Substance Abuse Prevention and Treatment (SAPT) Block Grant
Regulations (45 CFR Part 96) and FY 2008-2010 Uniform Application
(OMB No. 0930-0080)
A. JUSTIFICATION
1. Circumstances of Information Collection
The Substance Abuse and Mental Health Services Administration (SAMHSA) is requesting a revision from the Office of Management and Budget (OMB) for the consolidated approval of the information collection language and record keeping requirements in the Substance Abuse Prevention and Treatment Block Grant; Interim Final Rule (45 CFR Part 96) (Tab A) and for approval of the FY 2008-2010 Uniform Application for Substance Abuse Prevention and Treatment Block Grants. The current approval is under OMB No. 0930-0080, which expires on August 31, 2007. The statute requires States and Jurisdictions to submit their respective applications on or before October 1 of the fiscal year for which they are applying for a grant.
Funding agreements for alcohol and drug abuse programs require States to obligate and expend block grant funds in accordance with the set-asides as prescribed by Title XIX, Part B, Subpart II and Subpart III of the Public Health Service Act, as amended by the Children’s Health Act of 2000 (P.L. 106-310) (Tab B).
The authorizing legislation for the SAPT Block Grant requires States and Jurisdictions to report annually on how the principal agency for authorized activities obligated and expended block grant funds and how it intends to use funds to be awarded. In the event that a State or Jurisdiction has materially failed to comply with the funding agreements or other conditions required for receipt of a grant under the program involved, the Secretary may: (a) in whole or in part suspend payments; (b) terminate the grant for cause; or (c) employ such other remedies as may be legally available and appropriate.
Respondents are the 50 States and Jurisdictions (the District of Columbia, the Commonwealth of Puerto Rico, the U.S. Virgin Islands, American Samoa, Commonwealth of Northern Mariana Islands, Federated States of Micronesia, Guam, Republic of Marshall Islands, Republic of Palau, and the Red Lake Band of Chippewa Indians of Minnesota).
Revisions for the FY 2008-2010 Uniform Application reflect minor changes to Sections I-III to incorporate recommended minor changes from constituents to improve consistency of terminology and clarity of instructions. Section IV is revised to reflect the December 2004 agreement reached between SAMHSA, the National Association of State Alcohol and Drug Abuse Directors (NASADAD) to require performance measure reporting beginning in FY 2008. During FY 2005-2007, States and Jurisdictions were encouraged to voluntarily report performance measures and to identify technical assistance needs to help States develop the capacity to collect, analyze, and report performance measures to SAMHSA. Further, during FY 2005-2007 SAMHSA periodically convened meetings of the States and Jurisdictions to develop a consensus regarding the alignment of the voluntary performance measures with the SAMHSA’s performance measurement domains.
Approval is requested for the following information collection requirements in 45 CFR Part 96 summarized below:
Annual Report
45 CFR 96.122 (d) - Reporting. This section requires States to submit an application in substantial compliance with the statutory and regulatory provisions for the SAPTBG by no later than October 1 of the fiscal year for which the SAPTBG funding is being requested. However, the report required by 45 CFR 96.130(e) is due not later than December 31 of the fiscal year for which the State is seeking a grant.
45 CFR 96.122(f)(1)-(5)(iv) - Reporting. This section requires States to submit an annual report in such form as prescribed by the granting agency. The rule requires States to provide information regarding the purposes and the activities for which SAPTBG funds were obligated and expended and a description of the activities the State has undertaken to comply with 42 CFR 54a.
45 CFR 96.134(d) - Reporting. This section requires States to submit the aggregate State dollar expenditures by the principal agency of a State for authorized activities for the three State fiscal years preceding the fiscal year for which the State is applying for the grant.
State Plan
45 CFR 96.122(g) - Reporting. This section requires States to submit a State plan in such form as prescribed by the granting agency. The rule requires States to provide information regarding the purposes and activities for which SAPT Block Grant funds will be obligated, and a description of how they will comply with the various assurances made as a condition of receiving block grant funds.
45 CFR 96.124(c)(1) - Reporting. This section requires States to report the methods used for calculating the base for women's services together with the amount of that base.
45 CFR 96.126(f) - Reporting. This section requires States to report the results of on-site monitoring of programs' compliance with §96.126.
45 CFR 96.127(b) - Reporting. This section requires States to report the results of on-site monitoring of programs' compliance with §96.127(a).
45 CFR 96.131(f) - Reporting. This section requires the State to report the results of on-site monitoring of programs' compliance with §96.131(a). The inspection reports are to be maintained for at least 3 years.
