Notices. DEPARTMENT OF HEALTH AND HUMAN SERVICES

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BILLING CODE 4140-01-P DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Agency Information Collection Activities: Submission for OMB Review; Comment Request Periodically, the Substance Abuse and Mental Health Services Administration (SAMHSA) will publish a summary of information collection requests under OMB review, in compliance with the Paperwork Reduction Act (44 U.S.C. Chapter 35). To request a copy of these documents, call the SAMHSA Reports Clearance Officer on

(240)276-1243. Project: Community Mental Health Services Block Grant and Substance Abuse Prevention and Treatment Block Grant FY 2020-2021 Plan and Report Guidance and Instructions (OMB No. 0930-0168)—Extension The Substance Abuse and Mental Health Services Administration (SAMHSA) is requesting approval from the Office of Management and Budget

(OMB)for an extension of the 2018-19 Community Mental Health Services Block Grant

(MHBG)and Substance Abuse Prevention and Treatment Block Grant

(SABG)Plan and Report Guidance and Instructions. Currently, the SABG and the MHBG differ on a number of their practices ( *e.g.,* data collection at individual or aggregate levels) and statutory authorities ( *e.g.,* method of calculating MOE, stakeholder input requirements for planning, set asides for specific populations or programs, etc.). Historically, the Centers within SAMHSA that administer these block grants have had different approaches to application requirements and reporting. To compound this variation, states have different structures for accepting, planning, and accounting for the block grants and the prevention set aside within the SABG. As a result, how these dollars are spent and what is known about the services and clients that receive these funds varies by block grant and by state. SAMHSA has conveyed that block grant funds must be directed toward four purposes:

(1)To fund priority treatment and support services for individuals without insurance or who cycle in and out of health insurance coverage;

(2)to fund those priority treatment and support services not covered by Medicaid, Medicare or private insurance offered through the exchanges and that demonstrate success in improving outcomes and/or supporting recovery;

(3)to fund universal, selective and targeted prevention activities and services; and

(4)to collect performance and outcome data to determine the ongoing effectiveness of behavioral health prevention, treatment and recovery support services and to plan the implementation of new services on a nationwide basis. To help states meet the challenges of 2020 and beyond, and to foster the implementation and management of an integrated physical health, mental health and addiction service system, SAMHSA has established standards and expectations that will lead to an improved system of care for individuals with or at risk of mental and substance use disorders. Therefore, this application package continues to fully exercise SAMHSA's existing authority regarding states', territories' and the Red Lake Band of the Chippewa Tribe's (subsequently referred to as “states”) use of block grant funds as they fully integrate behavioral health services into the broader health care continuum. Consistent with previous applications, the FY 2020-2021 application has sections that are required and other sections where additional information is requested. The FY 2020-2021 application requires states to submit a face sheet, a table of contents, a behavioral health assessment and plan, reports of expenditures and persons served, an executive summary, and funding agreements and certifications. In addition, SAMHSA is requesting information on key areas that are critical to the states success in addressing health care integration. Therefore, as part of this block grant planning process, SAMHSA is asking states to identify both their promising or effective strategies as well as their technical assistance needs to implement the strategies they identify in their plans for FYs 2020 and 2021. To facilitate an efficient application process for states, SAMHSA utilized the questions and requests for clarification from representatives from SMHAs and SSAs to inform the proposed changes to the block grants. Based on these discussions with states, SAMHSA is proposing de minimis changes to the block grant program, consisting of updated dates and clarification to instructions. While the statutory deadlines and block grant award periods remain unchanged, SAMHSA encourages states to turn in their application as early as possible to allow for a full discussion and review by SAMHSA. Applications for the MHBG-only is due no later than September 3, 2019. The application for SABG-only is due no later than October 1, 2019. A single application for MHBG *and* SABG combined is due no later than September 3, 2019. Estimates of Annualized Hour Burden The estimated annualized burden for the uniform application remains unchanged at 33,374 hours. Burden estimates are broken out in the following tables showing burden separately for Year 1 and Year 2. Year 1 includes the estimates of burden for the uniform application and annual reporting. Year 2 includes the estimates of burden for the recordkeeping and annual reporting. The reporting burden remains constant for both years. Table 1—Estimates of Application and Reporting Burden for Year 1 Authorizing legislation SABG Authorizing legislation MHBG Implementing regulation Number of respondent Number of responses per year Number of hours per response Total hours Substance Abuse Prevention and Treatment and Community Mental Health Services Block Grants Reporting: Standard Form and Content 42 U.S.C. § 300x-32(a) SABG Annual Report 11,160 42 U.S.C. 300x-52(a) 45 CFR 96.122(f) 60 1 42 U.S.C. 300x-30-b 5 1 42 U.S.C. 300x-30(d)(2) 45 CFR 96.134(d) 60 1 MHBG Annual Report 10,974 42 USC § 300x-6(a) 59 1 42 U.S.C. 300x-52(a) 42 U.S.C. 300x-4(b)(3)B 59 1 State Plan (Covers 2 years) SABG elements 42 U.S.C. 300x-22(b) 45 CFR 96.124(c)(1) 60 1 42 U.S.C. 300x-23 45 CFR 96.126(f) 60 1 42 U.S.C. 300x-27 45 CFR 96.131(f) 60 1 42 U.S.C. 300x-32(b) 45 CFR 96.122(g) 60 1 120 7,200 MHBG elements 42 U.S.C. 300x-1(b) 59 1 120 7,080 42 U.S.C. 300x-1(b)(2) 59 1 42 U.S.C. 300x-2(a) 59 1 Waivers 3,240 42 U.S.C. 300x-24(b)(5)(B) 20 1 42 U.S.C. 300x-28(d) 45 CFR 96.132(d) 5 1 42 U.S.C. 300x-30(c) 45 CFR 96.134(b) 10 1 42 U.S.C. 300x-31(c) 1 1 42 U.S.C. 300x-32(c) 7 1 42 U.S.C. 300x-32(e) 10 42 U.S.C. 300x-2(a)(2) 10 42 U.S.C 300x-4(b)(3) 10 42 U.S.C 300x-6(b) 7 Recordkeeping 42 U.S.C. 300x-23 42 U.S.C. 300x-3 45 CFR 96.126(c) 60/59 1 20 1200 42 U.S.C. 300x-25 45 CFR 96.129(a)(13) 10 1 20 200 42 U.S.C 300x-65 42 CFR Part 54 60 1 20 1200 Combined Burden 42,254 Report 300x-52(a)—Requirement of Reports and Audits by States—Report 300x-30(b)—Maintenance of Effort Regarding State Expenditures—Exclusion of Certain Funds

