Agency Information Collection Activities: Proposed Collection; Comment Request

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Federal RegisterJul 14, 2014
79 Fed. Reg. 40765 (Jul. 14, 2014)

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 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: Common Data Platform (CDP)—NEW

The Common Data Platform (CDP) includes new instruments for the Substance Abuse and Mental Health Services Administration (SAMHSA). The CDP will replace separate data collection instruments used for reporting Government Performance and Results Act of 1993 (GPRA) measures: the TRansformation ACcountability (TRAC) Reporting System (OMB No. 0930-0285) used by the Center for Mental Health Services (CMHS); the Prevention Management Reporting and Training System (PMRTS—OMB No. 0930-0279) used by the Center for Substance Abuse Prevention (CSAP); and the Services Accountability and Improvement System (SAIS—OMB No. 0930-0208) used by the Center for Substance Abuse Treatment (CSAT).

The CDP will also include an Infrastructure, Prevention, and Mental Health Promotion (IPP) Form and elements approved by consensus of offices and Centers within SAMHSA as well as the Department of Health and Human Services (HHS).

Approval of this information collection will allow SAMHSA to continue to meet Government Performance and Results Modernization Act of 2010 (GPRAMA) reporting requirements and analyses of the data will help SAMHSA determine whether progress is being made in achieving its mission. The primary purpose of this data collection system is to promote the use of common data elements among SAMHSA grantees and contractors. The common elements were recommended by consensus among SAMHSA Centers and Offices. Analyses of these data will allow SAMHSA to quantify effects and accomplishments of its discretionary grant programs which are consistent with the OMB-approved GPRA measures and address goals and objectives outlined in the Office of National Drug Control Policy's Performance Measures of Effectiveness and the SAMHSA Strategic Initiatives.

The CDP will be a real-time, performance management system that captures information on substance abuse treatment and prevention and mental health services delivered in the United States. A wide range of client and program information will be captured through CDP for approximately 3,000 grants (2,224 for CMHS; 642 for CSAT; 122 for CSAP; and 33 for HIV Continuum of Care). Substance abuse treatment facilities, mental health service providers, and substance abuse prevention programs will submit their data in real-time or on a monthly or a weekly basis to ensure that the CDP is an accurate, up-to-date reflection on the scope of services delivered and characteristics of the clients.

In order to carry out section 1105(a) (29) of GPRA, SAMHSA is required to prepare a performance plan for its major programs of activity. This plan must:

  • Establish performance goals to define the level of performance to be achieved by a program activity;
  • Express such goals in an objective, quantifiable, and measurable form;
  • Briefly describe the operational processes, skills and technology, and the human, capital, information, or other resources required to meet the performance goals;
  • Establish performance indicators to be used in measuring or assessing the relevant outputs, service levels, and outcomes of each program activity;
  • Provide a basis for comparing actual program results with the established performance goals; and
  • Describe the means to be used to verify and validate measured values.

This CDP data collection supports the GPRAMA, which requires overall organization management to improve agency performance and achieve the mission and goals of the agency through the use of strategic and performance planning, measurement, analysis, regular assessment of progress, and use of performance information to improve the results achieved. Specifically, this data collection will allow SAMHSA to have the capacity to report on a consistent set of performance measures across its various grant programs that conduct each of these activities.

SAMHSA's legislative mandate is to increase access to high quality substance abuse and mental health prevention and treatment services and to improve outcomes. Its mission is to reduce the impact of substance abuse and mental illness on America's communities. SAMHSA's vision is to provide leadership and devote its resources—programs, policies, information and data, contracts and grants—toward helping the Nation act on the knowledge that:

  • Behavioral health is essential for health;
  • Prevention works;
  • Treatment is effective; and
  • People recover from mental and substance use disorders.

In order to improve the lives of people within communities, SAMHSA has many roles:

