22936 Federal Register / Vol. 74, No. 93 / Friday, May 15, 2009 / Notices 

estimated annualized burden hours are 

5,932. 

ESTIMATED ANNUALIZED BURDEN TABLE

Type of form Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Hours per 

response 

Core NAMCS Forms ............. Office-based physicians/CHC 

providers.

Physician Induction Interview 

(NAMCS–1).

3,657 1 28/60 

Community Health Center 

Directors.

Community Health Center Induction Interview 

(NAMCS–201).

104 1 20/60 

Office-based physicians/CHC 

providers/staff.

Patient Record form 

(NAMCS–30).

738 30 9/60 

Office/CHC staff .................... Pulling, re-filing Patient 

Record form (NAMCS–30).

650 30 1/60 

Office-based physicians/CHC 

providers/staff.

Cervical Cancer Screening 

Supplement (NAMCS– 

CCS).

464 1 15/60 

Office-based physicians ....... EMR/EHR Mail Survey ......... 1,143 1 20/60 

Lab Values Pre-test Forms ... Office-based physicians ....... Physician Induction Interview 

(NAMCS–1).

23 1 28/60 

Office-based physicians/staff Patient Record form 

(NAMCS–30).

8 30 9/60 

Maryam I. Daneshvar, 

Acting Reports Clearance Officer, Office of 

the Chief Science Officer, Centers for Disease 

Control and Prevention. 

[FR Doc. E9–11379 Filed 5–14–09; 8:45 am] 

BILLING CODE 4163–18–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 (SAMHSA) 

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 at (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: Recovery Services for 

Adolescents and Families—New 

The Substance Abuse and Mental 

Health Services Administration’s 

(SAMHSA) Center for Substance Abuse 

Treatment will conduct a data collection 

on the helpfulness of recovery support 

services for young people and their 

families after leaving substance abuse 

treatment. Specifically, the Recovery 

Services for Adolescents and Families 

(RSAF) project is trying to understand 

whether or not young people and their 

families find the following recovery 

support services helpful: (1) Telephone/ 

text message support; (2) a recoveryoriented social networking site; and (3) 

a family program. Approximately 200 

adolescent respondents will be asked to 

complete 4 data collection forms (some 

repeated) during 5 interviews (baseline 

and 4 follow-ups) over a 12 month 

period after enrollment or discharge 

from treatment. Approximately 200 

collateral respondents (i.e., a parent/ 

guardian/concerned other) will be asked 

to complete 7 data collection forms 

(some repeated) during 5 interviews 

(baseline and 4 follow-ups) over a 12 

month period after their adolescent’s 

enrollment or discharge from treatment. 

Approximately 15 to 20 project staff 

respondents, including Project 

Coordinators, Telephone Support 

Volunteers, a Social Network Site 

Moderator, Family Program Clinicians, 

and a Support Services Supervisor, will 

be asked to complete between 2 and 5 

data collection forms at varying 

intervals during the delivery of recovery 

support services. Across all 

respondents, a total of 26 data collection 

forms will be used. Depending on the 

time interval and task, information 

collections will take anywhere from 

about 5 minutes to 2 hours to complete. 

A description of each data collection 

form follows: 

Follow-Up Locator Form—Participant 

(FLF–P; Adolescent Respondent). The 

FLF–P contains over 50 items that are a 

combination of yes/no, multiple choice, 

and open-ended formats. Data are 

gathered about an adolescent’s contact 

information, personal contacts, criminal 

justice contacts, school/job contacts, 

hang-out information, internet contacts, 

and identifying information in order to 

locate and interview that adolescent 

over multiple follow-up intervals. 

