The Inventory of State Adult Protective Services Practices and Service Innovations: APS Practice Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Adult Protective Services Practices and Service Innovations: APS Practice Survey	Form and Instruction	New	Repair queued
0985-New APS Tarc Practice Survey Supporting Statement Part B.pdf	Supporting Statement B	Uploaded 2021-03-11	Repair queued
0985-New APS TARC Practice Survey OMB Supporting Documentation Part A.pdf	Supporting Statement A	Uploaded 2021-03-11	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
246205	Adult Protective Services Practices and Service Innovations: APS Practice Survey	Form and Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 202103-0985-003
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: HHS/ACL	Agency Tracking No:
Title: The Inventory of State Adult Protective Services Practices and Service Innovations: APS Practice Survey
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/11/2021

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	56	0
Time Burden (Hours)	181	0
Cost Burden (Dollars)	0	0

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Abstract: The Elder Justice Act specifically authorizes the U.S. Department of Health and Human Services to develop and disseminate information on best practices in adult protective services, provide training for adult protective services, and provide technical assistance to states and others that provide or fund the provision of adult protective services. The Inventory of State Adult Protective Services Practices and Service Innovations: APS Practice Survey is a new data collection that will address these requirements by collecting data from APS agencies in the 50 states, the District of Columbia, and U.S. Territories about the practice variations in APS programs for older adults and adults, obstacles to meeting policy mandates, and practice innovations and model programs that address such barriers and community-identified needs.

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Authorizing Statute(s): US Code: 42 USC 13976 Name of Law: The Elder Justice Act of 2009, amended by Title XX of the Social Security Act
  

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 77218	12/01/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 11543	02/25/2021
Did the Agency receive public comments on this ICR? No

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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
Adult Protective Services Practices and Service Innovations: APS Practice Survey	NA	APS Practice Survey

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	56	0	0	56	0	0
Annual Time Burden (Hours)	181	0	0	181	0	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: This is a new information collection, there is a program change increase of 181 annual burden hours.

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Annual Cost to Federal Government: $143,000

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? 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: 03/11/2021

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