Elder Justice Victim Needs Assessment

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
1105-0NEW Supporting Statement A (052023).docx	Supporting Statement A	Uploaded 2023-05-08	Repair queued
1105-0NEW Supporting Statement B (052023)_ajm.docx	Supporting Statement B	Uploaded 2023-05-05	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
260101	Focus Groups (Individuals or households)	Other-Screener/survey	New
260088	Focus Groups (Private Sector)	Other-Screener/Survey	New
260087	Elder Justice Victim Needs Assessment (Individuals or households)	Other-Survey	New
260086	Elder Justice Victim Needs Assessment (Private Sector)	Other-Survey	New

ICR Details

OMB Control No: 1105-0111	ICR Reference No: 202305-1105-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOJ/LA	Agency Tracking No:
Title: Elder Justice Victim Needs Assessment
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: 10/04/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/08/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2026	19 Months From Approved
Responses	2,800	0	0
Time Burden (Hours)	1,033	0	0
Cost Burden (Dollars)	21,500	0	0

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Abstract: Elder justice-related information collection activity undertaken by the Elder Justice Initiative includes garnering qualitative stakeholder feedback in an efficient, timely manner. Qualitative feedback is not intended to yield generalizable results, but rather to provide useful insights on perceptions and opinions of our stakeholders. Information collection may include brief surveys, registration for convenings, webform requests on the Elder Justice Website, and other elder justice-related information collection activities. These information collections will provide insights into stakeholder perceptions, experiences, and expectations, focus attention on areas where communication and training are needed, and identify needed changes in operations to improve delivery of resources and services. These collections are necessary to facilitate ongoing, collaborative, and actionable communications between the Elder Justice Initiative and its various stakeholders and contribute directly to the improvement of program management.

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Authorizing Statute(s): PL: Pub.L. 115 - 70 Sec. 101(b)(2 Name of Law: Elder Abuse Prevention and Prosecution Act (EAPPA) of 2017
  

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 60709	10/06/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 8461	02/09/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Elder Justice Victim Needs Assessment (Individuals or households)
Elder Justice Victim Needs Assessment (Private Sector)
Focus Groups (Individuals or households)
Focus Groups (Private Sector)

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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	2,800	0	0	2,800	0	0
Annual Time Burden (Hours)	1,033	0	0	1,033	0	0
Annual Cost Burden (Dollars)	21,500	0	0	21,500	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 collection request

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Annual Cost to Federal Government: $350,000

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: 05/08/2023

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