Alternative Models of Personal Assistance Services

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
10326	Alternative Models of Personal Assistance Services	Migrated

ICR Details

OMB Control No: 0990-0211	ICR Reference No: 199605-0990-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Alternative Models of Personal Assistance Services
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/23/1996
	Date Received in OIRA: 05/28/1996
Terms of Clearance: Approved for use through 6/97 under the condition that prior to fielding this instrument, HHS provides OMB a written response describing: 1) other states that provide personal care services through alternative modalities and the extent to which provider modes are characteristic of one reimbursement program;2) the reason National Home Care was selected as the sole sample source for Contract home care and the alternative Contract providers considered; 3) the stratification plan for this survey's various sample categories; 4) amendments that have been made in response to pretests to date, including the results of the final pretest of the CATI system; and 5) plans to evaluate general participation and nonresponse bias and item nonresponse bias. HHS should discuss these materials with OMB in a conference call no later than 8/15/96, and OMB may request amendments to the sample or survey design pursuant to this discussion. Finally, prior to the conference call, ASPE should share this package and the supporting materials with NCHS for advice on those questions that are more experimental in nature, sensitive,or challenging to the cognitively impaired. Also, due to the sampling limitations of this effort, prior to the conference call, ASPE should submit to OMB a statement explicitly outlining the extent to which the results of this study will be generalizable.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/1997	06/30/1997
Responses	2,260	0	0
Time Burden (Hours)	1,726	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This study compares three modes of providing personal assistance services to the elderly and disabled in order to assess the consequences of alternative methods of service financing and delivery for consumer and worker satisfaction and quality of care. Data will be collected via interviews with service recipients, service providers, and public program case managers.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Alternative Models of Personal Assistance Services

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ICR Summary 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	2,260	0	0	2,260	0	0
Annual Time Burden (Hours)	1,726	0	0	1,726	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:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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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: 05/28/1996

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