60-Day Notice

60-Day Notice Supportive Services Resident Assessment Form.pdf

HUD Supportive Services Demonstration/Integrated Wellness in Supportive Housing (IWISH)

60-Day Notice

OMB: 2528-0315

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Federal Register / Vol. 82, No. 5 / Monday, January 9, 2017 / Notices

and biometrics such as fingerprints. In
addition, 49 CFR part 1572 requires
States to maintain a copy of the driver
application for a period of one year.
TSA is revising the collection of
information to allow for recurrent
criminal history vetting. Applicants’
fingerprints and associated information
will be provided to the Federal Bureau
of Investigation (FBI) for the purpose of
comparing their fingerprints to other
fingerprints in the FBI’s Next
Generation Identification (NGI) system
or its successor systems, including civil,
criminal, and latent fingerprint
repositories. The FBI may retain
applicants’ fingerprints and associated
information in NGI after the completion
of their application and, while retained,
their fingerprints may continue to be
compared against other fingerprints
submitted to or retained by NGI. TSA
will also transmit applicants’ biometrics
for enrollment into the Department of
Homeland Security Automated
Biometrics Identification System
(IDENT).
In addition, TSA is revising the
collection of information to expand
enrollment options and the potential
use of biographic and biometric (e.g.,
fingerprints, iris scans, and/or photo)
information. This revision would allow
for facilitation of the security threat
assessment and future use of the
information collected for additional
comparability determinations, such as
allowing the HME applicant to
participate in a program such as the
TSA Pre✓® Application Program, TSA’s
expedited screening program for air
travelers, or obtain a Transportation
Worker Identification Credential (TWIC)
without requiring an additional
background check.
TSA is currently revising its fee for
the HME Threat Assessment Program as
well as the fee for comparable security
threat assessments in light of changes to
the FBI’s fingerprint processing fee and
TSA’s costs related to conducting the
security threat assessment (STA). The
FBI’s fee and STA fee are two out of
three segments of the HME Threat
Assessment Program’s overall fee. The
HME fee contains segments for
enrollment, the STA, and FBI fees, most
recently $38.00 for vendor enrollments
(amount varies by State for State
enrollments), $34.00 for the STA of each
applicant and $14.50 for the FBI
processing each enrollment,
respectively.
On February 1, 2015, the FBI reduced
its fingerprint-based criminal history
record check fee by $1.75 based on
recommendations from a required user
fee study (75 FR 18751). Effective
October 1, 2016, the FBI again reduced

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its fingerprint-based criminal history
record check fee, this time by $2.75
based on recommendations from a
required user fee study (81 FR 45535).
Section 1572.501(b)(3) states that if the
FBI amends its fee for criminal history
records checks, TSA will collect the
amended FBI fee. By contrast, TSA will
increase the STA segment of the
standard HME fee in the amount of
$3.00. TSA has identified, in accordance
with the methodologies described in the
2013 final fee rule, threat assessment
service costs related to the STA segment
of the standard HME fee that exceed the
expected STA segment revenue. The
majority of these costs relate to
technology infrastructure and operating
costs. In addition to increased
technology costs, the number of HME
applicants has been in decline, leaving
fewer applicants from which costs may
be recovered. These two factors
necessitate an increase in cost recovery
in the ongoing operation of the HME
program. The enrollment segment of the
HME Threat Assessment Program’s
overall fee will remain at $38.00 for
enrollments conducted by TSA’s
vendor. As a result of the FBI’s fee
decreases ($4.50 over the FBI’s past two
fee changes) and the increase in the STA
segment of the standard HME fee
($3.00), the overall HME standard
enrollment fee ($86.50) for applicants
enrolled by TSA’s vendor will be
reduced by $1.50 to the new fee of
$85.00 ($10.00 + $37.00 + $38.00),
effective upon publication of TSA’s
Notice of Fee Adjustment. For
applicants who enroll through a State in
States that choose not to use TSA’s
enrollment vendor, the revised fees for
the FBI and STA segments of the overall
fee for State enrollments will be the
same as for enrollments conducted by
TSA’s vendor ($10.00 and $37.00,
respectively); however, because each
State that conducts its own enrollments
charges its own fee (over which TSA has
no control) TSA cannot provide a
revised overall enrollment fee for State
enrollments.
TSA will also decrease the amount of
the STA segment of the reduced HME
fee by $1.00, from $29.00 to $28.00,
which applies to both vendor and state
enrollment methods. TSA is decreasing
this segment of the reduced HME fee
because TSA has identified, in
accordance with the methodologies
described in the 2013 final fee rule,
threat assessment service revenue
related to the STA segment of the
reduced fee that exceeds the expected
STA segment costs. Thus, the HME
reduced enrollment fee ($67.00) will be
reduced to the new fee of $66.00 for

