[Federal Register Volume 75, Number 111 (Thursday, June 10, 2010)]
[Notices]
[Pages 32947-32950]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-13824]


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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) 276-1243.

Project: Cross-community Evaluation of the Native Aspirations Project--
NEW

    The Substance Abuse and Mental Health Services Administration's 
(SAMHSA), Center for Mental Health Services (CMHS) will conduct the 
Cross-Community Evaluation of the Native Aspirations Project. The 
cross-community evaluation has two tiers. Community-specific activities 
(Tier 1) are tied to key components of a community plan developed in 
each participating community that guides program planning and local 
evaluation through data-driven frameworks and inquiry. Tier I 
activities will include process and impact evaluation activities to 
determine the stage of readiness of communities to implement programs, 
how accurately community plans reflect the needs and characteristics of 
each community, how well local resources for American Indian/Alaska 
Native (AI/AN) youth are mobilized, the experience and impact of the 
Gathering of Native Americans (GONA), and the impact of the Native 
Aspirations program on the community. Core cross-community data 
collection activities (Tier II) are cross-community and include process 
and impact indicators such as community-level knowledge and awareness 
of suicide, violence, bullying, and substance abuse; pro-social and 
help-seeking behaviors among Native youth; and the provision of 
services specific to Native youth through existing service systems. 
Tier II activities are directly tied to the primary objectives of the 
Native Aspirations Project and are designed to augment data collection 
through the collection of community- and systems-level change 
measurement. Activities include the Service Provider Focus Groups and 
the Community Knowledge, Awareness, and Behavior Survey (C-KABS).
    Data will be collected from Native adults and youth involved in the 
Community Mobilization Plan (CMP) meeting and the Gathering of Native 
Americans (GONA), key program stakeholders, Native youth service 
providers (e.g., teachers, mental health providers, case workers, 
juvenile justice providers), and other community members (Native youth 
and adults). Data collection will take place in 25 AI/AN communities 
across three cohorts. Data collection for the Native Aspirations Cross-
community Evaluation will occur over a three-year period of funding for 
each cohort. Clearance is requested for a three-year period of data 
collection that spans FY2009 through FY2012 during which Cohorts 3 and 
4 will receive three years of data collection and Cohort 5 will receive 
two years of data collection with the final year to be submitted in an 
OMB renewal package. The following describes the specific data 
collection activities and the nine data collection instruments to be 
used, followed by a summary table of respondents and respondent burden.

Community Specific Data Collection Activities--Tier I

    <bullet> GONA--Baseline Interviews (1 Version). Each participating 
community will have the opportunity to hold a GONA focused on youth 
violence, bullying, substance abuse, and suicide concerns. Community 
GONAs follow four themes that correspond to indigenous values and are 
core resiliency factors for Native people. These values--belonging, 
mastery, interdependence, and generosity--are the framework for this 
collaborative community event that focuses on individual and community 
healing, envisioning community wellness, mapping the assets of the 
community, and committing action in the community toward prevention 
efforts centered on youth violence, bullying, substance abuse, and 
suicide. Baseline GONA interviews will be conducted prior to the GONA 
in each community and will center on the four values and how 
respondents view and describe their relationships in and with the 
community; how people in the community deal with youth violence, 
bullying, substance abuse, and suicide; community members' willingness 
to work together to address these issues;

[[Page 32948]]