Global Appraisal of Individual 

Needs—Initial (GAIN–I 5.6.0 Full; 

Adolescent Respondent). The GAIN is 

an evidence-based assessment used with 

both adolescents and adults and in 

outpatient, intensive outpatient, partial 

hospitalization, methadone, short-term 

residential, long-term residential, 

therapeutic community, and 

correctional programs. There are over 

1,000 questions in this initial version 

that are in multiple formats, including 

multiple choice, yes/no, and openended. Eight content areas are covered: 

Background, Substance Use, Physical 

Health, Risk Behaviors and Disease 

Prevention, Mental and Emotional 

Health, Environment and Living 

Situation, Legal, and Vocational. Each 

section contains questions on the 

recency of problems, breadth of 

Federal Register / Vol. 74, No. 93 / Friday, May 15, 2009 / Notices 22937 

symptoms, and recent prevalence as 

well as lifetime service utilization, 

recency of utilization, and frequency of 

recent utilization. 

Global Appraisal of Individual 

Needs—Monitoring 90 Days (GAIN–M90 

5.6.0 Full; Adolescent Respondent). The 

GAIN is an evidence-based assessment 

used with both adolescents and adults 

and in outpatient, intensive outpatient, 

partial hospitalization, methadone, 

short-term residential, long-term 

residential, therapeutic community, and 

correctional programs. There are over 

500 questions in this follow-up version 

that are in multiple formats, including 

multiple choice, yes/no, and openended. Eight content areas are covered: 

Background, Substance Use, Physical 

Health, Risk Behaviors and Disease 

Prevention, Mental and Emotional 

Health, Environment and Living 

Situation, Legal, and Vocational. Each 

section contains questions on the 

recency of problems, breadth of 

symptoms, and recent prevalence as 

well as lifetime service utilization, 

recency of utilization, and frequency of 

recent utilization. 

Supplemental Assessment Form (SAF 

0309; Adolescent Respondent). The SAF 

contains 72 questions that are a 

combination of multiple choice, yes/no, 

and open-ended formats. Content areas 

include: Race, happiness with parent or 

caregiver in several life areas, 

participation in prosocial activities, 

receipt of and satisfaction with 

telephone support services, and usage of 

and satisfaction with the project’s social 

networking site. 

Follow-Up Locator Form—Collateral 

(FLF–C; Collateral Respondent). The 

FLF–C contains over 50 items that are 

a combination of yes/no, multiple 

choice, and open-ended formats. Data 

are gathered about a collateral’s contact 

information, personal contacts, and job 

contacts in order to locate and interview 

that collateral over multiple follow-up 

intervals. 

Global Appraisal of Individual 

Needs—Collateral Monitoring (GCI; 

Collateral Respondent). The GCI 

contains over 200 items in this initial 

version that are in multiple formats, 

including multiple choice, yes/no, and 

open-ended. The following content 

areas are covered: Relationship to the 

adolescent respondent, background, and 

the adolescent’s background and 

substance use, environment and living 

situation, and vocational information. 

There are questions on the recency of 

problems, breadth of symptoms, and 

recent prevalence as well as lifetime 

service utilization, recency of 

utilization, and frequency of recent 

utilization. 

Global Appraisal of Individual 

Needs—Collateral Monitoring (GCM 

5.3.3; Collateral Respondent). The GCM 

contains over 200 items in this followup version that are in multiple formats, 

including multiple choice, yes/no, and 

open-ended. The following content 

areas are covered: Relationship to the 

adolescent respondent, background, and 

the adolescent’s background and 

substance use, environment and living 

situation, and vocational information. 

There are questions on the recency of 

problems, breadth of symptoms, and 

recent prevalence as well as lifetime 

service utilization, recency of 

utilization, and frequency of recent 

utilization. 

Supplemental Assessment Form— 

Collateral (SAF—Collateral; Collateral 

Respondent). The SAF contains 72 

questions that are a combination of 

multiple choice, yes/no, and openended formats. Content areas include: 

Knowledge about the adolescent’s 

participation in prosocial activities, 

receipt of and satisfaction with 

telephone support services, and usage of 

and satisfaction with the project’s social 

networking site. 

