National Adult Maltreatment Reporting System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 3 NAMRS Case Component	Form and Instruction	New	Available
Form 2 NAMRS Key Indicator Component Instrument	Form and Instruction	New	Available
Form 1 National Adult Maltreatment Reporting System (NAMRS) Agency Component Instrument	Form and Instruction	New	Available
NAMRS_OMB_Passback2-ACL responses (2).docx	Supporting Statement A	Uploaded 2017-02-24	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
223105	NAMRS Case Component	Form and Instruction	New
223104	NAMRS Key Indicator Component Instrument	Form and Instruction	New
223103	National Adult Maltreatment Reporting System (NAMRS) Agency Component Instrument	Form and Instruction	New

ICR Details

OMB Control No: 0985-0054	ICR Reference No: 201608-0985-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACL	Agency Tracking No:
Title: National Adult Maltreatment Reporting System
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: 02/28/2017
	Date Received in OIRA: 08/31/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2020	36 Months From Approved
Responses	112	0	0
Time Burden (Hours)	5,718	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Elder Justice Act of 2009, which amends title XX of the Social Security Act (42.U.S.C. 13976 et seq.) requires that the Secretary of the U.S. Department of Health and Human Services “collects and disseminates data annually relating to the abuse, exploitation, and neglect of elders in coordination with the Department of Justice” (Sec. 2041 (a) (1) (B) and “conducts research related to the provision of adult protective services” (Sec. 2041 (a) (1) (D). Furthermore, the Elder Justice Coordinating Council (EJCC) included as its third recommendation for increasing federal involvement in addressing elder abuse, neglect, and exploitation: develop a national adult protective services (APS) system based upon standardized data collection and a core set of service provision standards and best practices. (See: http://www.aoa.acl.gov/AoA_Programs/Elder_Rights/EJCC/docs/Eight_Recommendations_for_Increased_Federal_Involvement.pdf) The National Adult Maltreatment Reporting System (NAMRS) will address these needs by establishing a data collection program on cases served by APS agencies, to which the 50 states, the District of Columbia, Puerto Rico, Guam, Northern Marianas Islands, Virgin Islands, and American Samoa will report annually on a voluntary basis.

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Authorizing Statute(s): US Code: 42 USC 13976 Name of Law: Social Security Act
  

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:
	81 FR 15309	03/22/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 52438	08/08/2016
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
National Adult Maltreatment Reporting System (NAMRS) Agency Component Instrument	1	NAMRS Agency Component Instrument
NAMRS Key Indicator Component Instrument	2	NAMRS Key Indicators Component
NAMRS Case Component	3	NAMRS Case Component

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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	112	0	0	112	0	0
Annual Time Burden (Hours)	5,718	0	0	5,718	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 information collections which the Administration for Community Living is seeking OMB Review and Approval.

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Annual Cost to Federal Government: $993,745

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: 08/31/2016

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