Mental Health Client/Consumer Outcome Measures and Infrastructure, Prevention and Promotion Indicators

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Client Level Measu Client Level Measures	Form and Instruction	Modified	Available
Form Client Level Measu CMHS NOMS Data Collection Tool	Form and Instruction	Modified	Repair queued
Form IPP Indicators IPP Indicators	Form and Instruction	Modified	Available
Form IPP Indicators Infrastructure, Prevention, and Promotion Indicators	Form and Instruction	Modified	Repair queued
202404 Supporting Statement A (SSA)_0930-0285.docx	Supporting Statement A	Uploaded 2024-10-01	Available
202404 Supporting Statement A (SSA)_0930-0285.docx	Supporting Statement A	Uploaded 2024-10-01	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
46632	CMHS NOMS Data Collection Tool	Form and Instruction	Modified	Client Level Measures
46632	CMHS NOMS Data Collection Tool	Form and Instruction	Modified
192393	Infrastructure, Prevention, and Promotion Indicators	Form and Instruction	Modified	IPP Indicators
192393	Infrastructure, Prevention, and Promotion Indicators	Form and Instruction	Modified

ICR Details

OMB Control No: 0930-0285	ICR Reference No: 202410-0930-001
Status: Historical Active	Previous ICR Reference No: 202302-0930-001
Agency/Subagency: HHS/SAMHSA	Agency Tracking No: 18877
Title: Mental Health Client/Consumer Outcome Measures and Infrastructure, Prevention and Promotion Indicators
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: 11/07/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/02/2024
Terms of Clearance: SAMHSA has been granted an exemption to SPD 15 updates for this submission because the SAMHSA Unified Performance Report Tool will be submitted for review in the next few months and will include the SPD 15 updates.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2027	36 Months From Approved	03/31/2025
Responses	456,088	0	157,827
Time Burden (Hours)	139,178	0	76,209
Cost Burden (Dollars)	0	0	0

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Abstract: SAMHSA and its Centers 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’s 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 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 CMHS discretionary grant programs. SAMHSA is in the process of establishing a new data collection tool for client services which will be used by discretionary grants from both CMHS and the Center for Substance Abuse Treatment (CSAT). While working towards this new combined data collection, SAMHSA is requesting to extend the time period for data collection using the currently approved tools without change to the tools.

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Authorizing Statute(s): US Code: 5 USC 1105 Name of Law: GPRA
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 58390	07/18/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 77878	09/24/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
CMHS NOMS Data Collection Tool	Client Level Measures	Client Level Measures
Infrastructure, Prevention, and Promotion Indicators	IPP Indicators	IPP Indicators

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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	456,088	157,827	0	298,261	0	0
Annual Time Burden (Hours)	139,178	76,209	0	62,969	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: Currently, there are 68,673 total burden hours in the OMB-approved NOMs client services collection and SAMHSA is now requesting an increase to 75,178 burden hours. The increase of 6,505 burden hours is due to the following: • More direct services grantees reporting using the tool • Additional time allocated for interviews, but also improved estimates of the number of clients who consent for interview • Additional time allocated for administrative collection of data, including the information that is collected for all clients as to whether they completed an interview or not The estimated time to complete the baseline, reassessment, and clinical discharge assessment is 20 minutes to do the interview (0.3) and 6 minutes (0.1) to complete the administrative sections of the tool for all clients including those who decline an interview. The estimated time to complete Section G program-specific measures was increased from 5 minutes to 6 minutes (0.1), including any administrative reporting of physical health measures collected as part of routine medical care (not part of the interview). Currently, there are 7,536 total burden hours in the OMB-approved IPP collection. SAMHSA is now requesting an increase to 64,000 burden hours. The increase of 56,464 hours is due to: • More CMHS grantees reporting using the tool (doubled to 2,000) • Additional time allocated for reporting each quarter, including time need to pull data from internal systems maintained by the grantees The estimated amount of time to collect and report IPP data was increased based on grantee feedback on time spent reporting from 2 hours to 8 hours per quarter per grant.

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Annual Cost to Federal Government: $2,332,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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: 10/02/2024

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