SAMHSA Seeks Input on Mental Health Reporting Paperwork Overhaul
Published Date: 4/16/2026
Notice
Summary
SAMHSA is asking for public feedback on updates to their yearly report forms for programs that protect people with mental illness. These changes aim to make reporting clearer and easier before the current approval expires on July 31, 2026. If you’re involved in these programs, your input can help shape how info is collected and reduce paperwork hassle.
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Analyzed Economic Effects
4 provisions identified: 0 benefits, 3 costs, 1 mixed.
Funding Thresholds Affect Tribal Consortium and Community Representation
The American Indian Consortium (serving the Navajo and Hopi Tribes) can be funded only if total PAIMI program funding is at least $25,000,000. Also, a P&A system may use its allotment to provide representation to individuals residing in the community only if the total allotment under the title for any fiscal year is $30,000,000 or more; if funding falls below $30,000,000, PAIMI programs must give priority to representing PAIMI-eligible individuals.
Removal of Sexual Orientation and Gender Identity Items
SAMHSA proposes removing the sexual orientation question and removing a paragraph on "Gender Identity" and "Sexual Orientation" from the PAIMI Annual Program Performance Report and instructions. The form also replaces the word "Gender" with "Sex" and keeps only the "male" and "female" response options for the sex question, effective for fiscal year 2026 reports due January 1, 2027.
Paperwork Burden: Hours and Estimated Cost
SAMHSA estimates 57 PAIMI PPR respondents each will spend 20 hours (1,140 hours total) and 57 ACR respondents each will spend 10 hours (570 hours total), for a combined 1,710 hours. At an hourly wage of $38.74, SAMHSA estimates a total respondent cost of $66,246 for the annual collection.
Effective Date and 3-Year OMB Approval Cycle
SAMHSA requests OMB approval so the revised PAIMI PPR and ACR formats are approved for a 3-year cycle through 2029; the current OMB clearance (0930-0169) expires on July 31, 2026. The revised formats will apply starting with fiscal year 2026 reports due January 1, 2027.
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