Fourth National Study of OAA Title III Service Recipients

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
statistical methods.doc	Supporting Statement B	Uploaded 2007-08-08	Available
4thNationalOMBReview vdc revised 51707.doc	Supporting Statement A	Uploaded 2007-09-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
182321	Fourth National Study of OAA Title III Service Recipients	Other-Survey with instructions	New

ICR Details

OMB Control No: 0985-0023	ICR Reference No: 200710-0985-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACL	Agency Tracking No:
Title: Fourth National Study of OAA Title III Service Recipients
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 with change	Conclusion Date: 02/01/2008
	Date Received in OIRA: 10/11/2007
Terms of Clearance: This collection is approved contingent upon the following term of clearance: In November 2008, the Administration on Aging will brief OMB on the status of the Fourth National Study of OAA Title III Service Recipients.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2011	18 Months From Approved
Responses	6,250	0	0
Time Burden (Hours)	4,000	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Administration on Aging (AoA) has undertaken an effort to develop a core set of performance measures for state and community programs on aging operating under the Older American Act (OAA). This assists AoA to meet the accountability provisions of the Program Assessment Rating Tool (PART) and Government Performance and Results Act (GPRA). AoA has funded the nationwide survey of AoA participants utilizing the survey modules based on the Sixth Performance Outcome Measures Project.

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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:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 31836	06/08/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 45249	08/13/2007
Did the Agency receive public comments on this ICR? Yes

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

table that charts list of burden

IC Title	Form No.	Form Name
Fourth National Study of OAA Title III Service Recipients

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ICR Summary of Burden

table that charts list 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	6,250	0	0	6,250	0	0
Annual Time Burden (Hours)	4,000	0	0	4,000	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: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: New collection replaces an annual study which has: 1) a core set of questions which remains constant for each study; and 2) a variable set which focuses on different services with each update of the study; this is the fourth such national survey and it is done this way so as not to overburden the respondents with questions and in order to be flexible to the changing needs of the programs and constituents being studied. The content of these studies have ben designed to take about the same amount of time for each of these national studies; so therefore, the questions on reduction/increase, as stated above, do not apply to this collection, because the burden should be constant for each study.

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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: 10/11/2007

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