Evaluation of the Aging Disability Resource Center Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0985-NEW Evaluation of the Aging and Disability Resource Center Program	Form and Instruction	New	Available
Supporting Statement B revised per OMB guidance 12-21-12.pdf	Supporting Statement B	Uploaded 2013-01-09	Available
Supporting Statement A revised per OMB guidance 12-21-12.pdf	Supporting Statement A	Uploaded 2013-01-09	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
203776	Evaluation of the Aging and Disability Resource Center Program	Form and Instruction	New

ICR Details

OMB Control No: 0985-0035	ICR Reference No: 201208-0985-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACL	Agency Tracking No:
Title: Evaluation of the Aging Disability Resource Center Program
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: 01/14/2013
	Date Received in OIRA: 08/17/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2016	36 Months From Approved
Responses	9,562	0	0
Time Burden (Hours)	2,060	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This study will help determine whether Aging and Disability Resource Centers (ADRCs)are meeting the Long Term Service and Support needs of the aging and disability populations. The Administration for Community Living (ACL) will gather information about whether ADRCs, as compared to other systems, are more personalized, consumer-friendly, streamlined, and efficient. ACL is also interested in determining whether consumers who access ADRCs, as compared to consumers who access other systems, report being more empowered to make informed decisions about their care options, are better able to plan ahead for their future long-term care needs, and have more understanding of, and access to, long term services and supports. The evaluation will analyze the relationship between the range and mix of services received by ADRC consumers with their satisfaction with services, perceptions of their own quality of life and the extent of which those services helped them to remain in the community (rather than enter a residential facility such as a nursing home.)Staff of the Administration on Aging's Office of Nutrition and Health Promotion Programs will use the information and recommendations resulting from the evaluation of the Aging and Disability Resource Centers to both determine the value of the ADRC model and to improve program operations. Data will be collected from State-level and local-level ADRCs and Area Agencies on Aging (AAAs) as well as from a sample of consumers who contact a participating ADRCs or AAAs during the study enrollment period.

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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:
	76 FR 199	10/14/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 115	06/14/2012
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
Evaluation of the Aging and Disability Resource Center Program	0985-NEW	Final ADRC Evaluation

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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	9,562	0	0	9,562	0	0
Annual Time Burden (Hours)	2,060	0	0	2,060	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: This is a new data collection effort and does not build on a previous submission.

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Annual Cost to Federal Government: $1,101,043

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 08/17/2012

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