  • Providing Leadership and Voice by developing policies; convening stakeholders; collaborating with people in recovery and their families, providers, localities, Tribes, Territories, and States; collecting best practices and developing expertise around behavioral health services; advocating for the needs of persons with mental and substance use disorders; and emphasizing the importance of behavioral health in partnership with other agencies, systems, and the public.
  • Promoting change through Funding and Service Capacity Development. Supporting States, Territories, and Tribes to build and improve basic and proven practices and system capacity; helping local governments, providers, communities, coalitions, schools, universities, and peer-run and other organizations to innovate and address emerging issues; building capacity across grantees; and strengthening States', Territories', Tribes', and communities' emergency response to disasters.
  • Supporting the field with Information/Communications by conducting and sharing information from national surveys and surveillance (e.g., National Survey on Drug Use and Health [NSDUH], Drug Abuse Warning Network [DAWN], Drug and Alcohol Service Information System [DASIS]); vetting and sharing information about evidence-based practices (e.g., National Registry of Evidence-based Programs and Practices [NREPP]); using the Web, print, social media, public appearances, and the press to reach the public, providers (e.g., primary, specialty, guilds, peers), and other stakeholders; and listening to and reflecting the voices of people in recovery and their families.
  • Protecting and promoting behavioral health through Regulation and Standard Setting by preventing tobacco sales to minors (Synar Program); administering Federal drug-free workplace and drug-testing programs; overseeing opioid treatment programs and accreditation bodies; informing physicians' office-based opioid treatment prescribing practices; and partnering with other HHS agencies in regulation development and review.
  • Improving Practice (i.e., community-based, primary care, and specialty care) by holding State, Territorial, and Tribal policy academies; providing technical assistance to States, Territories, Tribes, communities, grantees, providers, practitioners, and stakeholders; convening conferences to disseminate practice information and facilitate communication; providing guidance to the field; developing and disseminating evidence-based practices and successful frameworks for service provision; supporting innovation in evaluation and services research; moving innovations and evidence-based approaches to scale; and cooperating with international partners to identify promising approaches to supporting behavioral health.

Each of these roles complements SAMHSA's legislative mandate. All of SAMHSA's programs and activities are geared toward the achievement of its mission, and performance monitoring is a collaborative and cooperative aspect of this process. SAMHSA will strive to coordinate its efforts to further its mission with ongoing performance measurement development activities.

Reports, to be made available on the SAMHSA Web site and by request, will inform staff on the grantees' ability to serve their target populations and meet their client and budget targets. SAMHSA CDP data will also provide grantees with information that can guide modifications to their service array. Approval of this information collection will allow SAMHSA to continue to meet Government Performance and Results Act of 1993 (GPRA) reporting requirements that quantify the effects and accomplishments of its discretionary grant programs which are consistent with OMB guidance.

Based on current funding and planned fiscal year 2015 notice of funding announcements (NOFA), SAMHSA programs will use these measures in fiscal years 2015 through 2017.

CSAP will use the CDP measures for the HIV Minority AIDS Initiative (MAI), Strategic Prevention Framework State Incentive Grants (SPF SIG), and Partnerships for Success (PFS).

CMHS programs that will collect client-level data include: Comprehensive Community Mental Health Services for Children and their Families (CMHI); Healthy Transitions (HT); National Child Traumatic Stress Initiative (NCTSI) Community Treatment Centers; Mental Health Transformation State Incentive Grants (MH SIG); Minority AIDS/HIV Services Collaborative Program; Primary and Behavioral Health Care Integration (PBHCI); Services in Supportive Housing (SSH); Systems of Care (SoC); and Transforming Lives Through Supportive Employment.

CMHS programs that will use the CDP to collect grantee-level IPP indicators include: Advancing Wellness and Resiliency in Education (Project AWARE); Circles of Care; Comprehensive Community Mental Health Services for Children and their Families (CMHI); Garrett Lee Smith Campus Suicide Prevention Program; Garrett Lee Smith State/Tribal Suicide Prevention Program; Healthy Transitions Program; Linking Actions for Unmet Needs in Children's Mental Health (LAUNCH); National Suicide Prevention Lifeline; NCTSI Treatment and Service Centers; NCTSI Community Treatment Centers; NCTSI National Coordinating Center; Mental Health Transformation Grant Program; Minority AIDS/HIV Services Collaborative Program; Minority Fellowship Program; PBHCI; Safe Schools/Healthy Students; Services in Supportive Housing; State Mental Health Data Infrastructure Grants for Quality Improvement; Statewide Consumer Network Grants; Statewide Family Network Grants; Suicide Lifeline Crisis Center Follow Up; Systems of Care; Transforming Lives Through Supported Employment; Native Connections; Now is the Time: Minority Fellowship Program—Youth; Cooperative Agreements to Implement the National Strategy for Suicide Prevention, Historically Black Colleges and Universities Center for Excellence in Behavioral Health; and Statewide Peer Networks for Recovery and Resilience.

