ACL Administration on Aging Formula Grant Programs

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
AoA Formula Grants IC Supporting Statement Final AEK OMB.docx	Supporting Statement A	Uploaded 2024-10-11	Repair queued
AoA Form Grants RE DARS Comments on OMB Control Number 0985-New.msg	Supplementary Document	Uploaded 2024-10-10	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
271567	Corrective Action Plan for OAA or APS Grantee	Instruction	New
271563	State Units on Aging Financial Forms	Instruction	New
271562	State Unit on Aging State Plan on Aging	Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 202410-0985-002
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: HHS/ACL	Agency Tracking No:
Title: ACL Administration on Aging Formula Grant Programs
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/15/2024

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	370	0
Time Burden (Hours)	2,080	0
Cost Burden (Dollars)	0	0

---

Abstract: As a center in the Administration for Community Living, the Administration on Aging (AoA) provides expertise on program development, advocacy, initiatives for older Americans, their caregivers, and families. Working with state agencies, local agencies, grantees, and community providers, AoA directs programs authorized by the Older Americans Act (OAA), Elder Justice Act (EJA), and other legislation that supports older adults. Through these programs multi-year state plans, assurances, and other financial forms are needed to provide approval and oversight of grant recipients. The purpose of this information collection is for programmatic and financial management of the aging and APS formula grants. The state plan on aging provides the opportunity report achievements and planned activities for the multi-year plan period. A wide range of constituents use or will use the state plans to coordinate, monitor, evaluate, and improve aging network by using the state plans on aging as a blueprint for service planning and delivery. Additionally, ACL leverages state plans on aging to understand the numerous services older adults use, and to utilize the information for advocating the needs of older adults. The financial forms will assist in the facilitation of OAA formula grant management. And the CAP document will assist in compliance of OAA and EJA formula grants.

---

Authorizing Statute(s): PL: Pub.L. 116 - 131 102-765 Name of Law: Older Americans Act, Enacted March 25, 2020
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 71869	10/18/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 78877	09/26/2024
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Corrective Action Plan for OAA or APS Grantee	NA	CAP Template
State Unit on Aging State Plan on Aging	NA	State Plan
State Units on Aging Financial Forms	NA, NA, NA, NA, NA	Reallotment of Older Americans Act (OAA) Title III and Title VII formula Grant Funds ,   FINANCIAL STATUS REPORT AND TITLE III SUPPLEMENTAL FORM TO SF-425 ,   Transfer Cert ,   Cert of Maintenance Effort ,   LTCO Minimum Cert of Expenditures

---

ICR Summary of Burden

table that charts list of burden

	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	370	0	0	370	0	0
Annual Time Burden (Hours)	2,080	0	0	2,080	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.

---

Annual Cost to Federal Government: $330,066

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

---

Common Form ICR:  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:

(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: 10/15/2024

---