Mental Health Treatment Study (MHTS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Supporting Statement Part B--0726.doc	Supporting Statement B	Uploaded 2009-05-26	Available
Addendum--0726.doc	Supplementary Document	Uploaded 2009-05-06	Available
Supporting Statement--0726.doc	Supporting Statement A	Uploaded 2009-05-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
9783	Screener Survey	Other-Survey	Modified
187991	Follow-Up -- Control Group	Other-Survey	New
187990	Quarterly -- Control Group	Other-Survey	New
187989	Baseline Survey -- Control Group	Other-Consent Letter	New
187988	Follow-Up -- Treatment Group	Other-Survey	New
187986	Quarterly -- Treatment Group	Other-Survey	New
187985	Baseline Survey -- Treatment Group	Other-Consent Letter	New

ICR Details

OMB Control No: 0960-0726	ICR Reference No: 200901-0960-004
Status: Historical Active	Previous ICR Reference No: 200605-0960-002
Agency/Subagency: SSA	Agency Tracking No:
Title: Mental Health Treatment Study (MHTS)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/21/2009
	Date Received in OIRA: 06/03/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2012	36 Months From Approved	07/31/2009
Responses	22,407	0	30,050
Time Burden (Hours)	6,290	0	8,828
Cost Burden (Dollars)	0	0	0

---

Abstract: The MHTS is a randomized study designed to test the degree to which eliminating programmatic work disincentives, establishing an accurate diagnosis and delivering appropriate mental health and supported employment will lead to improved functioning and competitive employment among SSDI beneficiaries with a primary impairment of schizophrenia or affective disorder. Study outcomes will assess the impact and effectiveness of the intervention and enable SSA to further develop ways to improve service to beneficiaries.

---

Authorizing Statute(s): US Code: 42 USC 434 Name of Law: null
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 7506	02/17/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 23764	05/20/2009
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
Baseline Survey -- Control Group
Quarterly -- Treatment Group
Baseline Survey -- Treatment Group
Screener Survey
Follow-Up -- Treatment Group
Quarterly -- Control Group
Follow-Up -- Control Group

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	22,407	30,050	0	0	-7,643	0
Annual Time Burden (Hours)	6,290	8,828	0	0	-2,538	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: We modified the burden estimates due to a) reduction in the final sample size and b) revised hours per response. We reduced the final sample size from 3,000 to 2,238, and modified the hours per response to reflect actual averages. Therefore, we reduced the total burden hours by approximately 29%. We have modified the estimate costs of data collection efforts due to the reduction in the sample size. This resulted in a change in costs for direct data collection in years 2, 3, and 4.

---

Annual Cost to Federal Government: $702,456

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/03/2009

---