CSAT programs that will use the CDP include: Assertive Adolescent and Family Treatment (AAFT); Access to Recovery 3 (ATR3); Adult Treatment Court Collaboratives (ATCC); Enhancing Adult Drug Court Services, Coordination and Treatment (EADCS); Offender Reentry Program (ORP); Treatment Drug Court (TDC); Office of Juvenile Justice and Delinquency Prevention—Juvenile Drug Courts (OJJDP-JDC); Teen Court Program (TCP); HIV/AIDS Outreach Program; Targeted Capacity Expansion Program for Substance Abuse Treatment and HIV/AIDS Services (TCE-HIV); Addictions Treatment for the Homeless (AT-HM); Cooperative Agreements to Benefit Homeless Individuals (CABHI); Cooperative Agreements to Benefit Homeless Individuals—States (CABHI—States); Recovery-Oriented Systems of Care (ROSC); Targeted Capacity Expansion—Peer to Peer (TCE-PTP); Pregnant and Postpartum Women (PPW); Screening, Brief Intervention and Referral to Treatment (SBIRT); Targeted Capacity Expansion (TCE); Targeted Capacity Expansion—Health Information Technology (TCE-HIT); Targeted Capacity Expansion Technology Assisted Care (TCE-TAC); Addiction Technology Transfer Centers (ATTC); International Addiction Technology Transfer Centers (I-ATTC); State Adolescent Treatment Enhancement and Dissemination (SAT-ED); Grants to Expand Substance Abuse Treatment Capacity in Adult Tribal Healing to Wellness Courts and Juvenile Drug Courts; and Grants for the Benefit of Homeless Individuals—Services in Supportive Housing (GBHI).

SAMHSA will also use the CDP to collect client-level and IPP information from the HIV Continuum of Care program, which is funded by CSAP, CMHS, and CSAT.

SAMHSA uses performance measures to report on the performance of its discretionary services grant programs. The performance measures are used by individuals at three different levels: The SAMHSA administrator and staff, the Center administrators and government project officers, and grantees.

SAMHSA and its Centers will use the data for annual reporting required by GPRA, for grantee performance monitoring, for SAMHSA reports and presentations, and for analyses comparing baseline with discharge and follow-up data. GPRA requires that SAMHSA's report for each fiscal year include actual results of performance monitoring. The information collected through the CDP will allow SAMHSA to report on the results of these performance outcomes. Reporting will be consistent with specific SAMHSA performance domains to assess the accountability and performance of its discretionary grant programs.

Estimates of Annualized Hour Burden—Common Data Platform Client Outcome Measures for Discretionary Programs

