No Wrong Door System Management Tool

ICR 202103-0985-005

OMB: 0985-0062

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Form and Instruction
Modified
Justification for No Material/Nonsubstantive Change
2021-03-31
Justification for No Material/Nonsubstantive Change
2021-03-31
Supporting Statement A
2019-03-20
ICR Details
0985-0062 202103-0985-005
Received in OIRA 201902-0985-002
HHS/ACL
No Wrong Door System Management Tool
No material or nonsubstantive change to a currently approved collection   No
Regular 04/01/2021
  Requested Previously Approved
04/30/2022 04/30/2022
6,904 6,904
10,480 10,480
0 0

The purpose of the No Wrong Door System Management Tool (NWD MT) data collection is to provide a platform for documenting key elements that are necessary to evaluate the progress of the NWD System model and to understand and document the extent to which a state’s NWD System is streamlining and coordinating access to LTSS through four core functions of State Governance and Administration, Public Outreach and Coordination with Key Referral Sources, Person-Centered Counseling, and Streamlined Eligibility for Public Programs. In addition, the Veteran Directed Care (VDC) Tool will collect qualitative and quantitative data elements necessary to evaluate the impact of the VDC program. The NWD MT and VDC tool tracks key performance measures and identify best practices and technical assistance needs.

PL: Pub.L. 109 - 365 202(b) Name of Law: Older Americans Act Amendments of 2006
  
None

Not associated with rulemaking

  83 FR 55186 11/02/2018
84 FR 10098 03/19/2019
Yes

  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 6,904 6,904 0 0 0 0
Annual Time Burden (Hours) 10,480 10,480 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$66,006
No
    No
    No
No
No
No
Yes
Tomakie Washington 202 795-7336 [email protected]

  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.
04/01/2021


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