45 CFR 96.133(a) - Reporting. This section specifies the contents of an assessment of need for treatment for authorized activities, both by locality and the State in general.
Waivers
45 CFR 96.124(d) - Reporting. This section specifies the content for request of a waiver of all or part of the requirement established in §96.124(c) regarding the percentage increase in treatment services designed for pregnant women and women with dependent children. States must submit information sufficient for the Secretary to determine that the State is providing an adequate level of treatment services for such women. The State may submit data that is systematically collected.
45 CFR 96.132(d) - Reporting. This section specifies content for request of a waiver of the requirements established in §96.132(a) -- the improvement of the referral process and the coordination of prevention activities and treatment services with other public and private nonprofit entities, §96.132(b) -- the provision of continuing education in treatment services and prevention activities for the employees of the facilities who provide the services or activities, and §96.132(c) -- the coordination of prevention activities and treatment services with the provision of other appropriate services. In evaluating whether to grant or deny a waiver, the Secretary will rely on information drawn from the independent peer review/quality assurance activities conducted by the State.
45 CFR 96.134(b) - Reporting. This section specifies the content for request of a waiver of the requirement established in §96.134(a) regarding the maintenance of state expenditures for prevention activities and treatment services. The State involved must submit information sufficient for the Secretary to make the determination that extraordinary economic conditions in the State justify the waiver.
45 CFR 96.135(d) - Reporting. This section specifies the content of a waiver of prohibition against the use of block grant funds for construction. States requesting a waiver are required to submit information sufficient for the Secretary to make a determination that adequate treatment cannot be provided through the use of existing facilities and that alternative facilities in existing buildings are not available.
Recordkeeping
45 CFR 96.129(a)(13) - Recordkeeping. This section requires States to keep a written record of the number of loans and amount of loans provided, together with a record of the identities of the borrowers and their repayment history. This requirement was made optional pursuant to Title XIX, Part B, Subpart II of the PHS Act (42 USC 300x-25) as amended by the Children’s Health Act of 2000 (P.L. 106-310).
Section 1926 of the PHS Act (42 USC 300x-26) stipulates that funding agreements for alcohol and drug abuse programs for fiscal year 1994 and subsequent fiscal years require States to have in effect a law providing that it is unlawful for any manufacturer, retailer, or distributor of tobacco products to sell or distribute any such product to any individual under the age of 18. Section 1926 further requires that States conduct annually, random, unannounced inspections to ensure compliance with the law; that the State submit annually a report describing the results of the inspections, and the activities carried out by the State to enforce the required law, the success the State has achieved in reducing the availability of tobacco products to individuals under the age of 18, and the strategies to be utilized by the State for enforcing such law during the fiscal year for which the grant is sought. Before making an award to a State under the Block Grant, the Secretary must make a determination that the State has maintained compliance with the regulations. If a determination is made that the State is not in compliance, penalties shall be applied. Penalties range from 10 percent of the Block Grant in applicable year 1 to 40 percent in applicable year 4 and subsequent years.
Respondents for the Synar requirements include the 50 States, the District of Columbia, the Commonwealth of Puerto Rico, the U.S. Virgin Islands, American Samoa, Commonwealth of the Northern Mariana Islands, Federated States of Micronesia, Guam, Republic of the Marshall Islands, and Republic of Palau.
Approval is also requested for the following Synar-related information collection language requirements in 45 CFR Part 96:
Annual Report
45 CFR 96.122(f)(6) - This section specifies the reporting requirements for the first applicable year of the regulation. The first applicable year has passed for all States; therefore, this section no longer applies.
45 CFR 96.130(e)(1-5) - This section requires States to submit annual reports describing the States' activities to enforce the law required by Section 1926, a description of the overall success the State has achieved during the previous fiscal year in reducing availability of tobacco products to individuals under the age of 18. Information for §96.130(e)(1-3) is part of the Annual Report and information for §96.130(e)(4, 5) is part of the State Plan.
45 CFR 96.130(g) - Beginning with the fourth applicable fiscal year, the Secretary will negotiate with each State, the interim performance target, that a State will meet for that fiscal year and in subsequent years the State must provide evidence of progress toward achieving an inspection failure rate of no more than 20 percent. The information should be sufficient for the Secretary to make a determination as to whether or not compliance has been achieved and a penalty should or should not be imposed.