community protective factors; and suggestions for how community members 
can work together to address these issues. The GONA baseline interviews 
will be conducted by telephone in year 1 of funding with a maximum of 6 
adults per funded community who will attend the GONA in each Cohort. 
The total number of participants across Cohorts 3, 4, and 5 for 3 years 
is 150. Items are formatted as open-ended and semi-structured 
questions. The GONA baseline telephone interviews include 6 items and 
will take approximately 20 minutes to complete. By using either the 
GONA Evaluation--Baseline Consent Form, Phone Script or Verbal Consent 
Form, verbal consent will be received from each respondent prior to 
administration of the GONA Baseline Interviews.
    <bullet> GONA--Follow-up Interviews (1 Version). The GONA follow-up 
interviews will be conducted several weeks after the GONA in each 
community. Follow-up interviews will center around the four values 
(belonging, mastery, interdependence, and generosity) and respondents' 
experience during the GONA; participation in activities; views on 
community relationships; knowledge of the Native Aspirations Project; 
knowledge of risk factors for youth violence, bullying, substance 
abuse, and suicide; community protective factors; willingness of 
community members to work together and suggestions for working 
together; and next steps. The GONA follow-up interviews will be 
conducted in person with a total of 9 adult respondents who attended 
the GONA from each of the funded communities. Items are formatted as 
open-ended and semi-structured questions. The GONA follow-up interviews 
include 11 questions and will take approximately 60 minutes to 
complete. These follow-up interviews will occur during a site visit in 
year 1 for Cohorts 3, 4, and 5. The total number of participants across 
the three cohorts is 225. Each participant will provide written consent 
prior to the interview through the GONA Evaluation--Follow-up Interview 
Consent Form.
    <bullet> GONA--Youth Follow-up Focus Group Moderator's Guide (1 
Version). The GONA follow-up focus groups will be conducted several 
weeks after the GONA with youth who attended the GONA. The focus group 
moderator's guide follows the same content as the GONA Follow-up 
Interviews (see above). Cross-community evaluation staff will conduct 
up to 2 focus groups with youth in each funded community. Focus groups 
will consist of a maximum of 9 participants per group and will occur 
during a site visit in year 1 for Cohorts 3, 4, and 5. Focus group 
guides contain 11 items and the session will last 2 hours. A total of 
450 respondents will participate in GONA focus groups. Caregivers will 
give consent for youth to participate using the GONA Follow-Up Youth 
Focus Group Caregiver Consent form and youth will assent to participate 
using the GONA Follow-Up Youth Focus Group Youth Assent form.
    <bullet> Community Plan Focus Group Moderator's Guide (1 Version). 
Respondents participating in the Community Plan Focus Groups include 
youth and adults who attended the Community Mobilization Plan (CMP) 
meeting in year 1. The guide consists of questions designed to 
facilitate group communication around the community mobilization 
planning process, early implementation of the plan, and organizational 
and community awareness and involvement. Focus group guides contain 7 
items and the session will last 2 hours. The cross-community evaluation 
team will conduct up to 3 focus groups with a maximum of 9 participants 
each in year 1 for each funded community in Cohorts 3, 4, and 5. The 
total number of participants across cohorts is 675. Consent to 
participate will be obtained from adult participants through the 
Community Plan Focus Group Consent form and youths' caregivers will use 
the Community Plan Focus Group Caregiver Consent form to give consent 
and youth will assent to participate using the Community Plan Focus 
Group Youth Assent--Attachment B.6).
    <bullet> Community Plan In-depth Interviews (2 Versions). The 
Community Plan In-depth Interviews will be conducted in person during 
year 3. The interviews will be conducted with the same individuals who 
participated in the CMP focus groups; however, the participants will be 
divided into two groups with two respective guides. Version 1 will be 
conducted with participants who remained active in the community 
mobilization process and Version 2 will be used with respondents who 
discontinued their involvement with Native Aspirations. The interviews 
will be used to gather information on the CMP implementation process, 
organizational and community awareness and involvement with Native 
Aspirations, and the impact of the Native Aspirations program on the 
community. The Community Plan In-depth Interview--Version 1 consists of 
24 open-ended and semi-structured questions and will take 60 minutes to 
complete. Version 1 will be conducted with up to 9 participants, 
including Native youth and adults, in year 3 for a maximum total of 225 
respondents across Cohorts 3, 4, and 5. The Community Plan In-depth 
Interview--Version 2 consists of 11 open-ended and semi-structured 
questions and will take 20 minutes to complete. Up to 9 respondents, 
including Native youth and adults, will be interviewed using Version 2 
in year 3. The maximum total of respondents from each funded community 
across Cohorts 3, 4, and 5 is 225 for Version 2 over the life of the 
project. Adult participants for both versions will be required to 
provide written consent prior to participation using the Community Plan 
In-Depth Interview V.1 Consent form or the Community Plan In-Depth 
Interview V.2 Consent and youth participants will need written 
caregiver consent collected on the Community Plan Interview V.1 & V.2 
Caregiver Consent forms and youth assent using the Community Plan 
Interview V.1 & V.2 Youth Assent forms.