Self-Evaluation Questionnaire (SEQ; 

Collateral Respondent). The SEQ 

contains 40 multiple choice items that 

ask the collateral about feelings and 

symptoms of anxiety. 

Family Environment Scale (FES; 

Collateral Respondent). The FES 

contains 18 yes/no items that measure 

family cohesion and conflict. 

Relationship Happiness Scale 

(Caregiver Version) (Collateral 

Respondent). The Relationship 

Happiness Scale contains 8 items that 

ask the collateral about happiness with 

his/her relationship with the adolescent 

respondent in various life areas. 

Eligibility Checklist (Project 

Coordinator). The Eligibility Checklist 

contains 12 yes/no items that are used 

to determine whether or not an 

adolescent meets inclusion/exclusion 

criteria for the project and is eligible to 

be approached for informed consent. 

Follow-Up Contact Log (Project 

Coordinator). The Follow-Up Contact 

Log is open-ended and provides space 

for all data collected during attempted 

and completed follow-up contacts, over 

the phone and in-person, to be recorded. 

Volunteer/Staff Survey (Project 

Coordinator). The Volunteer/Staff 

Survey contains 10 items in fill-in-theblank, yes/no, and multiple choice 

formats. Items ask about background, 

demographic information, and role in 

the project. 

Telephone Support Case Review Form 

(Telephone Support Volunteer). The 

Telephone Support Case Review Form 

contains multiple rows that allow a 

volunteer to record 5 pieces of data 

about adolescents that they make phone 

calls to: Initials, treatment discharge 

status/date, weeks since treatment 

discharge, date of last telephone session, 

and number of completed telephone 

sessions since discharge. This allows 

the volunteer and supervisor to monitor 

the progress of active cases. 

Telephone Support Call Log 

(Telephone Support Volunteer). The 

Telephone Support Call Log is openended and provides space for all data 

collected during attempted and 

completed support contacts to be 

recorded. 

Adolescent Telephone Support 

Documentation Form (Telephone 

Support Volunteer). The Adolescent 

Telephone Support Documentation 

Form contains 22 items that are asked 

of an adolescent during a telephone 

support contact by a volunteer. The 

form is used to record yes/no and openended responses to questions asking 

about substance use and recoveryrelated activities. 

Telephone Support Discharge Form 

(Telephone Support Volunteer). The 

Telephone Support Discharge Form 

contains 10 fields to record the 

following information at the end of an 

adolescent’s participation in telephone 

support: Adolescent name, today’s date, 

volunteer name, notification date, 

telephone support intake date, 

telephone support discharge date, 

reason for discharge, number of 

completed sessions, referral for more 

intervention, and successful contact for 

more intervention. 

Volunteer/Staff Survey (Telephone 

Support Volunteer)—See Volunteer/ 

Staff Survey (Project Coordinator) 

above. 

Social Networking Moderator Log 

(Social Network Site Moderator). The 

Social Networking Moderator Log 

contains 11 fields for the moderator to 

record usage data for the project’s social 

networking site. The moderator tracks 

number of visits to the site, number of 

unique visitors, messages posted, chat 

room attendance, and problems with 

users. 

Volunteer/Staff Survey (Social 

Network Site Moderator)—See 

Volunteer/Staff Survey (Project 

Coordinator) above. 

Family Program Progress Notes 

(Family Program Clinician). The Family 

Program Progress Notes form is openended and provides space for all data 

collected during attempted and 

completed family program contacts to 

be recorded. 

Family Program Attendance Log 

(Family Program Clinician). The Family 

22938 Federal Register / Vol. 74, No. 93 / Friday, May 15, 2009 / Notices 

Program Attendance Log is used to 

record 6 pieces of information about 

each attempted session: Session 

number, scheduled date, was the 

session rescheduled (yes/no), was the 

family member a no-show (yes/no), did 

the family member attend the session 

(yes/no), and comments. 