In response to the mandates of the Government Performance and Results Act (GPRA), SAMHSA added substance abuse treatment and prevention performance measures for voluntary reporting by States that are able to do so beginning with the FY 2000 uniform application. SAMHSA, in collaboration with NASADAD and the States, worked for several years to develop measures that were useful to the States as well as the Federal Government. SAMHSA was able to use set-aside funds from the SAPT Block Grant to develop measures and pilot their application.
These performance measures build on ongoing efforts within SAMHSA’s Center for Substance Abuse Treatment (CSAT), Center for Substance Abuse Prevention (CSAP), and the Office of Applied Studies (OAS) including OAS’s State Outcomes Monitoring and Management Systems (SOMMS), CSAP’s Minimum Data Set I and II, State Incentive Grant (SIG) Evaluation Framework, and Core Measures Initiative (OMB No. 0930-0230). The CSAT performance and outcome measures also build on previously established Treatment Episode Data Set (TEDS) and National Survey of Substance Abuse Treatment Services (N-SSATS) data definitions for intake and other areas. TEDS and N-SSATS are components of OAS’s Drug and Alcohol Services Information System (DASIS) approved by OMB under control number 0930-0106. These initiatives were developed in consultation with State representatives and were consistent with the SAMHSA GPRA client outcome measures for its discretionary programs. The ultimate goal of the SAPTBG treatment performance measures is to measure the change in client behavior resulting from treatment interventions.
OMB approval of this submission will allow CSAT and CSAP to solicit the FY 2008 SAPT Block Grant Uniform Application from the States and Jurisdictions in a manner consistent with: (1) the statutory requirement of Section 1932 of the PHS Act (42 USC 300x-32) for the receipt of the annual application by the Secretary not later than October 1 of the fiscal year for which the State is seeking SAPT Block Grant funds; and (2) the requirements of the Cash Management Improvement Act of 1990 (P. L. 101-453) and its implementing regulations (31 CFR 205), which impose requirements on Federal agencies for the timely transfer of funds to the States and, when transfers are not made in a timely fashion, for payments of interest to the States. To give the States time to meet the required October 1 receipt date, SAMHSA hopes to release a solicitation letter as soon as possible (Tab C)
The FY 2008-2010 Uniform Application is submitted for approval with the understanding that SAMHSA reauthorization may be scheduled during the 110th Congress and as a part of the reauthorization process SAMHSA will be submitting a series of legislative proposals designed to reduce the States reporting burden. In September 2005, SAMHSA submitted its “Report to Congress on Performance Partnerships.” On May 8, the Senate Committee on Health, Education, Labor, and Pensions convened a hearing regarding SAMHSA’s reauthorization
2. Purpose and Use of Information
Information reported under 45 CFR 96.46 and 96.120 through 96.137 will be used by SAMHSA to ensure that Federal funds authorized and appropriated for authorized activities to prevent and treat substance abuse are obligated and expended by the States in accordance with the authorizing legislation and implementing regulations. Information reported under 45 CFR 96.122(f) and (g) and 96.130(e) and (g) is used by SAMHSA to ensure that the provisions of Section 1926 and the Final Rule are met by States, including meeting the Synar performance targets over time. SAMHSA will also use certain portions of the Annual Reports to produce information for use in its annual progress report submitted to OMB in response to the FY 2003 Program Assessment Rating Tool (PART) analysis of the SAPTBG Program. Such information will also be used by SAMHSA to guide States toward full compliance, prepare and submit reports to Congress, and respond to individual members of Congress on behalf of their constituents.
Without the information obtained from the uniform application, SAMHSA could not respond to requests for information on how the States intend to obligate Block Grant funds, how the States expended funds made available in a previous fiscal year, the type of activities and services provided, demographics of those served, and assessments of the adequacy and effectiveness of these activities and services in meeting the needs of national and State-level priority populations. In addition, the SAPT Block Grant Uniform Application is used to assess the need for targeted technical assistance to the States in the development of comprehensive service delivery systems.
Under the provisions of the authorizing legislation, States may receive allotments only after an application is submitted and approved by the Secretary, DHHS. SAMHSA will provide States and Jurisdictions with revised application guidance and instructions (Tab C). Following is an overview of changes being made effective with the FY 2008 uniform application:
Form 2, “Table of Contents,” was revised to appropriately enumerate the specific items within each section.
Narrative description of certain maintenance of effort and expenditure base calculations was simplified to require submission of such information only if it represented a revision from previous years’ submissions. This section was also moved to its more appropriate place in the application immediately preceding reporting on maintenance of efforts.
