Prevention and Public Health Funds Evidence-Based Falls Prevention Program Information Collection
New collection (Request for a new OMB Control Number)
No
Regular
Approved with change
01/26/2015
11/10/2014
The Post Program instrument is not approved at this time, although the approved burden estimate includes it. ACL will submit a non-substantive change request, along with Part B of the supporting statement, to justify the Post Program survey prior to its use.
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
01/31/2018
36 Months From Approved
10,862
0
0
3,044
0
0
0
0
0
The Administration on Aging (AoA), Administration for Community Living (ACL), is proposing to use this set of data collection tools to monitor 10 cooperative agreements to states and 4 cooperative agreements to tribal entities that will be awarded in response to the "PPHF-2014-Evidence-Based Falls Prevention Programs financed solely by 2014 Prevention and Public Health Funds (PPHF-2014)" funding opportunity announcement (FOA). The PPHF is accompanied by a high level of transparency, oversight, and accountability. All recipients of PPHF must follow Health and Human Services guidance related to the tracking, monitoring and reporting on the use of PPHF financing. ACL/AoA outlined basic reporting requirements in the Evidence-Based Falls Prevention FOA and will also list these requirements in the Standard Terms and Conditions of grantees' notice of awards. These Terms and Conditions will require each grantee to prepare and submit progress reports to ACL/AoA that will enable the agency to monitor program performance. ACL/AoA will use the information to: 1) Comply with reporting requirements required by the authorizing statues, 2) Collect data for performance measures used in the justification of the budget to Congress and by program, state and national decision makers, 3) Effectively manage the PPHF Falls Prevention program at the federal, state, and local levels, 4) Identify program implementation issues and pinpoint areas for technical assistance activities, 5) Identify best practices in program implementation and building sustainable program delivery systems and to develop resources to enable current and future grantees to learn from and replicate these practices; and 6) Provide information as requested for reports to Congress, other governmental agencies, stakeholders and to the public upon request about PPHF Falls Prevention grantee progress. Data will be collected from project level staff, local community agency staff involved in delivering the evidence-based falls prevention programs, as well as individuals who participate in the falls prevention programs.
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:
(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;
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.
Form 5 Falls Performance Report
Falls Supporting_Statement 1-23-15.docx
Prevention and Public Health Funds Evidence-Based Falls Prevention Program (Staff Respondents)