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vendor enrollments, effective upon
publication of TSA’s Notice of Fee
Adjustment. Again, because each state
that conducts its own enrollments
charges its own fee for its enrollment
segment, it is not possible to give a
revised overall reduced HME fee for
state enrollments.
Number of Respondents: 268,295.
Estimated Annual Burden Hours: An
estimated 524,746 hours annually.
Dated: January 3, 2017.
Christina A. Walsh,
TSA Paperwork Reduction Act Officer, Office
of Information Technology.
[FR Doc. 2017–00155 Filed 1–6–17; 8:45 am]
BILLING CODE 9110–05–P

DEPARTMENT OF HOUSING AND
URBAN DEVELOPMENT
[Docket No. FR–5915–N–14]

60-Day Notice of Proposed Information
Collection: Supportive Services
Demonstration Resident Assessment
Form
Office of Policy Development
and Research, HUD.
ACTION: Notice.
AGENCY:

HUD is seeking approval from
the Office of Management and Budget
(OMB) for the information collection
described below. In accordance with the
Paperwork Reduction Act, HUD is
requesting comments from all interested
parties on the proposed collection of
information. The purpose of this notice
is to allow for 60 days of public
comment.

SUMMARY:

DATES:

Comments Due Date: March 10,

2017.
Interested persons are
invited to submit comments regarding
this proposal. Comments should refer to
the proposal by name and/or OMB
Control Number and should be sent to:
Anna P. Guido, Reports Management
Officer, QDAM, Department of Housing
and Urban Development, 451 7th Street
SW., Room 4176, Washington, DC
20410–5000; telephone 202–402–5534
(this is not a toll-free number) or email
at [email protected] for a copy of
the proposed forms or other available
information. Persons with hearing or
speech impairments may access this
number through TTY by calling the tollfree Federal Relay Service at (800) 877–
8339.
FOR FURTHER INFORMATION CONTACT:
Anna P. Guido, Reports Management
Officer, QDAM, Department of Housing
and Urban Development, 451 7th Street
SW., Washington, DC 20410; email
ADDRESSES:

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Federal Register / Vol. 82, No. 5 / Monday, January 9, 2017 / Notices

sradovich on DSK3GMQ082PROD with NOTICES

Anna P. Guido at Anna.P.Guido@
hud.gov or telephone 202–402–5535
(this is not a toll-free number). Persons
with hearing or speech impairments
may access this number through TTY by
calling the toll-free Federal Relay
Service at (800) 877–8339. Copies of
available documents submitted to OMB
may be obtained from Ms. Guido.
SUPPLEMENTARY INFORMATION: This
notice informs the public that HUD is
seeking approval from OMB for the
information collection described in
Section A.
A. Overview of Information Collection
Title of Information Collection:
Supportive Services Demonstration
Resident Assessment Form.
OMB Approval Number: Pending.
Type of Request: New.
Form Number: No forms.
Description of the Need for the
Information and Proposed Use: HUD
assists a large vulnerable senior
population in its Section 202 and other
elderly-designated properties. By virtue
of their advanced ages, low-incomes and
other demographic characteristics,
residents in these communities have
complex social, health and functional
situations. The quality affordable
housing provided by HUD provides a
fundamental base for these individuals
to age safely in their community. With
housing as a key social determinant of
health, HUD wishes to leverage its
properties as a platform for the
coordination and delivery of services to
better address the interdependent health
and supportive service needs of its older
residents. The Fiscal Year (FY) 2014
Consolidated Appropriations Act gave
HUD the authority to develop a
demonstration to test a model of
housing and supportive services for
low-income elderly residents in HUDassisted housing. In FY 2015, HUD
announced the availability of a funding
opportunity under the Supportive
Services Demonstration that will
provide grants to property owners to
participate in the demonstration. The
purpose of this demonstration is to test
a model of housing and supportive
services with the potential to delay
nursing home care for low-income
elderly residents in HUD-assisted
housing. HUD aims to better manage
residents’ health, decrease emergency
room and hospital utilization, and
maintain residents’ independence in
Information collection

Number of
respondents

HUD Residents living
alone (single household) ..........................