Form 4, “Substance Abuse State Agency Spending Report,” Form 6,”Substance Abuse Entity Inventory,” and Form 12, “Treatment Capacity Matrix,” was amended to use consistent language for services expenditure reporting and planning across Forms 4, 6 and 12. On Forms 4 and 12, Row 1, the activity to be reported on is entitled: SAPT Block Grant funds for Substance Abuse Prevention (other than primary prevention) and Treatment Services to be consistent with the terminology used in Form 6, Column 5.
Form 6, “Substance Abuse Entity Inventory,” instructions were clarified to communicate that information on all substance abuse prevention and treatment service providers funded through the SSA was sought.
Form 7a, “Treatment Utilization Matrix,” instructions were clarified to communicate that information on persons admitted and served within the specific reporting period was sought to enable the SAPTBG program to address the recommendations of the FY 2003 OMB Program Assessment Rating Tool (PART) analysis.
Form 7b, “Number Of Persons Served (Unduplicated Count) For Alcohol And Other Drug Use In State Funded Services,” instructions were clarified in a similar manner as Form 7a and a separate data cell was added to accommodate States’ desires to report on clients admitted in a prior reporting period but also continuing to be served within the current reporting period.
Table I, “Single State Agency (SSA) Expenditures for Substance Abuse (Maintenance) was amended to reflect the appropriate State fiscal year and the corresponding instructions were amended.
Table II, “Statewide Non-Federal Expenditures for Tuberculosis Services to Substance Abusers in Treatment (Maintenance),” was amended to reflect the appropriate State fiscal year and the corresponding instructions were amended.
Table III, “Statewide Non-Federal Expenditures for HIV Early Intervention Services to Substance Abusers in Treatment (Maintenance),” was amended to allow States to enter the appropriate State fiscal year and the corresponding instructions were amended.
Table IV, “SSA Expenditures for Women’s Services (Maintenance),” was amended to reflect the appropriate fiscal year and the corresponding instructions were amended.
IV-A, “Voluntary Treatment Performance Measures,” general instructions were amended to implement mandatory reporting on performance measure forms T1-T7 and a narrative requirement is proposed to collect information on States internal practices to use performance measure data to manage their systems.
IV-A, “Treatment Performance Measures” Forms T1-T7 data specifications replaced State detail sheet narrative requirements for forms T1-T7 to reduce the burden of reporting and improve the uniformity of data quality information being collected.
IV-A, “Voluntary Treatment Performance Measures,” T6 on infectious disease control efforts was deleted because it was determined to be duplicative of information requirements in Section II of the application.
IV-B, “Voluntary Prevention Performance Measures,” Forms P1 through P4, were replaced with “Prevention Performance Measures,” Forms P1 through P15, and instructions for the forms were altered in accordance with the new forms. Instructions for Forms P1-P11 address pre-population of prevention performance data; therefore, States only need to provide the information for Forms P12-P15.
A markup of the FY 2008-2010 Uniform Application showing deletions and additions is included (Tab D).
3. Use of Information Technology
States are provided with a user identification and password to access the Web-Block Grant Application System (Web-BGAS) uniform application for their respective State. All States can communicate by electronic mail via the Center for Substance Abuse Treatment (CSAT) Treatment Improvement Exchange Director’s Roundtable, or through the Internet to the CSAT internal network e-mail. The Web-BGAS provides the States with a standardized format for reporting data and many States have revised their data collection efforts to correspond with the standard forms in the uniform application to facilitate ease of data import from other State-specific management information systems. States may receive preparatory technical assistance from the CSAT’s WEB-BGAS telephone help desk, 1-888-301-BGAS (2427). States frequently praise this help desk for their assistance in streamlining this process. All States utilized Web-BGAS to prepare and submit the FY 2007 Uniform Application.
SAMHSA’s Office of Program Services, Division of Grants Management participates in a Department-wide work group that is developing E-gov policies for formula and block grants, which will be in a separate section of www.grants.gov. It is still unclear whether this and many other mandatory grants will be accommodated by the grants.gov selected system in the near future. The grants.gov mandatory grants specifications are yet to be announced. When the new system is fully functional, SAMHSA will be ready to participate in the electronic grant submission. SAMHSA's mandatory grants are prepared to migrate to a new grants system beginning as early as next fiscal year.