Family Program Case Review Report 

(Family Program Clinician). The Family 

Program Case Review Report contains 

multiple rows that allow a clinician to 

record information that allows the 

clinician and supervisor to monitor the 

progress of active cases. Areas asked 

about include: Family program 

procedures delivered, date of last 

session, and weeks in family program. 

Family Program Discharge Form 

(Family Program Clinician). The Family 

Program Discharge Form contains 9 

fields to record the following 

information at the end of participation 

in the family program: Caregiver name, 

today’s date, adolescent name, 

notification date, clinician name, family 

program intake date, family program 

discharge date, reason for discharge, and 

number of completed sessions. 

Volunteer/Staff Survey (Family 

Program Clinician)—See Volunteer/ 

Staff Survey (Project Coordinator) 

above. 

Adolescent Telephone Support 

Quality Assurance Checklist (Support 

Services Supervisor). This checklist 

contains 43 items that ask the 

supervisor to rate how well a telephone 

support volunteer delivered required 

service components to adolescents. 

Volunteers are rated on a scale of 1 

through 5 in the following areas: 

Substance use since last call (no use), 

substance use since last call (use), 

substance use since last call (still using), 

substance use since last call (stopped 

using), attendance at 12-step meetings, 

recovery-related activities, activities 

related to global health, follow-up since 

last call, closing the call, overall, general 

clinical skills, and overall difficulty of 

session. 

Social Networking Quality Assurance 

Checklist (Support Services Supervisor). 

This checklist contains 17 items that ask 

the supervisor to rate how well a social 

networking site moderator delivered 

required service components to 

adolescents. The moderator is rated on 

a scale of 1 through 5 in the following 

areas: Group discussions, administrative 

tasks, overall, and general skills. 

Family Program QA Checklist 

(Support Services Supervisor). This 

checklist contains 72 items that ask the 

supervisor to rate how well a family 

program clinician delivered required 

service components to family members. 

The clinician is rated on a scale of 1 

through 5 in the following areas: Initial 

meeting motivational strategies, 

domestic violence precautions, 

functional analysis of substance use, 

positive communication skills, use of 

positive reinforcement, time out from 

positive reinforcement, allowing the 

identified patient to experience the 

natural consequences of substance use, 

helping concerned significant others’ 

enrich their own lives, maintaining the 

identified patient in recovery-oriented 

systems of care, and general. 

Volunteer/Staff Survey (Support 

Services Supervisor)—See Volunteer/ 

Staff Survey (Project Coordinator) 

above. 

The following table is a list of the 

hour burden of the information 

collection by form and by respondent: 

Instrument/form Number of respondents 

Responses 

per respondent 

Total responses Hours per response 

Total 

annualized hour 

burden per respondent * 

Adolescent Respondent 

FLF–P .............................................................................. 200 1 200 .32 .32 

GAIN–I 5.6.0 Full ............................................................. 200 1 200 2 2 

GAIN–M90 5.6.0 Full ....................................................... 200 4 800 1 4 

SAF .................................................................................. 200 5 1000 .25 1 .25 

Collateral (parent/guardian/concerned other) Respondent 

FLF–C .............................................................................. 200 1 200 .25 .25 

GCI ................................................................................... 200 1 200 .25 .25 

GCM 5.3.3 ........................................................................ 200 4 800 .25 1 

SAF–Collateral ................................................................. 200 5 1000 .25 1 .25 

SEQ .................................................................................. 200 5 1000 .16 .8 

FES .................................................................................. 200 5 1000 .08 .4 

Relationship Happiness Scale (Caregiver) ...................... 200 5 1000 .08 .4 

Project Staff 

Project Coordinator: 

Eligibility Checklist .................................................... 4 50 200 .25 12 .5 

Follow-Up Contact Log ............................................. 4 50 200 .16 8 

Volunteer/Staff Survey .............................................. 4 1 4 .25 .25 

Telephone Support Volunteer: 