Cross Community Data Collection Activities--Tier II

    <bullet> Service Provider Focus Group Moderator's Guide (2 
Versions). The Service Provider Focus Groups are designed to facilitate 
conversation and information sharing with youth service providers 
across communities to acquire a broader understanding of provider and 
service availability for Native youth. Version 1 participants will 
include agency staff such as teachers, mental health professionals, 
justice providers, and welfare providers. Version 2 participants will 
include non-agency staff such as paraprofessional providers or 
``natural helpers.'' However, specific provider types will be 
identified for each participating community as a function of their 
existence and number. Version 1 of the focus group guides consists of 9 
items and Version 2 consists of 7 items, each with additional sub-
questions/probes covering the availability of wellness and mental 
health services, how agencies work together, awareness of violence/
suicide prevention activities, and areas for improvement. Focus groups 
will include a maximum of 9 participants per group, with up to 3 focus 
groups in each community in each of years 1 (baseline) and 3 (follow 
up). Two focus groups will be conducted with agency staff using Version 
1, for a maximum total of 900 respondents across the life of the 
project. One focus group will be conducted with non-agency staff using 
Version 2 for a maximum number of 450 participants for each Cohort. 
Focus groups will last approximately 2 hours. Written consent will be 
obtained prior to focus group participation using the Service Provider 
Focus Group V.1

[[Page 32949]]

Consent form and Service Provider Focus Group V.2 Consent form.
    <bullet> Community Knowledge, Awareness, and Behavior Survey (C-
KABS)--Adult Version. The C-KABS--Adult Version is designed to gather 
knowledge and awareness information from adult community members 
related to suicide, substance abuse, violence, and bullying. In 
addition, respondents will report on their exposure to Native 
Aspirations Project activities regarding the prevention of suicide, 
substance abuse, violence, and bullying. Other constructs include the 
availability of services, knowledge of youth risk factors, and stigma 
around and attitude toward seeking services for wellness. The C-KABS--
Adult Version will be administered annually, for all three years of the 
project, to 100 Native adults from each funded community. The survey 
consists of 36 open and closed-ended questions that include Likert-type 
agreement scales, prevalence scales and questions, behavior scales and 
questions, true/false items, and demographic questions. The survey 
takes approximately 45 minutes to complete. A total of 7,500 
respondents will participate from Cohorts 3, 4, and 5. Written consent 
will be obtained using the C-KABS Adult Consent form.
    <bullet> Community Knowledge, Awareness, and Behavior Survey (C-
KABS)--Youth Version. The C-KABS Youth Version will be administered to 
youth participants (age 11 and older) to gather information about 
existing social norms around help-seeking behavior, pro-social behavior 
(e.g., traditional Indian activities) among youth, and the extent to 
which respondent youth have been exposed to risky behaviors (suicide, 
violence, substance abuse, and/or bullying), as well as their exposure 
to prevention efforts for risky behaviors related to the Native 
Aspirations Project. The survey will also contain items about youths' 
access to pathways to risky behaviors (e.g., how hard/easy is it to get 
drugs/alcohol), access to and awareness of/willingness to seek help for 
these behaviors for themselves or others, and youths' engagement in 
risky and protective behaviors. The C-KABS Youth Version will be 
administered annually, for all three years of the project, to 100 
Native youth from each funded community. The survey consists of 38 open 
and closed-ended questions that include Likert-type agreement scales, 
prevalence scales and questions, behavior scales and questions, true/
false items, and demographic questions. A total of 7,500 youth will 
participate from Cohorts 3, 4 and 5. Youths' caregivers will provide 
consent for youth to participate using the C-KABS Youth Caregiver 
Consent form and youth will assent to participate using the C-KABS 
Youth Assent form.
    <bullet> Community Readiness Assessment (1 Version). The CRA 
addresses six readiness dimensions focused on identified social concern 
(i.e., youth violence, bullying, and suicide). These dimensions include 
(a) community prevention efforts, (b) community knowledge of prevention 
efforts, (c) leadership, (d) community climate, (e) knowledge about the 
problem, and (f) resources for prevention efforts. In addition, there 
are nine developmental levels of readiness within which a community 
must progress through. CRAs include 26 interview questions which 
address each of the six community readiness dimensions; most items are 
formatted as open-ended questions with three items scored on a scale of 
1 to 10. During years 1 and 3, CRAs will be conducted with each funded 
community in Cohorts 3, 4, and 5 to address youth violence, bullying, 
and suicide from a multi-faceted perspective. Telephone interviews will 
be conducted with up to six key informants in the community. Interviews 
will last 60 minutes and a maximum of 300 respondents will be 
interviewed. Overall readiness scores will be determined based on key 
informants' responses and will indicate the community's status with 
respect to each of these dimensions. Consent will be obtained using 
either the Community Readiness Assessment Verbal Consent form or the 
Community Readiness Assessment Written Consent form.
    Data Abstraction and Submission. In addition to the above described 
data collection activities, data from existing sources abstracted using 
the Data Abstraction and Submission Form (i.e., management information 
systems (MIS), administrative records, case files, etc.) will be 
analyzed across communities to support the impact stage of Tier I of 
the cross-community evaluation. To minimize data collection burden on 
community members, this activity will be tailored to key components 
identified in the community plan and will be developed around existing 
data systems and related infrastructures. Cross-community technical 
assistance providers will assist in the identification of existing data 
sources and their relevance to locally planned Native Aspirations 
activities. Data elements may be requested from educational systems, 
juvenile justice/law enforcement sources, mental health agencies, child 
welfare, Medicaid, and community organizations (e.g., YMCA, Boys and 
Girls Clubs, etc.). A maximum of 10 data elements each will be 
requested from education and juvenile justice/law enforcement sources 
and a maximum of 5 data elements each will be requested from mental 
health, child welfare, Medicaid, and community organizations. These 
data will be aggregated from existing data sources, some of which are 
attendance sheets, management information systems, etc. Communities are 
responsible for aggregating these data and submitting them to the 
Native Aspirations Cross-community Evaluation team by mail, electronic 
mail, or by uploading the data. The burden associated with accessing, 
aggregating, and submitting existing data is approximately 6 hours per 
activity per year. Data abstraction and submission will occur two times 
per year in each funded community in Cohorts 3, 4 and 5. Seven 
respondents (one each representing education, juvenile justice, law 
enforcement, mental health, child welfare, Medicaid, and community 
organizations) in each community will perform data abstraction and 
submission for a total of 175 respondents and 2,100 hours across three 
years of data collection for Cohorts 3, 4, and 5.
    Given the expected variation in available technology (e.g., 
Internet) and geographic spread of the target populations, flexible 
implementation options for surveys include local distribution or 
administration of surveys, in-person group, and Internet options and 
will be determined with each participating community and used when 
relevant and viable.
    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 across three years of OMB clearance, 
which includes three years of data collection for Cohorts 3 and 4 and 
two years of data collection for Cohort 5.