4. Efforts to identify duplication
There has been and continues to be periodic consultation with NASADAD and representatives of the principal agency of the State responsible for planning, carrying out, and evaluating activities to prevent and treat substance abuse, and no duplication of information collection has been identified. The reporting requirements are narrative and statistical in nature and describe each State’s progress in achieving the goals of a previous fiscal year’s intended use (State) plan and the proposed activities to prevent and treat substance abuse for the fiscal year for which the State is applying for a Block Grant. NASADAD and States were provided an opportunity to preview the FY 2008 Uniform Application and to provide recommendations for improvement.
Involvement of Small Entities
The regulation and the annual uniform application do not directly affect small entities. Entities receiving amounts from the grant to conduct prevention and treatment activities record information as directed by the State, and the cumulative prevention and treatment data are incorporated by States into the uniform application.
6. Consequences if Information Collected Less Frequently
The statute requires States to apply annually for SAPT Block Grant funds and to report annually on SAPT Block Grant activities and services and the purposes for which the SAPT Block Grant funds were expended. Less frequent reporting would be in violation of the authorizing legislation and would also result in difficulty linking activities with fiscal year funding. Internal control processes and program management requirements are addressed through the collection, database management, and analysis of information collected in this application. Federal reporting requirements for reports to Congress, as well as intervening requirements for legislative testimony before Congress covering specific issues regarding the prevention of substance abuse and the treatment of substance use disorders, require the availability of up-to-date information. Without submission of an annual report and intended use (State) plan in accordance with regulations published by the Secretary, SAPT Block Grant awards cannot be made available to the States and Jurisdictions.
7. Consistency With the Guidelines in 5 CFR 1320.5(d)(2)
This information collection fully complies with 5 CFR 1320.5(d)(2).
8. Consultation Outside the Agency
A notice is to be published in the Federal Register on March 23, 2007 (72 FR 13808) soliciting comments on SAMHSA’s proposal to request an OMB approval. Comments were received from NASADAD and 15 States (AZ; CA; FL; HI: IA; IL: LA; MI; MO; NV; NY; OR; PA; SD; and WA)(Tab E).
Prior to publication of the interim final rule in 1993, SAMHSA/CSAT had undertaken consultation and interaction with NASADAD and the States in the process of developing the uniform application format to ensure that the reporting burden on the States is minimized and that reporting requirements are reasonable in terms of the States' data collection and reporting capabilities. A series of technical assistance workshops were conducted for State directors and others to familiarize them with the provisions of the rule as implemented in the draft application format. All participants were invited to critique the document and make recommendations for improvement.
SAMHSA’s Center for Substance Abuse Treatment, Division of State and Community Assistance, and SAMHSA’s Center for Substance Abuse Prevention, Division of State Programs (formerly the Division of State and Community Systems Development), actively sought comments and consultation regarding the information collection and reporting requirements from Single State Agency directors and staff during 2005-2007. Recommendation made from the field that could be adopted to facilitate the process of completing the application or improve the clarity of instructions was undertaken as long as the statutory and regulatory information requirements were not affected. Recommendations for change to the existing regulations were forwarded to the SAMHSA legislative liaison as well as were comments on the burden estimates.
SAMHSA/CSAP has had regular and on-going discussions with the States regarding the compliance and reporting requirements of the Annual Synar Report (www.prevention.samhsa.gov/tobacco/) components of the regulation. It has sponsored national technical assistance workshops and numerous multi-State and State-specific TA sessions on issues relevant to the States over the past several years. SAMHSA has additionally developed numerous products and guidance materials on strategies for meeting the compliance regulations and the intent of the Federal regulation. Throughout these discussions, the States have provided feedback to SAMHSA on the reporting requirements including, the types of information synthesis that they require in order to support the State youth tobacco control programs required by the regulation.
SAMHSA/CSAP also continues to have extensive consultation and interaction with the following U.S. Department of Health and Human Services’ (DHHS) Centers for Disease Control and Prevention, Office for Smoking and Health (OSH), the National Institutes of Health, National Cancer Institute (NCI), and with senior DHHS officials to ensure that the reporting burden on States is minimized, that these requirements are not duplicated across agencies, and that the reporting requirements are reasonable in terms of the authorizing legislation and States’ data collection and reporting capabilities. Ms. Rosemarie Henson, Director, OSH, CDC, and Mr. Bob Vollinger, Program Director, Tobacco Control Research Branch, Behavioral Health Program, NCI, have collaborated with SAMHSA/CSAP regarding States’ compliance with the Synar amendment. Further, SAMHSA is a member of the Interagency Committee on Smoking and Health chaired by the Surgeon General of the United States.