SAMHSA Program title Number of respondents Responses per respondent Total number of responses Burden hours per response Total burden hours
HIV Continuum of Care (CSAP, CMHS, CSAT funding)—specific Form 200 2 400 0.67 268
Client-Level Services Forms
CSAP:
HIV—Minority AIDS Initiative (MAI) 18,041 4 72,164 0.38 27,422
SPF SIG/Community Level 122 4 488 0.38 185
SPF SIG/Program Level 510 4 2,040 0.38 775
PFS/Community Level 550 4 2,200 0.38 836
PFS/Program Level 111 4 444 0.38 169
CMHS:
Comprehensive Community Mental Health Services for Children and their Families Program (CMHI) 3,431 2 6,862 0.45 3,088
HIV Continuum of Care (CoC) 1,500 2 3,000 0.45 1,350
Healthy Transitions (HT) 1,600 2 3,200 0.45 1,440
NCTSI Community Treatment Centers (NCTSI) 1,856 1 1,856 0.45 835
Mental Health Transformation State Incentive Grant (MH SIG) 2,975 1 2,975 0.45 1,339
Minority AIDS/HIV Services Collaborative Program 2,844 2 5,688 0.45 2,560
Primary and Behavioral Health Care Integration (PBHCI) 14,000 2 28,000 0.50 14,000
Services in Supportive Housing (SSH) 4,975 2 9,950 0.45 4,478
Systems of Care (SoC) 1,164 1 1,164 0.45 524
Transforming Lives Through Supported Employment 1,500 2 3,000 0.45 1,350
CSAT:
Assertive Adolescent and Family Treatment (AAFT) 303 3 909 0.47 427
Access to Recovery 3 (ATR3) 239,186 1 239,186 0.47 112,417
Adult Treatment Court Collaboratives (ATCC) 1,078 3 3,234 0.47 1,520
Enhancing Adult Drug Court Services, Coordination, and Treatment (EADCS CT) 4,664 3 13,992 0.47 6,576
Offender Reentry Program (ORP) 1,843 3 5,529 0.47 2,599
Treatment Drug Court (TDC) 5,996 3 17,988 0.47 8,454
Office of Juvenile Justice and Delinquency Prevention—Juvenile Drug Courts (OJJDP-JDC) 392 3 1,176 0.47 553
Teen Court Program (TCP) 5,996 3 17,988 0.47 8,454
HIV/AIDS Outreach Program (HIV-Outreach) 4,352 3 13,056 0.47 6,136
Targeted Capacity Expansion Program for Substance Abuse Treatment and HIV/AIDS Services (TCE-HIV) 4,885 3 14,655 0.47 6,888
Addictions Treatment for Homeless (AT-HM) 10,636 3 31,908 0.47 14,997
Cooperative Agreements to Benefit Homeless Individuals (CABHI) 2,702 3 8,106 0.47 3,810
Cooperative Agreements to Benefit Homeless Individuals—States (CABHI-States) 142 3 426 0.47 200
Recovery-Oriented Systems of Care (ROSC) 846 3 2,538 0.47 1,193
Targeted Capacity Expansion—Peer to Peer (TCE-PTP) 827 3 2,481 0.47 1,166
Pregnant and Postpartum Women (PPW) 1,719 3 5,157 0.47 2,424
Screening Brief Intervention Referral and Treatment* (SBIRT) 59,419 3 178,257 0.47 83,781
Targeted Capacity Expansion—Health Information Technology (TCE-HIT) 5,295 3 15,885 0.47 7,466
Targeted Capacity Expansion Technology Assisted Care (TCE-TAC) 346 3 1,038 0.47 488
Addiction Technology Transfer Centers (ATTC) 32,676 3 98,028 0.47 46,073
International Addiction Technology Transfer Centers (I-ATTC) 1,789 3 5,367 0.47 2,522
State Adolescent Treatment Enhancement and Dissemination (SAT-ED) 925 3 2,775 0.47 1,304
Grants to Expand Substance Abuse Treatment Capacity In Adult Tribal Healing to Wellness Courts and Juvenile Drug Courts 240 3 720 0.47 338
Grants for the Benefit of Homeless Individuals—Services in Supportive Housing (GBHI) 1,960 3 5,880 0.47 2,764
Total Services—Client Level Instruments 443,596 829,710 383,169
Infrastructure, Prevention, and Mental Health Promotion (IPP) Form:
Project AWARE 120 4 480 2 960
Circles of Care 11 4 44 2 88
Comprehensive Community Mental Health Services for Children and their Families Program (CMHI) 69 4 276 2 552
Garrett Lee Smith Campus Suicide Prevention Grant Program 123 4 492 2 984
HIV Continuum of Care 33 4 132 2 264
Garrett Lee Smith State/Tribal Suicide Prevention Grant Program 102 4 408 2 816
Healthy Transitions (HT) 16 4 64 2 128
Historically Black Colleges and Universities Center for Excellence in Behavioral Health 1 4 4 2 8
Linking Actions for Unmet Needs in Children's Mental Health (LAUNCH) 54 4 216 2 432
National Suicide Prevention Lifeline 2 4 8 2 16
NCTSI Treatment & Service Centers 32 4 128 2 256
NCTSI Community Treatment Centers 81 4 324 2 648
NCTSI National Coordinating Center 2 4 8 2 16
Mental Health Transformation Grant 30 4 120 2 240
Minority AIDS/HIV Services Collaborative Program 17 4 68 2 136
Minority Fellowship Program 9 4 36 2 72
Primary and Behavioral Health Care Integration 70 4 280 2 560
Safe Schools/Healthy Students Initiative 7 4 28 2 56
Services in Supportive Housing 5 4 20 2 40
State Mental Health Data Infrastructure Grants for Quality Improvement 2 4 8 2 16
Statewide Consumer Network Grants 42 4 168 2 336
Statewide Family Network Grants 53 4 212 2 424
Suicide Lifeline Crisis Center FUP Grants 27 4 108 2 216
Systems of Care 31 4 124 2 248
Transforming Lives Through Supported Employment 6 4 24 2 48
Native Connections 20 4 80 2 160
Now Is the Time: Minority Fellowship Program—Youth 5 4 20 2 40
Cooperative Agreements to Implement the National Strategy for Suicide Prevention 4 4 16 2 32
Statewide Peer Networks for Recovery and Resiliency 8 4 32 2 64
TOTAL IPP 982 3,928 7,856
TOTAL SAMHSA 444,578 833,638 389,895
Notes:
1. Screening, Brief Intervention, Treatment and Referral (SBIRT) grant program: The estimated number of respondents is 10% of the total respondents, 742,740.
2. Numbers may not add to the totals due to rounding.

Send comments to Summer King, SAMHSA Reports Clearance Officer, Room 2-1057, One Choke Cherry Road, Rockville, MD 20857 OR email her a copy at summer.king@samhsa.hhs.gov. Written comments should be received by September 12, 2014.

Summer King,

Statistician.

[FR Doc. 2014-16337 Filed 7-11-14; 8:45 am]

BILLING CODE 4162-20-P