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Federal Register / Vol. 86, No. 145 / Monday, August 2, 2021 / Notices To be fully accountable for the spending of federal funds, SAMHSA
requires all programs to collect and report data to ensure that program goals and objectives are met. Data is collected and used to monitor and improve performance of each program and ensure appropriate and thoughtful spending of federal funds.
SAMHSA requests the following revisions to the National Outcome Measures NOMS Mental Health Client/
Participant Outcome measures: 1
Merge the CMHS NOMS Child Clientlevel Measures for Discretionary Programs data collection instrument with the current CMHS NOMS Adult Client-level Measures for Discretionary Programs data collection instrument; 2
delete questions for data not being utilized for program monitoring and quality improvement; 3 reduce grantee burden by shifting questions for a fivepoint psychometric response scale to Yes, No, No response, or Not applicable responses; 4 modify IDC
10 diagnoses to expand the F4048, F6063, and F9099 codes to allow for more specificity. Also, add ICD10 Z
codes to allow for a focus on social determinants of health that may affect the diagnosis, course, prognosis, or treatment of a client/consumer mental disorder; 6 shift reporting NOMS data to baseline assessment, 3-month or 6month reassessment, and a final clinical discharge assessment; 7 reduce the number of physical health indictors and reporting frequency from quarterly to three points in time baseline, 3- or 6-

month reassessment, clinical discharge to further reduce grantee burden.
SAMHSA also requests the following revisions to the Infrastructure, Prevention, and Mental Health Promotion indicators: 1 Delete ten indicators not used by any SAMSHA
programs A3, A6, F1, F2, F3, O2, T4, WD1, WD3, and WD4; 2 revise two indicators to provide more clarity A1
and A5; and 3 add ten indicators to reflect program developments during the past three years R2, S2, S3, T5, T6, T7, T8, TR2, TR3, and TR4.
These changes will lessen grantee burden with data collection and improve capacity to report qualitative performance and quantitative outcomes for all discretionary grant programs, including: Demographic characteristics of clients served; clinical characteristics of clients served before, during, and after receipt of services; numbers of clients served; and characteristics of services and activities provided to clients.
Currently, the information collected from this instrument is entered and stored on SAMHSAs Performance Accountability and Reporting System SPARS, which is a real-time, performance management system that captures information on mental health and substance abuse treatment services delivered in the United States.
Continued approval of this information collection will allow SAMHSA to continue to meet Government Performance and Results Modernization Act of 2010 GPRMA reporting
requirements that quantify the effects and accomplishments of its discretionary grant programs, which are consistent with OMB guidance.
SAMHSA will use the data collected for annual reporting required by GPRMA, to describe and understand changes in outcomes from baseline to follow-up to discharge. SAMHSA and its Centers will use the data for annual reporting comparing baseline with discharge and follow-up data.
SAMHSAs report for each fiscal year will include actual results of performance monitoring for the three preceding fiscal years. Information collected through this request will allow SAMHSA to report on the results of these performance outcomes as well as be consistent with SAMHSA-specific performance domains, and to assess the accountability and performance of its discretionary and formula grant programs. The additional information collected through this request will allow SAMHSA to improve its ability to assess the impact of its programs on key outcomes of interest and to gather vital diagnostic information about clients served by discretionary grant programs.
The requested changes will result in a reduction of total burden hours.
Currently, there are 104,168 total burden hours in the OMB-approved inventory. SAMHSA is requesting a reduction to 68,673 hours or an estimated decrease of 35,494 burden hours. The proposed estimate of time to collect data and complete the instruments is shown in Table 1.

TABLE 1ESTIMATES OF ANNUALIZED HOUR BURDEN
Number of respondents
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SAMHSA tool
Responses per respondent
Total responses
Hours per response
Total hour burden
Client-level baseline interview
Client-level 3- or 6-month reassessment interview
Client-level clinical discharge interview
Section H Physical Health Data Baseline
Section H Program Specific Data: Baseline, 3- or 6-month reassessment, and clinical discharge

40,280
40,280
6,668
39,231

1
1 1
1

40,280
40,280
6,668
39,231

0.33
0.33
0.33
.10

30,901
30,901
2,200
3,923

14,800

2

29,600

.08

2,368

Subtotal
Infrastructure development, prevention, and mental health promotion quarterly record abstraction

141,259

154,059

68,673

942

4

3,768

2.0

7,536

Total

142,201

157,827

104,168

Send comments to Carlos Graham, SAMHSA Reports Clearance Officer, 5600 Fisher Lane, Room 15E57A, Rockville, MD 20852 OR email him a
copy at carlos.graham@samhsa.hhs.gov.

Written comments should be received by October 1, 2021.
Carlos Graham, Social Science Analyst.
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