9. Payment to Respondents
The respondents do not receive payments.
10. Assurance of Confidentiality
No assurance of confidentiality will be provided to respondents. The authorizing legislation requires that the State provide the public with the opportunity to comment on the application and State plan prior to its submission and copies of the annual report be made available upon request to any interested person (including any public agency).
11. Questions of a Sensitive Nature
The SAPT Block Grant reporting requirements do not solicit information of a sensitive nature.
12. Estimates of Annualized Hour Burden
The following reporting burden is based on discussions with selected State substance abuse authorities responsible for these activities and represents the average total hours to assemble, format, and produce the block grant application in accordance with the requirements of 45 CFR 96. The reporting burden hours are included in the total burden for the annual SAPT Block Grant Application Format (OMB No. 0930-0080) and the SAPT Block Grant Annual Synar Report Format (OMB No. 0930-0222); these 2 information collections were broken apart by OMB in 2001when the due date for the Synar report was changed by statute.
TOTAL SAPT BLOCK GRANT BURDEN ESTIMATE
REPORTING BURDEN
No. of Responses No. Hours Total
Section Respondents5 Per Year Per Response Hours
Annual Report:
96.122(d)1 60 1 0 0
96.122(f)(1)-(5)(iv); 96.126(f) 60 1 152 9,120
96.122(f)(5)(v)2 60 1 2 120
96.122(f)(6)3 0 0 0 0
96.130(e)(1-3)5 59 1 15 ( 885)
96.134(d) 60 1 16 960
State Plan:
96.122(g) 60 1 162 9,720
96.124(c)(1) 60 1 40 2,400
96.127(b) 60 1 8 480
96.130(e)(4,5)5 59 1 1 (59)
96.130(g)5 59 1 2 (118)
96.131(f) 60 1 8 480
96.133(a) 60 1 80 4,800
Waivers4:
96.124(d) 0 1 40 0
96.132(d) 0 1 16 0
96.134(b) 3 1 40 120
96.135(d) 0 1 8 0
Reporting Subtotal 60 1 28,200
RECORDKEEPING BURDEN - 45 CFR 96
96.129(a)(13) 60 16 960
TOTAL SAPTBG BURDEN - 45 CFR 96 29,160
1 A 1-hour burden was counted in connection with the FY 2001 application because of the regulatory change in due date. This burden is no longer applicable.
2 This is a requirement to report on activities to implement SAMHSA’s charitable choice regulations promulgated in September 2003 at 42 CFR Part 54. Information collection language for this requirement is approved under OMB control number 0930-0242.
3 This section describes requirements for the first applicable year, which has passed for all States. Therefore, no burden is associated with this section.
4 The number of respondents per year for the waiver requests is based on actual experience over the past several years.
5 Synar reporting requirements do not pertain to the Red Lake Band of the Chippewa Indians of Minnesota. Burden is approved under OMB Control No. 0930-0222.
The estimated annual reporting burden of 552.75 hours per State is comprised of 470 hours for Sections I-III plus 40 hours for treatment measures and 42.75 hours for prevention measures in Section IV.
The burden estimate for the uniform application (Sections I-III) is based, in part, on discussions with select Single State Agency (SSA) program staff responsible for these activities and represents the total hours to assemble, format, and produce the uniform application in accordance with the requirements of the statute (42 USC 300x-32) and regulation (45 CFR Part 96). The Web-BGAS has been designed with many functions that reduce time it takes to enter data on the required SAPT Block Grant forms and narratives. First, the application pre-populates the data on Form 1, the sub-State planning area(s), Provider and the Provider Address Tables. Second, standardized data import files have been made available to the States for the past 5 years. These allow States to write a report, export it in the most common data format (CSV), and then e-mail the report to the Web-BGAS administrators to be uploaded. These reports can be re-used each year, so once a State writes a report, the State can complete or update Forms 6, 7a and 7b, 8, 9 and 12 with relative ease. Lastly, most narratives can be completed by merely updating the previous year's response (available via email from the help desk) and adding a paragraph or two on the current year's progress. These functions either allow pre-population or automation of approximately 70 percent of the data required by the uniform application.
The burden estimates for the performance measures are based on the fact that some States are reporting data that they already have in their respective databases. Thus, the burden for providing these performance measures is the additional time associated with extracting such information from State databases and providing tabulations in the requested format. In FY 2007, the seventh application that included the voluntary outcome measures, 37 States responded to Section IV-A, “Voluntary Treatment Performance Measures.” Of these, 17 States completed all finalized forms (P-1 through P-5) and the remaining 20 States completed some portion of the forms T1-T7. SAMHSA assumes that over the 3-year period for which approval is being sought, all the States will develop the capacity to report on the treatment and prevention performance measures.