Telephone Support Case Review Form ................... 8 450 3600 .25 112 .5 

Telephone Support Call Log ..................................... 8 25 200 .16 4 

Adolescent Telephone Support Documentation 

Form ...................................................................... 8 450 3600 .5 225 

Telephone Support Discharge Form ........................ 8 25 200 .16 4 

Volunteer/Staff Survey .............................................. 8 1 8 .25 .25 

Social Network Site Moderator: 

Social Networking Moderator Log ............................ 1 52 52 .5 26 

Volunteer/Staff Survey .............................................. 1 1 1 .25 .25 

Family Program Clinician: 

Family Program Progress Notes .............................. 4 650 2600 .16 104 

Family Program Attendance Log .............................. 4 50 200 .08 4 

Family Program Case Review Report ...................... 4 650 2600 .25 162 .5 

Federal Register / Vol. 74, No. 93 / Friday, May 15, 2009 / Notices 22939 

Instrument/form Number of respondents 

Responses 

per respondent 

Total responses Hours per response 

Total 

annualized hour 

burden per respondent * 

Family Program Discharge Form ............................. 4 50 200 .16 8 

Volunteer/Staff Survey .............................................. 4 1 4 .25 .25 

Support Services Supervisor: 

Adolescent Telephone Support QA Checklist .......... 1 12 12 1 12 

Social Networking QA Checklist ............................... 1 12 12 .5 6 

Family Program QA Checklist .................................. 1 12 12 1 12 

Volunteer/Staff Survey .............................................. 18 1 18 .25 .25 

Column Total ..................................................... 418 2580 ........................ .......................... 713.67 

* Total Annualized Hour Burden Per Respondent = Responses Per Respondent × Hours Per Response. 

Send comments to Summer King, 

SAMHSA Reports Clearance Officer, 

Room 7–1044, 1 Choke Cherry Road, 

Rockville, MD 20857 AND e-mail her a 

copy at summer.king@samhsa.hhs.gov. 

Written comments should be received 

within 60 days of this notice. 

Dated: May 11, 2009. 

Elaine Parry, 

Director, Office of Program Services. 

[FR Doc. E9–11377 Filed 5–14–09; 8:45 am] 

BILLING CODE 4162–20–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Substance Abuse and Mental Health 

Services Administration 

Current List of Laboratories Which 

Meet Minimum Standards To Engage in 

Urine Drug Testing for Federal 

Agencies 

AGENCY: Substance Abuse and Mental 

Health Services Administration, HHS. 

ACTION: Notice. 

SUMMARY: The Department of Health and 

Human Services (HHS) notifies Federal 

agencies of the laboratories currently 

certified to meet the standards of 

Subpart C of the Mandatory Guidelines 

for Federal Workplace Drug Testing 

Programs (Mandatory Guidelines). The 

Mandatory Guidelines were first 

published in the Federal Register on 

April 11, 1988 (53 FR 11970), and 

subsequently revised in the Federal 

Register on June 9, 1994 (59 FR 29908), 

on September 30, 1997 (62 FR 51118), 

and on April 13, 2004 (69 FR 19644). 

A notice listing all currently certified 

laboratories is published in the Federal 

Register during the first week of each 

month. If any laboratory’s certification 

is suspended or revoked, the laboratory 

will be omitted from subsequent lists 

until such time as it is restored to full 

certification under the Mandatory 

Guidelines. 

If any laboratory has withdrawn from 

the HHS National Laboratory 

Certification Program (NLCP) during the 

past month, it will be listed at the end, 

and will be omitted from the monthly 

listing thereafter. 

This notice is also available on the 

Internet at http:// 

www.workplace.samhsa.gov and 

http://www.drugfreeworkplace.gov. 

FOR FURTHER INFORMATION CONTACT: Mrs. 

