State Annual Long-Term Care Ombudsman Report

ICR 202404-0985-004

OMB: 0985-0005

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2024-10-31
IC Document Collections
ICR Details
0985-0005 202404-0985-004
Received in OIRA 202108-0985-001
HHS/ACL
State Annual Long-Term Care Ombudsman Report
Extension without change of a currently approved collection   No
Regular 10/31/2024
  Requested Previously Approved
36 Months From Approved 10/31/2024
52 52
11,153 11,153
0 0

The State Annual Long-Term Care Ombudsman Report is needed to comply with Administration for Community Living/Administration on Aging (ACL/AoA) reporting requirements in the Older Americans Act (OAA); and 45 CFR §1324.21(b) (1) and (b)(2)(v). The long-term care ombudsman report is used to measure the services and strategies that are provided to assist residents in the protection of their health, safety, welfare or rights; advocate at the state and federal levels for changes needed to improve the quality of life and care in long-term care facilities; and effectively manage the Long-Term Care Ombudsman Program at the state and federal level. The National Ombudsman Reporting System (NORS) was developed in response to these needs and directives. Section 712(c) of the OAA requires the state agency to establish a statewide uniform reporting system to: (1) Collect and analyze data relating to resident complaints and conditions in long-term care facilities for the purpose of identifying and resolving significant problems. and (2) Submit the data on a regular basis to the state licensing/certifying agency, other state and federal entities that the Ombudsman determines to be appropriate, the Assistant Secretary for Aging, and the National Long-Term Care Ombudsman Resource Center.

US Code: 42 USC chapter 35 Name of Law: Programs for Older Americans
   PL: Pub.L. 109 - 365 712 (c),(h)(1)-(3) Name of Law: Older Americans Act
  
None

Not associated with rulemaking

  89 FR 63956 08/06/2024
89 FR 86807 10/31/2024
Yes

1
IC Title Form No. Form Name
State Annual Long-Term Care Ombudsman Report NA, NA, NA NORS Table 1 ,   NORS Table 2 ,   NORS Table 3

  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 52 52 0 0 0 0
Annual Time Burden (Hours) 11,153 11,153 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$207,994
No
    No
    No
No
No
No
No
Tomakie Washington 202 795-7336 [email protected]

  No

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.
10/31/2024


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