Approved with
the understanding that the burden statement (including the OMB
control number and expiration date) will appear on each of the
instruments.
Inventory as of this Action
Requested
Previously Approved
03/31/2021
36 Months From Approved
27,696
0
0
4,344
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.
This collections has changes
made to the collection instruments (forms/surveys) which were the
result of comments received during the 60 day comment period.
$174,219
No
No
No
Yes
No
No
Uncollected
Mark Snyderman 202
795-7439
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.
Form 5 Prevention and Public Health Funds Evidence-Based Falls Prevention Program (Staff Respondents)
Justification for change 0985-0039.docx
Prevention and Public Health Funds Evidence-Based Falls Prevention Program (Staff Respondents)