(SABG)300x-30(d)(2)—Maintenance of Effort—Noncompliance—Submission of Information to Secretary

(SABG)State Plan—SABG 300x-22(b)—Allocations for Women 300x-23—Intravenous Substance Abuse 300x-27—Priority in Admissions to Treatment 300x-29—Statewide Assessment of Need 300x-32(b)—State Plan State Plan—MHBG 42 U.S.C. 300x-1(b)—Criteria for Plan 42 U.S.C. 300x-1(b)(2)—State Plan for Comprehensive Community Mental Health Services for Certain Individuals—Criteria for Plan—Mental Health System Data and Epidemiology 42 U.S.C. 300x-2(a)—Certain Agreements—Allocations for Systems Integrated Services for Children Waivers—SABG 300x-24(b)(5)(B)—Human Immunodeficiency Virus—Requirement regarding Rural Areas 300x-28(d)—Additional Agreements 300x-30(c)—Maintenance of Effort 300x-31(c)—Restrictions on Expenditure of Grant—Waiver Regarding Construction of Facilities 300x-32(c)—Certain Territories 300x-32(e)—Waiver amendment for 1922, 1923, 1924 and 1927 Waivers—MHBG 300x-2(a)(2)—Allocations for Systems Integrated Services for Children 300x-6(b)—Waiver for Certain Territories Recordkeeping 300x-23—Waiting list 300x-25—Group Homes for Persons in Recovery from Substance Use Disorders 300x-65—Charitable Choice Table 2—Estimates of Application and Reporting Burden for Year 2 Number of respondent Number of responses per year Number of hours per response Total hours Reporting: SABG 60 1 186 11.160 MHBG 59 1 186 10,974 Recordkeeping 60/59 1 40 2360 Combined Burden 24,494 *The total annualized burden for the application and reporting is 33,374 hours (42,254 + 24,494 = 66,748/2 years = 33,374).* *Link for the application: http://www.samhsa.gov/grants/block-grants.* Written comments and recommendations concerning the proposed information collection should be sent by January 28, 2019 to the SAMHSA Desk Officer at the Office of Information and Regulatory Affairs, Office of Management and Budget (OMB). To ensure timely receipt of comments, and to avoid potential delays in OMB's receipt and processing of mail sent through the U.S. Postal Service, commenters are encouraged to submit their comments to OMB via email to: *OIRA_Submission@omb.eop.gov.* Although commenters are encouraged to send their comments via email, commenters may also fax their comments to: 202-395-7285. Commenters may also mail them to: Office of Management and Budget, Office of Information and Regulatory Affairs, New Executive Office Building, Room 10102, Washington, DC 20503. Summer King, Statistician. [FR Doc. 2018-28278 Filed 12-27-18; 8:45 am]

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