OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 202203-0930-002 · OMB 0930-0285 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form CMHS NOMS Data Col CMHS NOMS Data Collection Tool Form and Instruction Unchanged Repair queued
Form IPP Indicators Infrastructure, Prevention, and Promotion Indicators Form and Instruction Unchanged Available
0930-0285 CMHS GPRA No Material or Nonsubstantive Change Justification_ Final.docx Justification for No Material/Nonsubstantive Change Uploaded 2022-03-07 Repair queued
Attachment E_CMHS Programs_SPARS Data_06-01-2021.xlsx Supplementary Document Uploaded 2022-01-19 Available
Attachment D_NOMS Table of Changes_10-22-2021.docx Supplementary Document Uploaded 2022-01-19 Available
Attachment C - GPRA Public Comments Response Matrix_MEB SD_FINAL.xlsx Supplementary Document Uploaded 2022-01-19 Repair queued
CMHS Supporting Statement A (SSA)_11-17-2021.docx Supporting Statement A Uploaded 2022-01-19 Available
IC Document Collections
IC IDCollectionTypeStatusForm
46632 CMHS NOMS Data Collection Tool Form and Instruction Unchanged
192393 Infrastructure, Prevention, and Promotion Indicators Form and Instruction Unchanged
ICR Details
0930-0285 202203-0930-002
Active 202201-0930-004
HHS/SAMHSA 18877
Mental Health Client/Consumer Outcome Measures and Infrastructure, Prevention and Promotion Indicators
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 03/07/2022
Retrieve Notice of Action (NOA) 03/07/2022
This PRA approval includes continued use of the current instrument through September 30, 2022 to allow a transition of grantees to the new instrument. It is anticipated that the new instrument will be used from October 1, 2022.
  Inventory as of this Action Requested Previously Approved
03/31/2025 03/31/2025 03/31/2025
157,827 0 157,827
76,209 0 76,209
0 0 0
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.
US Code: 5 USC 1105 Name of Law: GPRA
  
None
Not associated with rulemaking
  86 FR 41492 08/02/2021
87 FR 2881 01/19/2022
Yes
2
IC Title Form No. Form Name
CMHS NOMS Data Collection Tool CMHS NOMS Data Collection Tool CMHS NOMS Data Collection Tool
Infrastructure, Prevention, and Promotion Indicators IPP Indicators IPP Indicators
  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 157,827 157,827 0 0 0 0
Annual Time Burden (Hours) 76,209 76,209 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The decrease of 27,959 burden hours is due to the following: • Deleted questions for which the data was not being utilized. • Changed client/consumer responses from a five-point psychometric scale to “yes”, “no”, or “no response” . • Changed frequency of reassessments to either a 3- or 6-month reassessment followed by a clinical discharge assessment. • Reduced the number of physical health data measures.
$2,332,000
No
    No
    No
No
No
No
No
Carlos Graham 204 276-0361 [email protected]
  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.
03/07/2022