Application for Older Americans Act, Title VI Parts A/B and C Grants

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Title VI Part C Grant Application	Form and Instruction	Removed	Available
Title VI Part C Grant Application	Form and Instruction	Removed	Repair queued
Application for OAA Title VI Parts A/B and C	Form and Instruction	Modified	Available
Title VI Parts A/B and C Grant Application	Form and Instruction	Modified	Repair queued
0064 Title VI App SS JA-TC Final.docx	Supporting Statement A	Uploaded 2022-09-30	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
237032	Title VI Part C Grant Application	Form and Instruction	Removed	Title VI Part C Grant Application
237032	Title VI Part C Grant Application	Form and Instruction	Removed
237031	Title VI Parts A/B and C Grant Application	Form and Instruction	Modified	Application for OAA Title VI Parts A/B and C
237031	Title VI Parts A/B and C Grant Application	Form and Instruction	Modified

ICR Details

OMB Control No: 0985-0064	ICR Reference No: 202206-0985-001
Status: Historical Active	Previous ICR Reference No: 201907-0985-001
Agency/Subagency: HHS/ACL	Agency Tracking No:
Title: Application for Older Americans Act, Title VI Parts A/B and C Grants
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/01/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/30/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2025	36 Months From Approved	10/31/2022
Responses	545	0	545
Time Burden (Hours)	395	0	395
Cost Burden (Dollars)	0	0	0

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Abstract: The Administration for Community Living (ACL) is responsible for administering the Title VI A/B (Nutrition and Supportive Service) and C (Caregiver) grants. The purpose of this data collection is to improve and standardize the format of the application. The instrument will collect data as prescribed by the Older Americans Act Section 612(a), 614(a) and 45 CFR 1326.19 related to the eligibility of Federally-recognized Tribes and Native Hawaiian organizations for grant funds under this program and their capacity to deliver services to elders. The Application for Older Americans Act, Title VI A/B and C Grants collects information on the ability of federally-recognized American Indian, Alaskan Native and Native Hawaiian organizations to provide nutrition, supportive, and caregiver services to elders within their service area. Applicants are required to provide a description of their organization’s service area, the number of eligible elders in their service area, and their ability to deliver services and sign assurances that the organization will comply with all applicable laws and regulations.

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Authorizing Statute(s): PL: Pub.L. 114 - 144 612(a) and 614(a) Name of Law: The Older Americans Act of 1965 as amended 2016
  

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 39524	07/01/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 59102	09/29/2022
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
Title VI Part C Grant Application	NA	Title VI Part C Grant Application
Title VI Parts A/B and C Grant Application	NA	Application for OAA Title VI Parts A/B and C

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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	545	545	0	0	0	0
Annual Time Burden (Hours)	395	395	0	0	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This IC does not report a change in burden; however, the application (IC activity) was previously divided into two instruments for Parts A/B and C. This submission combines the activity into one application which contains Parts A/B/C. The number of burden hours associated with the Title VI Part A/B and C application was previously separated. However, this clearance combines the collection activity into one for a program change of Part A/B plus the total hours previously associated with the Title VI, Part C. This resulted in an annualized number of 395.4 hours.

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Annual Cost to Federal Government: $37,688

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: 09/30/2022

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