SAMHSA/CSAP estimates the burden to States to report core outcome measures at approximately 42.75 hours. This estimate was derived based on discussions with CSAP staff experienced in estimating time burdens for similar data reporting activities. The estimated 42.75 hours is based on an aggregate of time estimates from three measures: 13 hours for calculating number of persons served; 11 hours for calculating number of evidence-based programs, policies and strategies; and 18 hours for calculating the percent of programs within specified cost bands. This includes preparation and completion of the narrative information and the Prevention Core Construct reporting forms in the FY 2008 uniform application. The additional estimated 0.75 hours is based on 15 hours for data analysis of the three measures by CSAP staff and contractors across all States/Territories.
State burden = 13 hours (measure 1) + 11 hours (measure 2) +18 hours (measure 3) = 42 hours
CSAP burden = 15 hours/60 States and Territories = 0.75 hours
Total burden = 42 hours + 0.75 hours = 42.75 hours
SAMHSA/CSAT’s estimate of annualized hour burden is based on consultation among knowledgeable CSAT staff and Single State Agency (SSA) staff who are experienced in the alcohol and other drugs field. SAMHSA/CSAT’s projection is based on a revised estimate of burden to complete the uniform application and the best estimate of time required by the Single State Agencies (SSA) to import data and develop narrative responses. SAMHSA/CSAT’s estimate would require 40 hours (5 hours per form x 7 forms plus 5 hours to address the narrative requirement) of time for cross-tabulating data, transferring aggregate data from existing State data formats, and calculating the percent change. This assumes that States collect such data and the States’ management information systems are programmed to aggregate and generate such reports.
Annual Reporting Burden--FY 2008-2010 |
||||||
|
Number of Respondents |
Responses per Respondent |
Hours per Response |
Total Burden |
Cost per Hour1 |
Total Cost
|
Sections I-III – States and Territories |
60 |
1 |
470 |
28,200 |
$30.00 |
$846,000 |
Section IV-A – States and Territories |
60 |
1 |
40 |
2,400 |
$30.00 |
$72,000 |
Section IV-B – States and Territories |
60 |
1 |
42.75 |
2,565 |
$30.00 |
$76,950 |
Recordkeeping |
60 |
1 |
16 |
960 |
$30.00 |
$33,600 |
TOTAL |
60 |
|
|
34,125 |
|
$1,028,550 |
13. Estimates of Annualized Cost Burden to Respondents
There is no capital or start up costs associated with the regulations or the uniform application. . The voluntary reporting of the performance measures imposes minimal start-up costs since the States reporting these data already have the data available and thus can readily report by simply providing cross-tabulations from existing data files.
Most States have received funds from SAMHSA to conduct assessments of need for treatment as required under 45 CFR 96.133(a).
14. Estimates of Annualized Cost to the Government
(a) SAPTBG staff for regulations development2, technical assistance and inquiries:
OGC (1) GS-14/6 ($109,459) x .15 time = $16,419
CSAT (2) GS-13/6 ($ 92,632) x .50 time = $96,632
Subtotal $109,051
(b) SAPTBG staff 3 for application review, compliance monitoring, technical assistance, and inquiries:
CSAT (1) GS-15/5 ($125,078) x .15 = $ 18,762
(3) GS 14/5 ($106,331) x .75 = $239,245
(8) GS 13/5 ($89,985) x .50 = $359,940
Subtotal $617,947
CSAP (1) GS 15/5 ($125,078) x .15 = $ 18,762
(2) GS 14/5 ($106,331) x .75 = $159,487
(8) GS 13/5 ($89,985) x .50 = $339,004
Subtotal $517,253
Total $1,244,251
The total averaged annual cost to the Federal Government of the SAPT Block Grant uniform application is estimated to be $1,244,251.
The cost estimates reflect the percentage of time CSAT managers, team leaders, and program staff devote to Sections I-IV of the uniform application. Approximately $432,563 ($617,947 x .70) is devoted to Sections I-III, i.e., reviewing uniform applications for completeness and compliance, written correspondence, and other administrative activities, and approximately $185,384 ($617,947 x .30) is devoted to Section IV-A, Treatment Performance Measures.”