Giselle Hersh, Division of Workplace 

Programs, SAMHSA/CSAP, Room 

2–1042, One Choke Cherry Road, 

Rockville, Maryland 20857; 240–276– 

2600 (voice), 240–276–2610 (fax). 

SUPPLEMENTARY INFORMATION: The 

Mandatory Guidelines were developed 

in accordance with Executive Order 

12564 and section 503 of Public Law 

100–71. Subpart C of the Mandatory 

Guidelines, ‘‘Certification of 

Laboratories Engaged in Urine Drug 

Testing for Federal Agencies,’’ sets strict 

standards that laboratories must meet in 

order to conduct drug and specimen 

validity tests on urine specimens for 

Federal agencies. To become certified, 

an applicant laboratory must undergo 

three rounds of performance testing plus 

an on-site inspection. To maintain that 

certification, a laboratory must 

participate in a quarterly performance 

testing program plus undergo periodic, 

on-site inspections. 

Laboratories which claim to be in the 

applicant stage of certification are not to 

be considered as meeting the minimum 

requirements described in the HHS 

Mandatory Guidelines. A laboratory 

must have its letter of certification from 

HHS/SAMHSA (formerly: HHS/NIDA) 

which attests that it has met minimum 

standards. 

In accordance with Subpart C of the 

Mandatory Guidelines dated April 13, 

2004 (69 FR 19644), the following 

laboratories meet the minimum 

standards to conduct drug and specimen 

validity tests on urine specimens: 

ACL Laboratories, 8901 W. Lincoln 

Ave., West Allis, WI 53227, 414–328– 

7840/800–877–7016, (Formerly: 

Bayshore Clinical Laboratory). 

ACM Medical Laboratory, Inc., 160 

Elmgrove Park, Rochester, NY 14624, 

585–429–2264. 

Advanced Toxicology Network, 3560 

Air Center Cove, Suite 101, Memphis, 

TN 38118, 901–794–5770/888–290– 

1150. 

Aegis Sciences Corporation, 345 Hill 

Ave., Nashville, TN 37210, 615–255– 

2400, (Formerly: Aegis Analytical 

Laboratories, Inc.). 

Baptist Medical Center-Toxicology 

Laboratory, 9601 I–630, Exit 7, Little 

Rock, AR 72205–7299, 501–202–2783, 

(Formerly: Forensic Toxicology 

Laboratory Baptist Medical Center). 

Clendo Reference Laboratory, Avenue 

Santa Cruz #58, Bayamon, Puerto Rico 

00959, 787–620–9095. 

Clinical Reference Lab, 8433 Quivira 

Road, Lenexa, KS 66215–2802, 800– 

445–6917. 

Diagnostic Services, Inc., dba DSI, 

12700 Westlinks Drive, Fort Myers, 

FL 33913, 239–561–8200/800–735– 

5416. 

Doctors Laboratory, Inc., 2906 Julia 

Drive, Valdosta, GA 31602, 229–671– 

2281. 

DrugScan, Inc., P.O. Box 2969, 1119 

Mearns Road, Warminster, PA 18974, 

215–674–9310. 

DynaLIFE Dx,* 10150–102 St., Suite 

200, Edmonton, Alberta, Canada T5J 

5E2, 780–451–3702/800–661–9876, 

(Formerly: Dynacare Kasper Medical 

Laboratories). 

ElSohly Laboratories, Inc., 5 Industrial 

Park Drive, Oxford, MS 38655, 662– 

236–2609. 

Gamma-Dynacare Medical 

Laboratories,* A Division of the 

Gamma-Dynacare Laboratory 

Partnership, 245 Pall Mall Street, 

London, ONT, Canada N6A 1P4, 519– 

679–1630. 

Kroll Laboratory Specialists, Inc., 1111 

Newton St., Gretna, LA 70053, 504– 

361–8989/800–433–3823, (Formerly: 

Laboratory Specialists, Inc.). 

Kroll Laboratory Specialists, Inc., 450 

Southlake Blvd., Richmond, VA