. 

• Case Study Key Informant 

Interviews (7 versions). The Case Study 

Key Informant Interviews (CSIs) include 

7 qualitative interview versions: (1) 

Administrator, (2) Counseling Staff, (3) 

Coalition Member—Faculty, (4) 

Prevention Staff, (5) Case Finder, (6) 

Campus Police, and (7) Student Leader. 

Local project staff will be responsible 

for identifying appropriate respondents 

for each CSI version and scheduling the 

interview to occur during site visits by 

the case study team. Fourteen 

individuals from each of the campus 

sites will be selected as key informants 

to participate in the CSIs in each of the 

two stages of the GLS Campus Case 

Studies. Questions on the CSIs include 

whether respondents are aware of 

suicide prevention activities, what the 

campus culture is related to suicide 

prevention, and what specific efforts are 

in place to prevent suicide among the 

campus population. Items are formatted 

as open-ended and semi-structured 

questions. The CSIs include 16 to 21 

items and will take approximately 60 

minutes to complete. On the second site 

visit, the case study team will 

incorporate preliminary findings from 

the case studies in the interviews, 

which may be modified to some extent 

to collect more comprehensive 

information and gather feedback from 

local key informants surrounding the 

context of the preliminary findings. It is 

estimated that the CSI will be 

administered to 112 respondents. The 

CSIs for the second site visit will last 60 

minutes. 


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In addition to the above described 

data collection activities, data from 

existing sources (i.e., management 

information systems (MIS), 

administrative records, case files, etc.) 

will continue to be analyzed across 

grantee sites to support the impact stage 

of the cross-site evaluation. For the 

cross-site evaluation of the Campus 

programs, existing program data related 

to the number of students who are at 

risk for suicide, the number who seek 

services, and the type of services 

received are analyzed to determine the 

impact of Campus program activities on 

the student and campus populations. 

Because this information is obtained 

through existing sources, data collection 

instruments were not developed as part 

of the cross-site evaluation and no 

identifiable respondents exist; therefore 

no respondent burden has been 

estimated. 

Internet-based technology will 

continue to be used for collecting data 

via Web-based surveys, and for data 

entry and management. The average 

annual respondent burden is estimated 

below. The estimate reflects the average 

annual number of respondents, the 

average annual number of responses, the 

time it will take for each response, and 

the average annual burden. While the 

different cohorts of grantees finish their 

grants at different times, we have 

assumed that new cohorts will replace 

previous cohorts. Therefore, the number 

of grantees in each year is assumed to 

be constant. 

TABLE—ESTIMATES OF ANNUALIZED HOUR BURDEN

Measure name Number of 

respondents 

Number of 

responses/ 

respondent 

Hours/ 

response 

Response 

burden 

(in hours) 

Prevention Strategies Inventory—State Tribal (PSI–ST) ................................ 48 4 0.75 144 

Training Exit Survey State/Tribal (TES–ST) .................................................... 94,848 1 0.17 16,125 

Training Utilization and Penetration Survey (TUP–S) ..................................... 2,000 1 0.25 500 

Training Utilization and Penetration Interview (TUP–I) ................................... 100 1 0.67 67 

Referral Network Survey (RNS) ...................................................................... 1,024 1 0.67 687 

Early Identification, Referral and Follow Up Analysis (EIRF) .......................... 48 4 1 192 

Early Identification, Referral and Follow Up Aggregate Screening Form 

(EIRF–S) ...................................................................................................... 48 4 0.33 64 

Training Exit Survey Cover Page State/Tribal (TES–CP–ST) ........................ 48 4 0.33 64 

Prevention Strategies Inventory—Campus (PSI–C) ........................................ 38 4 0.75 114 

Training Exit Survey Campus (TES–C) ........................................................... 23,712 1 0.17 4,032 

Suicide Prevention Exposure, Awareness and Knowledge Survey—Student 

Version (SPEAKS–S) ................................................................................... 7,600 1 0.42 3,192 

Suicide Prevention Exposure, Awareness and Knowledge Survey—Faculty/ 

Staff (SPEAKS–FS) ..................................................................................... 1,900 1 0.25 475 

Campus Infrastructure Interview (CIFI) for Student ........................................ 38 1 0.75 29 

Campus Infrastructure Interview (CIFI) for Faculty ......................................... 76 1 0.75 57 

Campus Infrastructure Interview (CIFI) for Administrator ................................ 38 1 0.75 29 

Campus Infrastructure Interview (CIFI) for Counselor .................................... 38 1 0.75 29 

Training Exit Survey Cover Page Campus (TES–CP–C) ............................... 38 4 0.33 51 

MIS Data Abstraction ....................................................................................... 38 4 0.33 51 

Focus Group—Student Version ....................................................................... 216 1 1.5 324 

Focus Group—Faculty Version ....................................................................... 72 1 1.5 108 

Focus Group—Staff Version ............................................................................ 36 1 1.5 54 

