AoA Title VI Program Peformance Report

Forms and Documents

Document Name	Status
Form 1 Program Performance Report, Title VI of the Older Americans Act (Grants for Native Americans for Nutritional and Supportive Services) Form	Modified
CIL Supporting Statement for Title VI PR 2015_Passback3 (revised).docx Supporting Statement A	2016-04-28

IC Document Collections

IC ID	Document Title	Status
43737	Program Performance Report, Title VI of the Older Americans Act (Grants for Native Americans for Nutritional and Supportive Services) Form	Modified

ICR Details

OMB Control No: 0985-0007	ICR Reference No: 201507-0985-003
Status: Historical Active	Previous ICR Reference No: 201205-0985-002
Agency/Subagency: HHS/ACL	Agency Tracking No:
Title: AoA Title VI Program Peformance Report
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/28/2016
	Date Received in OIRA: 07/24/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2019	36 Months From Approved	04/30/2016
Responses	263	0	256
Time Burden (Hours)	658	0	640
Cost Burden (Dollars)	237	0	270

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Abstract: Monitor program operations, growth and results of Title VI funded activities, provide information for responses to inquiries.

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Authorizing Statute(s): PL: Pub.L. 109 - 365 207(a) Name of Law: Administration of the Act - Reports
   PL: Pub.L. 109 - 365 373(e)(3) Name of Law: Quality Standards and Mechanisms of Accountability - Reports
   PL: Pub.L. 109 - 365 614(a)(3) Name of Law: Part A - Indian Program Findings Applications
   PL: Pub.L. 109 - 365 624(a)(4) Name of Law: Part B - Native Hawaiian Program Findings - Applications
   US Code: 45 USC 92.40(b)(1) Name of Law: Monitoring and Reporting Program Performance
   US Code: 45 USC 1326.7 Name of Law: Confidentiality and Disclosure of Information
   PL: Pub.L. 109 - 365 208 Name of Law: Joint Funding of Projects
   US Code: 45 USC 1328.7 Name of Law: Confidentiality and Disclosure of Information
   PL: Pub.L. 109 - 365 623 Name of Law: Part B Native Hawaiian Grants Authorized
   PL: Pub.L. 109 - 365 631 Name of Law: Part C Native American Caregiver Support Program
   PL: Pub.L. 109 - 365 613 Name of Law: Part A Indian Grants Authorized
   PL: Pub.L. 109 - 365 202(a)(19) Name of Law: Functions of the Assistant Secretary
   PL: Pub.L. 109 - 365 202(a)(16)(A)(i)(ii)(iii) Name of Law: Functions of the Assistant Secretary
  

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:
	80 FR 20226	04/15/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 39437	07/09/2015
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Program Performance Report, Title VI of the Older Americans Act (Grants for Native Americans for Nutritional and Supportive Services)	1	Title VI Program Performance Report

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ICR Summary 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	263	256	0	7	0	0
Annual Time Burden (Hours)	658	640	0	18	0	0
Annual Cost Burden (Dollars)	237	270	0	-33	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: In 2012 there were 256 Title VI Grantees. The following year of 2013, that number increased to 264. Also, ACL published a Federal Register Notice in FY 2011 inviting current grantees and new applicants for a 3 year project period, which based on this announcement led to 266 Title VI Grantees being funded. Hence the increase in annual responses.

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Annual Cost to Federal Government: $15,302

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]? 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: 07/24/2015

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