[[Page 32950]]



                              Annualized Averages: Respondents, Responses and Hours
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                                                                     Number of
                  Measure name                       Number of     responses per  Hours/response     Response
                                                    respondents     respondent                        burden*
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Community Specific Data Collection Activities--   ..............  ..............  ..............  ..............
 Tier I
GONA Baseline Interviews........................              50               1            0.33              17
GONA Follow-up Interviews.......................              75               1            1.0               75
GONA Youth Follow-up Focus Groups...............             150               1            2.0              300
Community Plan Focus Groups.....................             225               1            2.0              450
Community Plan In-depth Interviews--V. 1........              51               1            1.0               51
Community Plan In-depth Interviews--V. 2........              51               1            0.33              17
Service Provider Focus Groups--V. 1.............             252               1            2.0              504
Service Provider Focus Groups--V. 2.............             126               1            2.0              252
Cross Community Data Collection                   ..............  ..............  ..............  ..............
Activities--Tier II
C-KABS Adult Version............................           2,234               1            0.75           1,676
C-KABS Youth Version............................           2,234               1            0.75           1,676
Community Readiness Assessment..................              84               1            1.0               84
Data Abstraction and Submission Form............             156             2.0            6.0            1,872
                                                 ---------------------------------------------------------------
    Total.......................................           5,688  ..............  ..............           6,974
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*Rounded to the nearest whole number.

    Written comments and recommendations concerning the proposed 
information collection should be sent July 12, 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: 202-395-5806.

    Dated: June 3, 2010.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. 2010-13824 Filed 6-9-10; 8:45 am]
BILLING CODE 4162-20-P