ACL Generic Clearance for the Collection of Qualitative Research and Assessment Data

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
ACL CCH Self-Attestation Assessment	Form and Instruction	New	Repair queued
Grantee Produced Outputs Attachment B	Form and Instruction	New	Repair queued
Usability Testing Website and Grantee Outputs Attachment A	Form and Instruction	New	Repair queued
AR FRG Pilot FG Guide	Form and Instruction	New	Available
AR FRG Pilot Client Questionnaire	Form and Instruction	New	Available
AR FRG Pilot Client Interview Guide	Form and Instruction	New	Available
AR Federal Forum Pilot Questionnaire	Form and Instruction	New	Available
AR FRG Pilot Observation Guide	Form and Instruction	New	Available
ACL OMB Memo Request New ROCIS Control Number.pdf	Supplementary Document	Uploaded 2024-05-03	Repair queued
0985New ACL Generic_Short Form for Qualitative Research and Assessment.pdf	Supplementary Document	Uploaded 2024-05-03	Repair queued
0985-New ACL Gen IC Qualitative Research and Assessment SS Pt B OPE AC.docx	Supporting Statement B	Uploaded 2024-05-03	Repair queued
0985-New ACL Gen IC Qualitative Research and Assessment SS Pt A OPE AC.docx	Supporting Statement A	Uploaded 2024-05-03	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
273664	Community Care Hub Competency Assessment: A Self-Attestation Tool – Vetting of Tool Items	Form and Instruction	New	ACL CCH Self-Attestation Assessment
271333	Usability Testing of NIDILRR Website and Grantee Outputs	Form and Instruction	New	Grantee Produced Outputs Attachment B
271333	Usability Testing of NIDILRR Website and Grantee Outputs	Form and Instruction	New	Usability Testing Website and Grantee Outputs Attachment A
269973	National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) Grantee Follow-up Interviews	Other-Interview Guide	New
267838	Approaching Retirement Life Experience Portfolio: Increasing Access to Decision-Making Support for Older Adults	Form and Instruction	New	AR FRG Pilot FG Guide
267838	Approaching Retirement Life Experience Portfolio: Increasing Access to Decision-Making Support for Older Adults	Form and Instruction	New	AR FRG Pilot Client Questionnaire
267838	Approaching Retirement Life Experience Portfolio: Increasing Access to Decision-Making Support for Older Adults	Form and Instruction	New	AR FRG Pilot Client Interview Guide
267838	Approaching Retirement Life Experience Portfolio: Increasing Access to Decision-Making Support for Older Adults	Form and Instruction	New	AR Federal Forum Pilot Questionnaire
267838	Approaching Retirement Life Experience Portfolio: Increasing Access to Decision-Making Support for Older Adults	Form and Instruction	New	AR FRG Pilot Observation Guide

ICR Details

OMB Control No: 0985-0081	ICR Reference No: 202405-0985-001
Status: Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACL	Agency Tracking No:
Title: ACL Generic Clearance for the Collection of Qualitative Research and Assessment Data
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 with change	Conclusion Date: 05/20/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/03/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2027	36 Months From Approved
Responses	10,086	0	0
Time Burden (Hours)	5,043	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Executive Order 12862 directs Federal agencies to provide service to the public that matches or exceeds the best service available in the private sector. The Administration for Community Living (ACL) at the Department of Health and Human Services (HHS) is requesting a generic clearance for purposes of conducting qualitative research to gain a better understanding of emerging issues related to ACL’s grantees, service providers, and programs; develop future intramural and extramural research projects; and to ensure HHS and ACL leadership, programs, and staff can obtain timely and relevant data and information. ACL defines qualitative feedback as information that provides useful insights on perceptions and opinions but are not statistical surveys that yield results that can be generalized beyond the population of study. This collection of information is necessary to enable ACL to receive feedback in an efficient, timely manner, in accordance with our mission to maximize the independence, well-being, and health of older adults, people with disabilities, and their families and caregivers. ACL implements critical disability and aging programs, serves as the advisor to the HHS Secretary on disability and aging programs, works with other HHS agencies, Departments and the White House on disability and aging issues, and engages a range of disability and aging partners to inform program development, improvement, and implementation. Integral to this role, ACL conducts research and evaluation studies to measure the needs, barriers, and facilitators for ACL programs. Qualitative research, evaluation, and assessment are the main objectives of the activities included in this clearance. The goal of developing these activities is to identify emerging issues and research gaps to ensure the successful implementation of ACL programs. The participants may include subject matter experts appropriate to the question of interest; national, state, and/or local representatives; individuals from aging and disability networks; human service, behavioral health, and healthcare providers; individuals from tribal communities; and/or representatives of other organizations appropriate to the question or questions of interest.

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Authorizing Statute(s): EO: EO 12682 Name/Subject of EO: Setting Customer Service Standards
  

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:
	88 FR 10121	02/16/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 30981	05/15/2023
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
Approaching Retirement Life Experience Portfolio: Increasing Access to Decision-Making Support for Older Adults	NA, NA, NA, NA, NA	AR FRG Pilot Observation Guide ,   AR Federal Forum Pilot Questionnaire ,   AR FRG Pilot Client Interview Guide ,   AR FRG Pilot Client Questionnaire ,   AR FRG Pilot FG Guide
Community Care Hub Competency Assessment: A Self-Attestation Tool – Vetting of Tool Items	NA	ACL CCH Self-Attestation Assessment
National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) Grantee Follow-up Interviews
Usability Testing of NIDILRR Website and Grantee Outputs	NA, NA	Usability Testing Website and Grantee Outputs Attachment A ,   Grantee Produced Outputs Attachment B

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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	10,086	0	0	10,086	0	0
Annual Time Burden (Hours)	5,043	0	0	5,043	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 information collection request.

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Annual Cost to Federal Government: $833,333

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 05/03/2024

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