Evaluation of SAMHSA Primary Care Behavioral Health Integration Grant Program

ICR 201107-0990-004

OMB: 0990-0371

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement B
2011-09-25
Supporting Statement A
2011-09-25
ICR Details
0990-0371 201107-0990-004
Historical Active 201102-0990-002
HHS/HHSDM
Evaluation of SAMHSA Primary Care Behavioral Health Integration Grant Program
Revision of a currently approved collection   No
Regular
Approved with change 09/25/2011
Retrieve Notice of Action (NOA) 07/27/2011
HHS will endeavor to administer the web-survey to all intervention sites before interviews commence. HHS will standardize its client selection and interview processes. HHS will not attempt to generalize the results of its outcome data unless statistically justified.
  Inventory as of this Action Requested Previously Approved
09/30/2014 36 Months From Approved 09/30/2011
59,865 0 13,440
10,057 0 4,211
0 0 0

SAMHSA's PBHCI grantees have been developing and implementing an array of integrated services designed to improve the physical and behavioral health status of people with serious mental illnesses, including individuals with co-occurring substance use disorders. These services incorporate a prevention and wellness approach and are provided using different models of cooperation and collaboration between community behavioral health and primary care.

US Code: 38 USC 527 Name of Law: Evaluation and Data Collection
   PL: Pub.L. 103 - 62 527 Name of Law: Government Performance and Results Act
  
None

Not associated with rulemaking

  76 FR 17127 03/28/2011
76 FR 40912 07/12/2011
No

  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 59,865 13,440 0 46,425 0 0
Annual Time Burden (Hours) 10,057 4,211 0 5,846 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
There has been one change in the evaluation plan since the submission of the Emergency 6 Month Package. This change is the inclusion of the web-based survey in year 3 of the evaluation. For this reason, and the fact that this submission represents the average annual burden over 3 years, the annual burden hours and costs are greater in this submission than the previous one. Years two and three have greater burden and cost compared to year one of the study due to the inclusion of more client exams/surveys, site visits, and the web survey. An additional change is the reduction in the total number of grantees from an estimate of 60 in the earlier submission to the actual number of 56 grantees.

$242,961
Yes Part B of Supporting Statement
No
Yes
No
Yes
Uncollected
Sherrette Funn-Coleman 2026905683

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
07/27/2011


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