State Program Report for Titles III and VII of the Older Americans Act

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
AOA ARRA non-material change Justification.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2009-08-28	Available
AOA ARRA non-material change Justification.doc	Supplementary Document	Uploaded 2009-08-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
190618	State Program Report for Titles III and VII of the Older Americans Act - Including ARRA funding	Other-AoA ARRA Filing Reporting Template	New
10260	State Program Report for Titles III and VII of the Older Americans Act	Other-Other	Modified

ICR Details

OMB Control No: 0985-0008	ICR Reference No: 200909-0985-001
Status: Historical Active	Previous ICR Reference No: 200702-0985-001
Agency/Subagency: HHS/ACL	Agency Tracking No:
Title: State Program Report for Titles III and VII of the Older Americans Act
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/16/2009
	Date Received in OIRA: 09/10/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2010	05/31/2010	05/31/2010
Responses	276	0	52
Time Burden (Hours)	2,828	0	2,600
Cost Burden (Dollars)	0	0	0

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Abstract: The Older Americans Act(Section 207(a)(3)instructs the Administration on Aging (AoA) to use, to the maximum extent possible, the data collected by State agencies on aging and other applicable sources of information in the development of performance measures, and in compliance with the Government Performance Results Act of 1993. The State Program Report is the principle means of obtaining this data.

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Authorizing Statute(s): US Code: 42 USC 3018 Name of Law: Older Americans Act
   PL: Pub.L. 111 - 5 703 Name of Law: ARRA
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 5 703 Name of Law: ARRA

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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

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
State Program Report for Titles III and VII of the Older Americans Act
State Program Report for Titles III and VII of the Older Americans Act - Including ARRA funding

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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	276	52	224	0	0	0
Annual Time Burden (Hours)	2,828	2,600	228	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: The change is a result of the ARRA which provided AOA with additional funding and additional reporting requirements for fund recipients.

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Annual Cost to Federal Government: $46

Does this IC contain surveys, censuses, or employ statistical methods? No

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)? Yes

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: 09/10/2009

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