[Federal Register Volume 75, Number 56 (Wednesday, March 24, 2010)]
[Notices]
[Pages 14161-14163]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-6457]
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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.
Proposed Project: Transformation Accountability (TRAC) Reporting System
--(OMB No. 0930-0285)--Revision
SAMHSA's CMHS is requesting approval for a revision to the National
Outcome Measures (NOMs) for Consumers Receiving Mental Health Services.
The name of this data collection effort is revised to the
Transformation Accountability (TRAC) Reporting System (hereafter
referred to as TRAC) to enable SAMHSA CMHS to consolidate its
performance reporting activities within one package. This request
includes a revision of the currently approved client-level data
collection effort for programs providing direct services; additional
questions will enable CMHS to more fully explain grantee performance in
relation to Agency and/or program objectives. This request also
includes the addition of data collection from Project Directors of
grants engaged in infrastructure development, prevention, and mental
health promotion activities. These new instruments will enable SAMHSA
CMHS to capture a standardized set of
[[Page 14162]]
performance indicators using a uniform reporting method.
These proposed data activities are intended to promote the use of
consistent measures among CMHS grantees and technical assistance
contractors. These common measures recommended by CMHS are a result of
extensive examination and recommendations, using consistent criteria,
by panels of staff, experts, and grantees. Wherever feasible, the
proposed measures are consistent with or build upon previous data
development efforts within CMHS. These data collection activities will
be organized to reflect and support the domains specified for SAMHSA's
NOMs for programs providing direct services, and the categories
developed by CMHS to specify infrastructure development, prevention,
and mental health promotion activities.
Client-Level Data Collection
The currently approved data collection effort for the SAMHSA CMHS
programs that provide direct services to consumers includes separate
data collection forms that are parallel in design for use in
interviewing adults and children (or their caregivers for children
under the age of 11 years old). These SAMHSA TRAC data will be
collected at baseline, at six month reassessments for as long as the
consumer receives services, and at discharge. The proposed data
collection encompasses eight of the ten SAMHSA NOMs domains.
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Number of
Number of questions:
Domain questions: adult caregiver and
child/adolescent
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Access/Capacity................... 4 4
Functioning....................... 28 26
Stability in Housing.............. 1 2
Education and Employment.......... 4 3
Crime and Criminal Justice........ 1 1
Perception of Care................ 15 14
Social Connectedness.............. 4 4
Retention \1\..................... 5 5
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Total Number.................. 63 59
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\1\ Retention is defined as retention in the community. The indicator is
based on use of psychiatric inpatient services, which is based on a
measure from the Stability in Housing Domain.
Changes to the current instruments include the following:
The administrative section of all instruments was changed
to allow grantees to capture and track when consumers refuse
interviews, consent cannot be obtained from proxy, and consumers are
impaired or unable to provide consent. The administrative section of
the children's instruments was additionally changed to capture whether
the respondent is the child or his/her caregiver.
Questions were added to all instruments to capture general
health, psychological functioning, life in the community, and substance
use.
CMHS reduced the data collection requirement for 3-month
programs to be consistent with 6-month programs; all grant programs
will now be required to collect the client-level interviews in 6-month
intervals, and CMHS will require the completion of clinical discharge
interviews.
In addition to questions asked of consumers as listed above,
programs will be required to abstract information from consumer records
regarding the services provided. The time to complete the revised
instruments is estimated as shown below. These estimates are based on
grantee reports of the amount of time required to complete the
currently approved instruments accounting for the additional time
required to complete the new questions, as based on an informal pilot.
Infrastructure Development, Prevention, and Mental Health Promotion
Performance Data Collection
CMHS has identified categories and associated grant- or community-
level indicators to assess performance of grant programs engaged in
infrastructure development, prevention, and mental health promotion
activities. Upon approval of the indicators, a Web-based data entry
system will be developed to capture this performance data for all CMHS-
funded grants engaged in infrastructure development, prevention, and
mental health promotion activities. Not all categories or indicators
will apply to every grant program; CMHS Program Directors will be
responsible for determining whether a category (or an indicator within
a category) applies to each grant program, establishing targets at the
grant level, and monitoring data submission. The following table
summarizes the total number of indicators for each category that may or
may not apply to each grant program:
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Number of
Category indicators
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Policy Development......................................... 2
Workforce Development...................................... 5
Financing.................................................. 3
Organizational Change...................................... 1
Partnerships/Collaborations................................ 2
Accountability............................................. 6
Types/Targets of Practices................................. 4
Awareness.................................................. 1
Training................................................... 1
Knowledge/Attitudes/Beliefs................................ 1
Screening.................................................. 1
Outreach................................................... 2
Referral................................................... 1
Access..................................................... 1
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Total Number............................................. 31
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Grantee Project Directors will be responsible for submitting data
pertaining to these indicators quarterly. The use of standardized
domains and data collection approaches will enhance aggregate data
development and reporting.
Following is the estimated annual response burden for this effort.
[[Page 14163]]
Estimate of Annual Response Burden
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Number of Responses per Total Hours per Total hour
Type of response respondents respondent responses response burden
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Client-level baseline interview. 15,681 1 15,681 0.333 5,222
Client-level 6-month 10,646 1 10,646 0.367 3,907
reassessment interview.........
Client-level discharge interview 4,508 1 4,508 0.367 1,655
Client-level baseline chart 2,352 1 2,352 0.1 235
abstraction....................
Client-level reassessment chart 9,017 1 9,017 0.1 902
abstraction....................
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Client-level Subtotal....... 15,681 .............. 15,681 .............. 11,920
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Infrastructure development, 942 4 3,768 4 15,072
prevention, and mental health
promotion quarterly record
abstraction....................
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Total....................... 16,623 .............. .............. .............. 26,992
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Written comments and recommendations concerning the proposed
information collection should be sent by April 23, 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: March 17, 2010.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. 2010-6457 Filed 3-23-10; 8:45 am]
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