ACL Lifespan Respite Program Grantee Performance Measurement Reporting Tool

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Lifespan Respite Grantee PPR	Form	New	Available
CL Lifespan Respite Program Grantee Performance Measurement Reporting Tool	Form	New	Repair queued
0985-New ACL_Lifespan Respite Statement A Fin.docx	Supporting Statement A	Uploaded 2023-02-16	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
258607	CL Lifespan Respite Program Grantee Performance Measurement Reporting Tool	Form	New	Lifespan Respite Grantee PPR
258607	CL Lifespan Respite Program Grantee Performance Measurement Reporting Tool	Form	New
258607	CL Lifespan Respite Program Grantee Performance Measurement Reporting Tool	Instruction	New

ICR Details

OMB Control No: 0985-0076	ICR Reference No: 202302-0985-006
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACL	Agency Tracking No:
Title: ACL Lifespan Respite Program Grantee Performance Measurement Reporting Tool
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/29/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/21/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2026	36 Months From Approved
Responses	80	0	0
Time Burden (Hours)	480	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Lifespan Respite Care Reauthorization Act of 2020, Section 2904, requires Lifespan Respite Care Program grantees to report data, information, and metrics for the purpose of program evaluation. Such data, information, and metrics are to be used to identify “…effective programs and activities funded…” through ACL’s Lifespan Respite Care Program grants. The Administration for Community Living’s (ACL’s) Office of Supportive and Caregiver Services aims to improve Lifespan Respite Care Program grantee performance measurement and tracking through a new quantitative grantee reporting tool. The tool will allow ACL to meet the requirements stated in Section 2904 of the Lifespan Respite Care Reauthorization Act of 2020, by adding quantitative data elements in accordance with program reporting requirements. This tool will allow for more effective tracking of how federal funds are being used, including aggregate data on people served and program development toward stated goals. The results of this information collection will be used to assist ACL’s Office of Supportive and Caregiver Services to assess the performance of the Lifespan Respite Program grantees in improving the delivery and quality of respite services for family caregivers of children and adults of all ages with disabilities and chronic conditions. The grant reporting tool will be disseminated to all new Lifespan Respite Program grantees upon grant award. Specifically, the tool will collect information related to respite care services delivered, caregiver demographics, care recipient demographics, respite training, and lifespan respite program systems and providers.

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Authorizing Statute(s): PL: Pub.L. 116 - 324 2904 Name of Law: Lifespan Respite Care Reauthorization Act of 2020,
  

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 207	10/27/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 10123	02/16/2023
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
CL Lifespan Respite Program Grantee Performance Measurement Reporting Tool	NA	Lifespan Respite Grantee PPR

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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	80	0	0	80	0	0
Annual Time Burden (Hours)	480	0	0	480	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 data collection. There is a program change due to agency discretion that will add 480 annual burden hours and 80 annual responses (40 grantees with two annual responses per grantee).

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Annual Cost to Federal Government: $2,217

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: 02/21/2023

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