No Wrong Door System Management Tool

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
No Wrong Door System Management Tool-Veteran Directed	Form and Instruction	Modified	Repair queued
No Wrong Door System Management Tool-State and Local Level	Form and Instruction	Modified	Repair queued
0062 NWD Supporting Statement Final.docx	Supporting Statement A	Uploaded 2022-04-29	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
234842	No Wrong Door System Management Tool-Veteran Directed	Form and Instruction	Modified
234839	No Wrong Door System Management Tool-State and Local Level	Form and Instruction	Modified

ICR Details

OMB Control No: 0985-0062	ICR Reference No: 202204-0985-001
Status: Received in OIRA	Previous ICR Reference No: 202103-0985-005
Agency/Subagency: HHS/ACL	Agency Tracking No:
Title: No Wrong Door System Management Tool
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 04/29/2022

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	04/30/2022
Responses	3,830	6,904
Time Burden (Hours)	6,710	10,480
Cost Burden (Dollars)	0	0

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Abstract: The purpose of the No Wrong Door System Management Tool (NWD MT) data collection is to understand and document the extent to which the NWD System is streamlining and coordinating access to current long term services and support (LTSS) system through its 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. The NWD MT provides a platform for ACL, its federal partners, and states to collect and analyze data elements in order to evaluate the progress of the NWD System vision and identify gaps and best practices to inform future funding. The Veteran Directed Care Tool (VDC Tool) is designed to provide ACL, Veterans Health Administration (VHA), and its partners with qualitative and quantitate data elements necessary to evaluate the impact of the VDC program. VDC program providers will provide data in the VDC tool that will track key performance measures and identify best practices and technical assistance needs. This tool was developed to increase ease and uniformity of reporting and improve the ability of ACL and its partners to manage and analyze program data.

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Authorizing Statute(s): PL: Pub.L. 109 - 365 202(b) Name of Law: Older Americans Act Amendments of 2006
  

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:
	87 FR 1759	01/12/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 25024	04/27/2022
Did the Agency receive public comments on this ICR? Yes

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

table that charts list of burden

IC Title	Form No.	Form Name
No Wrong Door System Management Tool-State and Local Level	NA, NA	NWD System Management Tool ,   NWD ADRC COVID
No Wrong Door System Management Tool-Veteran Directed	NA	VDC Tool

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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	3,830	6,904	0	0	-3,074	0
Annual Time Burden (Hours)	6,710	10,480	0	0	-3,770	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: There is an adjustment decrease of -3,770 annual burden hours and -3,074 annual responses.

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Annual Cost to Federal Government: $69,874

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? Yes

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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: 04/29/2022

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