Fidelity Evaluation of the Administration for Community Livings Evidence-Based Programs

ICR 202111-0985-003


Federal Form Document

ICR Details
Received in OIRA
Fidelity Evaluation of the Administration for Community Livings Evidence-Based Programs
New collection (Request for a new OMB Control Number)   No
Regular 11/18/2021
  Requested Previously Approved
36 Months From Approved
515 0
445 0
0 0

The Administration for Community Living (ACL), within the U.S. Department of Health and Human Services (DHHS), supports the execution of the Fidelity Evaluation of ACL’s Evidence-Based Programs. ACL’s mission is to maximize the independence, well-being, and health of older adults and people with disabilities across their lifespan. ACL provides mandatory funding to 50 states and six U.S. territories (the District of Columbia, Puerto Rico, American Samoa, Guam, the Mariana Islands, and the Virgin Islands) under Title III-D of the Older Americans Act (OAA) (i.e., mandatory grantees), and also awards grants on a competitive basis to applicants who seek to promote the well-being of target populations through disease prevention and health promotion (i.e., discretionary grantees).

PL: Pub.L. 89 - 73 102 (14)(D)) Name of Law: Older Americans Act (OAA) of 1965, as amended

Not associated with rulemaking

  86 FR 13720 07/12/2021
86 FR 24923 11/16/2021

  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 515 0 0 515 0 0
Annual Time Burden (Hours) 445 0 0 445 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Miscellaneous Actions
This is a new information collection request there is a program change increase of 445 annual burden hours.

Yes Part B of Supporting Statement
Tomakie Washington 202 795-7336 [email protected]


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.

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