SUPPORTING STATEMENT PART A
0985-0004 – Supplemental Form to the Financial Status Report for all AoA Title III Grantees
Statutory Requirements
The Administration on Aging requires grantees funded under the Older Americans Act,
P.L. 106-501, to report semi-annually on the financial status report of the performance of their projects. The specifications for reporting are consistent with 45 CFR 92.40(b)(1). The financial report is submitted on standard form OMB 269. This clearance requests an extension of the currently approved Supplemental collection form.
Purpose and Use of Information
The information submitted by State Agencies will be used by AoA to respond to statutory requirements relative to expenditures of Title III program funds, to effectively monitor use of funds, and to respond to Congress, OMB, GAO, and others.
Electronic Submission
The information may be submitted in electronic form.
Duplication
No other data source collects similar information.
Methods to minimize Burden on Small Entities
This information does not involve small entities. It is collected from the 56 Title III State Agencies on Aging.
Consequences of Less Frequent Collection
The Financial Status Report is a semi-annual report. If the reports were to be made less frequently, opportunities to monitor and provide needed guidance would not be available to grantees.
Special Circumstances
There are no special circumstances requiring explanation.
Public Comment
AoA received no comments to the Federal Register Notice Published May 24, 2007.
Payment to Respondents
No payment provided.
Confidentiality
Data in the Financial Status Reports are not confidential. It is financial and program data concerning the use of Federal funds.
Sensitive Questions
There are no questions of a sensitive nature required.
A. Respondent’s Burden Hours
Total annual burden hours to the 56 respondents is
1 hour/submission x 2 times/year 112 hours
B. Respondent’s Burden Costs
Total burden costs to the 56 respondents are based on an average
estimated wage of a respondent at the GS-12-1 level which has a
yearly rate of $66,767 and an hourly rate of $32.10. Final
calculation is $32.10 x 112 hours/year. $3,595
13. Additional Costs to Respondents Other Than Their Time
There are no additional costs to the respondents other than time.
Cost to the Federal Government
Hours used in cost calculation
Preparing AoA Supplemental Form and
instructions, and request of OMB review 40 hours
Disseminating reporting instructions and
Supplemental Form to the network 8 hours
Regional Office review of Supplemental
Form from State (1/2 hour for each of the 56
State Agencies) is 28 x 2 time per year 56 hours
Central office analysis and computerization
of information submitted 40 hours
Total Government Hours 144 hours
Government Salary for corresponding 144 hours
GS-13-1 which has an annual rate of $79,397 and hourly
rate of $38.17 which is 84 hours x $38.17 $3,206
GS-12-1 which has an annual rate of $66,767 and hourly
rate of $32.10 which is 56 hours x $32.10 $1,798
GS-7-1 which has an annual rate of $37,640 and hourly
rate of $18.10 which is 4 hour x $18.10 $72
TOTAL COST TO THE FEDERAL GOVERNMENT $5,076
Changes in Burden Hours
There have been no changes in burden hours.
Publication of Results
This information collection is not published.
Display of Expiration Date
The Administration on Aging will display the expiration date on the Supplemental Form to the Financial Status Report.
Exception to Certification Statement
There are no exceptions to the certification statement.
| File Type | application/msword |
| Author | SMatthews |
| Last Modified By | Administrator |
| File Modified | 2007-08-23 |
| File Created | 2007-08-23 |