For the treatment performance measures, CSAT’s estimated cost to the Federal Government includes review and analysis of the outcome data as well as technical assistance to the States. The estimate is an average of the estimated annual cost for each of the three years for which OMB approval is requested (FY 2008-FY 2010). CSAT’s estimated annual cost of $64,768 for the treatment outcome measures is based on a number of factors:
Treatment estimates/projections are based on the assumption that most States will be able to report at some level and that each State’s submission will require an average of an additional eight hours of oversight/analysis by a State Project Officer.
Much of the initial and basic analysis and synthesis can be accomplished through existing technical assistance contracts, e.g., WEB-BGAS.
This activity will focus on the gathering of basic baseline data. Initial analysis is achievable with existing funding and under the existing budget.
There are at least three pre-existing mechanisms for the sharing of information: national and regional meetings; targeted technical assistance; and collaboration with NASADAD and the States (e.g., consensus development through the NASADAD Single Source Grant Award).
15. Changes in Burden
Currently, there are 31,880 hours in the OMB inventory. The Program is requesting 34,125 hours. The increase of 2,245 hours is due to the program’s change from voluntary to mandatory reporting of SAMHSA’s National Outcome Measures for substance abuse prevention and treatment. The Annual Reporting Burden Table incorrectly identified the number of respondents required to report data in Section IV-A. The number of respondent was changed from 40 to 60. In FY 2008 and subsequent fiscal years, SAMHSA will pre-populate the performance measures for substance abuse prevention and treatment utilizing data from SAMHSA’s National Survey on Drug Use and Health (NSDUH) and Treatment Episode Data Set (TEDS); therefore, the estimated Annual Reporting Burden may decrease as a result.
There is no change in the burden estimate for recordkeeping.
16. Time Schedule, Publication and Analysis Plans
The authorizing legislation requires States to submit an application not later than October 1 of the fiscal year for which the State is applying for a grant. Following is a typical schedule of activities following receipt of the uniform application:
Activity Timeframe
Review for completeness 2 weeks
Review for fiscal compliance 4 weeks
Review for programmatic compliance 6 weeks
Processing of Notice of Grant Award 1 week
Data from the States’ uniform applications will be accessed by the Federal Government to generate routine and ad hoc administrative reports to describe State, regional, and national efforts to prevent and treat substance abuse. Further, States’ data will also be used for a wide variety of other oversight, administrative, and statistical purposes of the Federal Government, e.g., Program Assessment Rating Tool (PART) analysis, State governments, and Congress. Data will be tabulated and analyzed using standard descriptive and statistical analytic techniques and will be published through the report noted above, as well as through the publication of special analytic studies.
17. Display of Expiration Date
The uniform application will display the expiration date of the OMB approval.
18. Exceptions to the Certification Statement
This collection of information involves no exceptions to the Certification for Paperwork Reduction Act submissions.
B. COLLECTION OF INFORMATION EMPLOYING STATISTICAL METHODS
Statistical methods are not employed in the SAPT Block Grant reporting requirements. The regulations implementing the Synar requirements require States to conduct random, unannounced inspections of a probability sample of outlets and to report on the results of the inspections; however, States are not directed to employ a particular sample design.
LIST OF ATTACHMENTS
Tab A
SAPT Block Grant Regulations: Substance Abuse Prevention and Treatment Block Grant; Interim Final Rule (45 CFR Part 96)
Tab B
Authorizing Legislation: Title XIX, Part B, Subpart II and Subpart III of the Public Health Service Act (42 U.S.C. 300x-21-66)
Tab C
Substance Abuse Prevention and Treatment Block Grant FY 2008-2010 Uniform Application and Solicitation Letter to the States
Tab D
Markup of the FY 2008-2010 Application Showing Deletions and Additions
Tab E
NASADAD and State Comments
Consolidated Analysis and Response to Comments
1 ?The estimated hourly cost is based on a composite estimate of professional and support per hour cost. There is wide variation from State to State.
2 Regulation development completed during FY 1992-FY 1994. Current cost estimate reflects percentage of time devoted to regulation interpretation and enforcement.
3 Current cost estimate reflect percentage of time by managers, team leaders, and program staff devoted to monitoring States’ compliance with the authorizing legislation and regulation, negotiating corrective action plans, and providing targeted technical assistance.
| File Type | application/msword |
| File Title | Substance Abuse Prevention and Treatment Block Grant Regulations (45 CFR Part 96) and FY 2005-2007 Application |
| Author | samhsauser |
| Last Modified By | SKING |
| File Modified | 2007-07-02 |
| File Created | 2007-06-07 |