State Annual Long-Term Care Ombudsman Report

ICR 201507-0985-002

OMB: 0985-0005

Federal Form Document

Forms and Documents
IC Document Collections
IC ID
Document
Title
Status
10249 Modified
ICR Details
0985-0005 201507-0985-002
Historical Active 201205-0985-001
HHS/ACL
State Annual Long-Term Care Ombudsman Report
Extension without change of a currently approved collection   No
Regular
Approved with change 01/26/2016
Retrieve Notice of Action (NOA) 07/13/2015
  Inventory as of this Action Requested Previously Approved
01/31/2019 36 Months From Approved 01/31/2016
52 0 52
7,702 0 8,569
0 0 0

The State Annual Long Term Care Ombudsman Report is needed to: comply with state and Administration on Aging reporting requirements in the Older Americans Act; carry out recommendations made by the General Accounting Office, the Department of Health and Human Services' Office of the Inspector General, and the Institute of Medicine; advocate at the state and federal levels for changes needed to improve the quality of life and care in long-term care facilities; and effectively manage the Long-Term Care Ombudsman Program at the local, state and federal levels. The report form and instructions have been in continuous use, with minor modifications, since they were first approved by OMB for the FY 1995 reporting period.

US Code: 42 USC chapter 35 Name of Law: Programs for Older Americans
   PL: Pub.L. 109 - 365 712 (c),(h)(1)-(3) Name of Law: Older Americans Act
  
None

Not associated with rulemaking

  80 FR 11679 03/04/2015
80 FR 36813 06/26/2015
No

1
IC Title Form No. Form Name
State Annual Long-Term Care Ombudsman Report 1 National Ombudsman Reporting System

  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 52 52 0 0 0 0
Annual Time Burden (Hours) 7,702 8,569 0 -867 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
The burden has decreased due to the fact that there were fewer complaints.

$190,868
No
No
No
No
No
Uncollected
Caldwell Jackson 202 357-3580 [email protected]

  No

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.
07/13/2015


© 2024 OMB.report | Privacy Policy