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their homes for a longer period of time,
thus delaying or preventing transfers to
a higher level of care.
Conducting this research will require
the Implementation Team (The Lewin
Group and our partners from Leading
Age and the National Center for Healthy
Aging, under HUD contract
HHSP23337002T) to collect selfreported information from
demonstration participants. The
Implementation Team will leverage
existing validated tools combined
together in one comprehensive Resident
Needs Assessment. The Resident Needs
Assessment requests information on
demographics, health status and ability
to complete Activities of Daily Living
(ADLs), and Instrumental Activities of
Daily Living (IADLs), as well as other
social and medical service information.
The Resident Needs Assessment will
occur face-to-face in a private setting
administered by trained enhanced
service coordinators or wellness nurses.
The assessment interview is expected to
last an average of 90 minutes.
Respondents: This information
collection will affect approximately
4,000 individuals residing in units of 40
funded demonstration sites
(approximately 100 residents per
property; 40 properties in total).
Respondents are expected to be lowincome seniors who currently reside in
HUD-assisted multi-family properties.
All respondents will be presented with
an IRB approved informed consent form
prior to participation in the
demonstration. In their consent,
individuals agree to the collection of
data about their health and wellness.
Upon consent, respondents will be
requested to complete a Resident Needs
Assessment within 45 days of
enrollment in the demonstration.
Information will be collected in a
secure web-based platform that meets
all required federal regulations to track
general health and service use
information. Information will be
attributed to individuals by name.
Names and information collected in a
project-specific web-based platform will
link to HUD’s administrative data,
which HUD can be linked to Medicare
and possibly Medicaid data for program
evaluation purposes. All collected
information will be self-reported and
will inform the development of
individualized healthy aging plans and
property-wide health education/

Frequency of
response

2,650

Jkt 241001

Responses
per annum

3

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Burden hour
per response

1

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promotion activities and programs,
including selection of specific evidencebased interventions to be implemented
within demonstration sites.
Additionally, results will support the
evaluation of the demonstration in
meeting HUD’s goals and desired
outcomes for the national
demonstration.
The table below estimates the total
burden to the public for the proposed
information collection, assuming an
hourly cost per response, based on the
income levels of respondents. Hourly
costs were estimated using FY 2016
income limits from the Office of Policy
Development and Research through
HUD’s Web site located at https://
www.huduser.gov/portal/datasets/il/
il16/index.html.
HUD tiers the income levels for
funded recipients at three levels:
Extremely low, very low, and low. For
purposes of burden estimate, we
selected the ‘‘low income’’ tier to
identify a median income level.
Further delineation of the burden
estimates requires income adjustments
based on the number of individuals
residing with the respondent. Using
HUD data to conduct data analysis, we
estimate that:
• 66% of potential respondents will live
alone (2650 respondents)
• 17% will reside with a spouse (690
respondents)
• 8% will reside with three people (330
respondents)
• 8% will reside with four people (330
respondents)
For HUD, the baseline for median
income is based on a four-person
household. For FY 2016 this was
adjusted at $65,800. Adjustments for
number of residents are legislated by
Congress.
• A single household is adjusted at 70%
of income of baseline ($46,060)
• Living with spouse is adjusted at 80%
of income of baseline ($52,640)
• Living in a three-person household is
adjusted at 90% of income of baseline
($59,220)
These income adjustments, based on
both probability of residence status as
well as adjustments based on the
income baseline, are used to estimate
burden of information collection in the
table below.
Annual burden
hours

1.5

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3,975

09JAN1

Hourly cost
per response

$33.21

Cost

$132,009.75

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Federal Register / Vol. 82, No. 5 / Monday, January 9, 2017 / Notices

Information collection

Number of
respondents

HUD Residents living
with spouse (2-person household) .........
HUD Residents in 3person household .....
HUD Residents in 4person household .....
Total ......................

Frequency of
response

Hourly cost
per response

Cost

1

1.5

1,035

37.97

39,298.95

330

3

1

1.5

495

42.71

21,141.45

330

3

1

1.5

495

47.45

23,487.75

4,000

........................

........................

........................

6,000

........................

215,937.90

Authority: Section 3507 of the Paperwork
Reduction Act of 1995, 44 U.S.C. Chapter 35.
Dated: December 23, 2016.
Matthew Ammon,
General Deputy, Assistant Secretary for Policy
Development and Research.
[FR Doc. 2017–00163 Filed 1–6–17; 8:45 am]
BILLING CODE 4210–67–P

DEPARTMENT OF THE INTERIOR
Fish and Wildlife Service
[Docket No. FWS–R7–ES–2014–0060;
FF07CAMM00 FXES11130700000]

sradovich on DSK3GMQ082PROD with NOTICES

Annual burden
hours

3

This notice is soliciting comments
from members of the public and affected
parties concerning the collection of
information described in Section A on
the following:
(1) Whether the proposed collection
of information is necessary for the
proper performance of the functions of
the agency, including whether the
information will have practical utility;
(2) The accuracy of the agency’s
estimate of the burden of the proposed
collection of information;
(3) Ways to enhance the quality,
utility, and clarity of the information to
be collected; and
(4) Ways to minimize the burden of
the collection of information on those
who are to respond, including through
the use of appropriate automated
collection techniques or other forms of
information technology, e.g., permitting
electronic submission of responses.
HUD encourages interested parties to
submit comment in response to these
questions.

