Adult Protective Services Outcomes Study

Forms and Documents

Document Name	Status
Adult Protective Services Outcomes Study Form and Instruction	Unchanged
Adult Protective Services Outcomes Study Form and Instruction	Modified
0985-0065 Non-Substantive Change Request Justification.docx Justification for No Material/Nonsubstantive Change	2020-03-04
APS Client Outcomes Study New Editions 19-001 IRB Approval.pdf Supplementary Document	2019-12-05
0985-New APS Outcome Study SS Part B.docx Supporting Statement B	2019-12-05
0985-New APS Outcome Study SS Part A.docx Supporting Statement A	2019-12-05

IC Document Collections

IC ID	Document Title	Status
238797	Adult Protective Services Outcomes Study Form and Instruction	Unchanged
238792	Adult Protective Services Outcomes Study Form and Instruction	Modified

ICR Details

OMB Control No: 0985-0065	ICR Reference No: 202003-0985-001
Status: Active	Previous ICR Reference No: 201912-0985-001
Agency/Subagency: HHS/ACL	Agency Tracking No:
Title: Adult Protective Services Outcomes Study
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: 03/05/2020
	Date Received in OIRA: 03/04/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2023	01/31/2023	01/31/2023
Responses	12,124	0	12,124
Time Burden (Hours)	2,164	0	2,164
Cost Burden (Dollars)	0	0	0

---

Abstract: APS programs are provided by state and local governments nationwide and serve older adults and adults with disabilities in need of assistance due to maltreatment, which can include: physical, emotional, and sexual abuse; financial exploitation; neglect; and self-neglect. APS is an important avenue through which maltreatment is reported to law enforcement or other agencies. Additionally, APS programs are often the gateway for adults who experience maltreatment to access additional community, social, health, behavioral health, and legal services to maintain independence in the settings in which they prefer to live. APS programs work closely with clients and a wide variety of allied professionals to maximize safety and independence, while respecting each client’s right to self-determination. APS programs provide a range of services to the clients they serve, including: • investigating reports of adult maltreatment; • case planning, monitoring, evaluating, and other casework; and • providing, arranging for, or facilitating the provision of medical, social service, economic, legal, housing, law enforcement, or other protective, emergency, or support services. The purpose of this information collection (“the study”) is to examine if and how APS programs make a difference in the lives of APS clients with regard to their self-determination, safety, well-being, and satisfaction with services. The design of the study was informed by key foundational activities, including a review of the literature and existing datasets, the development of a logic model and a theoretical framework, and guidance from ACL content experts and a technical expert panel (TEP), consisting of researchers, practitioners, and program leaders within APS.

---

Authorizing Statute(s): US Code: 42 USC 1397 Section 2042(a)(1)(D) Name of Law: Elder Justice Act of 2009
  

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:
	84 FR 43137	08/20/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 66426	12/04/2019
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Adult Protective Services Outcomes Study	NA, NA, NA	APS Client Questionnaire ,   APS Client Interview ,   APS Client Questionnaire Web Version
Adult Protective Services Outcomes Study	NA, NA, NA	APS Client Data Form ,   APS Caseworker Focus Group Guide ,   APS Leaders Interview Guide

---

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	12,124	12,124	0	0	0	0
Annual Time Burden (Hours)	2,164	2,164	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:

---

Annual Cost to Federal Government: $1,010,429

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.     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

---

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: 03/04/2020

---