Alzheimer's Disease Supportive Services Program (ADSSP) Data Collection

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
0022 2020 OMB IC ext Supporting Statement.docx	Supporting Statement A	Uploaded 2020-10-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
178976	Alzheimer's Disease Supportive Services Program (ADSSP) Data Collection	Instruction	Modified

ICR Details

OMB Control No: 0985-0022	ICR Reference No: 202010-0985-003
Status: Active	Previous ICR Reference No: 201707-0985-001
Agency/Subagency: HHS/ACL	Agency Tracking No:
Title: Alzheimer's Disease Supportive Services Program (ADSSP) Data Collection
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/01/2020
	Date Received in OIRA: 10/28/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2023	36 Months From Approved	12/31/2020
Responses	540	0	228
Time Burden (Hours)	2,329	0	983
Cost Burden (Dollars)	0	0	0

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Abstract: The Alzheimer’s and Dementia Program Data Reporting Tool (ADP-DRT) is needed in order to: •Collect data for performance measures used in the justification of the budget to Congress and by program, state and national decision makers. •Effectively manage the ACL’s Alzheimer’s Disease Program at the federal, state and local levels. •Advocate at the federal and state levels for more effective and efficient supports and services for persons with Alzheimer’s disease and their caregivers. The ADP-DRT collects information about the delivery of supports and services by the Administration for Community Living (ACL) Alzheimer’s Disease Program grantees, including basic demographic information about service recipients and spending on direct services and administrative expenses. The Older American’s Act requires ACL to evaluate “demonstration projects that support the objectives of this Act, including activities to bring effective demonstration projects to scale with a prioritization of projects that address the needs of under served populations, and promote partnerships among aging services, community-based organizations, and Medicare and Medicaid providers, plans, and health (including public health) systems. (Section 201 (42 U.S.C. 3011) Sec. 127. Research and Evaluation). To fulfill the evaluation requirements and allow for optimal federal and state-level management of the program, specific information must be collected from grantees, including the following: A. The number of persons with Alzheimer’s disease or related dementia or at high risk of dementia and/or their caregivers served by the program and their respective demographic characteristics. B. The number of professionals trained in dementia education, care and best practices. C. Information about grant funds spent on direct services, program administration costs and general organizational administrative costs. D. The provision of direct services to persons with Alzheimer’s disease or related dementia or at high risk of dementia and/or their caregivers. Information from the ADP-DRT will be provided to: federal and state legislators; state agencies on aging; national, state and local organizations with an interest in Alzheimer’s disease and related dementia and long-term care issues; current and future ACL Alzheimer’s Disease Program grantees; and private citizens who request it. Information will be posted on ACL’s National Alzheimer’s and Dementia Resource Center (NADRC) website.

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Authorizing Statute(s): PL: Pub.L. 78 - 410 398 Name of Law: Public Health Service Act
   PL: Pub.L. 105 - 392 302 Name of Law: Health Professions Education Partnerships Act
   PL: Pub.L. 101 - 557 398 399 399A Name of Law: Home Health Care and Alzheimer's Disease Amendment of 1990
  

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:
	85 FR 43241	07/16/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 67549	10/23/2020
Did the Agency receive public comments on this ICR? Yes

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

table that charts list of burden

IC Title	Form No.	Form Name
Alzheimer's Disease Supportive Services Program (ADSSP) Data Collection	NA	ADSSP IC Tool

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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	540	228	0	0	312	0
Annual Time Burden (Hours)	2,329	983	0	0	1,346	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: There is a program change increase of 1346 annual burden hours. The annual reporting burden hour estimates have increased from 983 to 2,329. The following reasons account for the change in burden hour estimates: • The new estimates are for 90 grants, rather than the 38 grants from the previous ADP-DRT approval, a 136% increase in the number of grants. • Although, for data set approved in 2016, it was anticipated that grantee respondents would spend 25.88 hours reporting annually, the actual number of hours spent (local partners and grantee combined), as reported by the current ADP grantees consulted, was 19.92 hours annually per grant. The following reasons account for the change in burden cost estimates: • The new estimates are for 90 grants, rather than the 38 grants from the previous ADP-DRT approval. This also include data collection from 180 local partners, rather than 76 local partners from the previous ADP-DRT approval • The pay grades and pay rates for local partner and grantee staff increased between 2016 and 2020. • The annualized cost to the federal government increased due to increased contractor costs to analyze the data of the increased in the number of grantees and a pay grade increase for the federal project officer.

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Annual Cost to Federal Government: $24,711

Does this IC contain surveys, censuses, or employ statistical methods? No

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? No

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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: 10/28/2020

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