Endangered and Threatened Wildlife
and Plants; Notice of Availability of
Polar Bear Conservation Management
Plan
Fish and Wildlife Service,
Interior.
ACTION: Notice of document availability.
AGENCY:

We, the U.S. Fish and
Wildlife Service, announce the

SUMMARY:

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Burden hour
per response

690

B. Solicitation of Public Comment

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Responses
per annum

Jkt 241001

availability of our Polar Bear
Conservation Management Plan (Polar
Bear Plan). The polar bear is listed as
threatened under the Endangered
Species Act of 1973, as amended (ESA),
and is also considered ‘‘depleted’’ under
the Marine Mammal Protection Act of
1972, as amended (MMPA). The Polar
Bear Plan identifies objective,
measurable ESA recovery criteria, sitespecific recovery actions, as well as time
and cost estimates. It also serves as an
MMPA conservation plan.
ADDRESSES: An electronic copy of the
Polar Bear Plan is available for viewing
at https://ecos.fws.gov/ecp0/profile/
speciesProfile?spcode=A0IJ or at
www.regulations.gov at Docket No.
FWS–R7–ES–2014–0060. Copies of the
Polar Bear Plan are also available by
request from the U.S. Fish and Wildlife
Service, Marine Mammals Management
Office, 1011 East Tudor Road, MS–341,
Anchorage, AK 99503; telephone (907)
786–3800; facsimile (907) 786–3816. If
you use a telecommunications device
for the deaf (TDD), call the Federal
Information Relay Service (FIRS) at
800–877–8339.
FOR FURTHER INFORMATION CONTACT:
Hilary Cooley, Polar Bear Lead, Marine
Mammals Management, by telephone at
907–786–3800; by U.S. mail at Marine
Mammals Management, U.S. Fish and
Wildlife Service, 1011 East Tudor Road,
Anchorage, AK 99503; or by email at
[email protected]. Persons who
use a telecommunications device for the
deaf (TDD) may call the Federal Relay
Service at 800–877–8339.
SUPPLEMENTARY INFORMATION: We
announce the availability of our Polar
Bear Conservation Management Plan
(Polar Bear Plan). The polar bear (Ursus
maritimus) is listed throughout its range
as threatened under the Endangered
Species Act of 1973, as amended (16
U.S.C. 1531 et seq., ESA). Because of its
threatened status under the ESA, the
species is also considered ‘‘depleted’’
under the Marine Mammal Protection
Act of 1972, as amended (16 U.S.C. 1361
et seq., MMPA). As required under the
ESA section 4(f), the Polar Bear Plan
identifies ‘‘objective, measurable’’

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recovery criteria and site-specific
recovery actions with estimations of the
time and costs to carry out those
actions. The Polar Bear Plan also serves
as a conservation plan under section
115(b) of the MMPA with a goal of
conserving and restoring polar bears to
their optimum sustainable population
level, and will contribute to our
international polar bear conservation
efforts under the 1973 Agreement on the
Conservation of Polar Bears (T.I.A.S. No.
8409).
Background
We listed the polar bear as threatened
under the ESA on May 15, 2008 (73 FR
28212). For a description of the
taxonomy, distribution, status, breeding
biology, and habitat, and a summary of
factors affecting the species, please see
Appendix A of the Polar Bear Plan.
Recovery of endangered or threatened
animals and plants is a primary goal of
our endangered species program and the
ESA. To help guide the recovery effort,
we prepare recovery plans for most
listed species native to the United
States. Further, the ESA requires that we
develop recovery plans for listed
species, unless such a plan would not
promote the conservation of a particular
species, and that we provide public
notice and an opportunity for public
review and comment during recovery
plan development. Recovery plans
describe actions considered necessary
for the conservation and survival of the
species, establish criteria for delisting
listed species, and estimate time and
cost for implementing needed recovery
measures.
MMPA Conservation Plans have the
purpose of conserving and restoring a
species or stock to its optimum
sustainable population. The MMPA
further provides that Conservation Plans
shall be modeled on ESA recovery
plans. Therefore, the Polar Bear Plan
provides recommended management
actions for the survival and recovery of
the species and to conserve and restore
the species to its optimum sustainable
population.

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