Interview—Student Leader Version ................................................................. 8 1 1 8 

Interview—Case Finder Version ...................................................................... 4 1 1 4 

Interview—Faculty Version .............................................................................. 8 1 1 8 

Interview—Campus Police Version ................................................................. 8 1 1 8 

Interview—Counseling Staff Version ............................................................... 8 1 1 8 

Interview—Prevention Staff Version ................................................................ 12 1 1 12 

Interview—Administrator Version ..................................................................... 8 1 1 8 

Total .......................................................................................................... 132,060 ........................ ........................ 26,444 

ANNUALIZED SUMMARY TABLE

Respondents Number of 

respondents 

Responses/ 

respondent 

Total 

responses 

Total 

annualized 

hour burden 

STATE/TRIBAL CROSS–SITE EVALUATION INSTRUMENTS 

Project Evaluators ............................................................................................ 192 16 768 464 

Providers .......................................................................................................... 97,972 4 97,972 17,379 

CAMPUS CROSS-SITE EVALUATION INSTRUMENTS 

Project Evaluators ............................................................................................ 114 12 1,368 216 

Students ........................................................................................................... 7,638 2 7,638 3,221 

Campus Staff ................................................................................................... 2,052 4 2,052 590 

Providers .......................................................................................................... 23,712 1 23,712 4,032 

CAMPUS CASE STUDY INSTRUMENTS 

Students ........................................................................................................... 228 3 228 336 


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ANNUALIZED SUMMARY TABLE—Continued 

Respondents Number of 

respondents 

Responses/ 

respondent 

Total 

responses 

Total 

annualized 

hour burden 

Campus Staff ................................................................................................... 152 7 152 206 

Total .......................................................................................................... 132,060 49 133,890 26,444 

Written comments and 

recommendations concerning the 

proposed information collection should 

be sent by July 2, 2010 to: SAMHSA 

Desk Officer, Human Resources and 

Housing Branch, Office of Management 

and Budget, New Executive Office 

Building, Room 10235, Washington, DC 

20503; due to potential delays in OMB’s 

receipt and processing of mail sent 

through the U.S. Postal Service, 

respondents are encouraged to submit 

comments by fax to: 202–395–6974. 

Dated: May 25, 2010. 

Elaine Parry, 

Director, Office of Program Services. 

[FR Doc. 2010–13146 Filed 6–1–10; 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: 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 will publish 

periodic summaries of proposed 

projects. To request more information 

on the proposed projects or to obtain a 

copy of the information collection 

plans, call the SAMHSA Reports 

Clearance Officer on (240) 276–1243. 

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. 

Proposed Project: Screening, Brief 

Intervention, Brief Treatment and 

Referral to Treatment (SBIRT) CrossSite Evaluation—New 

SAMHSA is conducting a cross-site 

external evaluation of the impact of 

programs of screening, brief 

intervention (BI), brief treatment (BT) 

and referral to treatment on patients 

presenting at various health care 

delivery units with a continuum of 

severity of substance use. SAMHSA’s 

SBIRT program is a cooperative 

agreement grant program designed to 

help States and Tribal Councils expand 

the continuum of care available for 

substance misuse and use disorders. 

The program includes screening, brief 

intervention, brief treatment and 

referrals to treatment for persons at risk 

for dependence on alcohol or drugs. The 

cross-site evaluation will provide a 

comprehensive assessment of the effects 

of SBIRT on patient outcomes, 

performance site practices, and 

treatment systems. This information 

will allow SAMHSA to determine the 

extent to which SBIRT has met its 

objectives of implementing a 

comprehensive system of identification 

and care to meet the needs of 

individuals at all points along the 

substance use continuum. 

A paper and pencil survey will be 

administered to practitioners in sites 

where SBIRT services are being 

delivered. The practitioner survey is 

designed to evaluate the 

implementation of proposed SBIRT 

models by measuring their penetration 

and practitioners’ willingness to adopt. 

Furthermore, the survey will document 

moderating factors related to 

practitioner and health care delivery 

unit characteristics. 

The 93 question practitioner survey 

includes collection of demographic 

information as well as questions that 

attempt to assess barriers to 

implementation encountered by the 

practitioners and to gauge the 

effectiveness of the training they 

received. These measures were 

developed and used by Babor et al. 

(2005) in their comparable study 

comparing different implementation 

strategies for primary care screening and 

brief intervention programs for 

hazardous and harmful drinkers. The 

practitioner survey also includes an 

instrument developed by Panzano and 

Roth (2006) to measures an 

organization’s willingness to adopt new 

innovative practices. 

TOTAL BURDEN HOURS FOR THE CROSS-SITE PATIENT SURVEY

Instrument/Activity Number of 

respondents 

Responses 

per 

respondent 

Hours per 

response 

Total burden 

hours Hourly wage 

Total 

respondent 

cost a

Practitioner Survey ................................... 1,075 1 .30 322.5 $32 $10,320 


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