National Longitudinal Survey of Older Americans Act Participants

Forms and Documents

Document Name	Status
Form 2 National Longitundinal Survey of OAA Participants Form and Instruction	Unchanged
Non-Substantive Change - NSOAAP (12-17-18).docx Justification for No Material/Nonsubstantive Change	2018-12-19
OMB-PRA Appendices_Redesigned NSOAAP_FINAL_6feb2018.docx Supplementary Document	2018-02-20
12th_NSOAAP_OMB_PRA_Appendices_14june2017.docx Supplementary Document	2017-06-26
12th_NSOAAP_Survey_Instrument_26may2017_AppendixG.docx Supplementary Document	2017-06-26
FINAL_Appendix_9th_National_Survey_Older_Americans_Participants_OMB_PRA_July_11_2014.docx Supplementary Document	2014-07-15
0985-0023 Supporting Statement B.docx Supporting Statement B	2018-02-20
OMB-PRA Parts A_Redesigned NSOAAP_FINAL_16feb2018.docx Supporting Statement A	2018-02-20

IC Document Collections

IC ID	Document Title	Status
182321	National Longitundinal Survey of OAA Participants Form and Instruction	Unchanged

ICR Details

OMB Control No: 0985-0023	ICR Reference No: 201812-0985-001
Status: Historical Active	Previous ICR Reference No: 201802-0985-002
Agency/Subagency: HHS/ACL	Agency Tracking No:
Title: National Longitudinal Survey of Older Americans Act Participants
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/29/2019
	Date Received in OIRA: 12/21/2018
Terms of Clearance: Previous terms continue: OMB appreciates the thoughtful and rigorous manner in which ACL has developed plans to transition the National Survey of Older Americans Act Participants to a longitudinal study in order to provide added value to users and stakeholders. In order to align the OMB clearance process with the data collection schedule, ACL agrees to submit a one-year extension or revision request at the end of the current 3-year approval period, followed by a full 3-year clearance package when that one-year extension expires. At least 6 months prior to submission of the next 3-year OMB clearance package, ACL agrees to provide a report to OMB describing the initial results and lessons learned, as well as any revisions planned for the next round of OMB clearance.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2021	04/30/2021	04/30/2021
Responses	19,150	0	19,150
Time Burden (Hours)	13,600	0	13,600
Cost Burden (Dollars)	0	0	0

---

Abstract: The Administration for Community Living (ACL) has developed a core set of performance measures for state and community programs on aging operating under the Older Americans Act (OAA). The National Survey of Older Americans Act Participants (NSOAAP) assists ACL to meet the accountability provisions of the GPRA Modernization Act of 2010 (GPRAMA). ACL's NSOAAP utilizes survey modules based on its Performance Outcome Measures Projects.

---

Authorizing Statute(s): PL: Pub.L. 109 - 365 202(f) Name of Law: Older Americans Act
   PL: Pub.L. 109 - 365 205(a)(1)(C) Name of Law: Older Americans Act
   PL: Pub.L. 109 - 365 206 Name of Law: Older Americans Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 44800	09/26/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 7189	02/20/2018
Did the Agency receive public comments on this ICR? Yes

---

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

IC Title	Form No.	Form Name
National Longitundinal Survey of OAA Participants	3, 1, 2	Redesign NLSOAAP Years 2 and 3 Follow-up ,   Redesign NLSOAAP Years 2 and 3 Follow-up ,   NLSOAAP redesign Baseline

---

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	19,150	19,150	0	0	0	0
Annual Time Burden (Hours)	13,600	13,600	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a proposed revision to a previously approved data collection. The previously approved data collection covered a cross-sectional survey. This PRA package covers a three-year longitudinal survey, as well as cognitive testing of an updated survey instrument. The results of the cognitive testing will be incorporated into the final survey instrument. The final survey instrument will be administered in the longitudinal survey. When respondents are unreachable at either Year 2 or Year 3 of the data collection, interviewers will administer a brief questionnaire to the respondents’ contact person to determine their status (e.g., currently receiving services or not currently receiving services and the reasons for the non-contact).

---

Annual Cost to Federal Government: $1,491,397

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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

---

Common Form ICR:  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:

(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: 12/21/2018

---