OMB control number

State Annual Long-Term Care OMBudsman Report

OMB 0985-0005 · HHS/ACL.

OMB 0985-0005

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.

The latest form for State Annual Long-Term Care OMBudsman Report expires 2029-03-31 and is listed under ICR 202404-0985-004.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
State Annual Long-Term Care Ombudsman ReportForm and Instruction
0005 Supporting Statement LTCOP.docxSupporting Statement A
State Annual Long-Term Care Ombudsman Report Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202404-0985-004 Extension without change of a currently approved collection 2024-10-31
202108-0985-001 Reinstatement without change of a previously approved collection 2021-08-10 Approved with change
201802-0985-003 Revision of a currently approved collection 2018-02-27 Approved with change
201612-0985-001 Revision of a currently approved collection 2016-12-22 Approved with change
201507-0985-002 Extension without change of a currently approved collection 2015-07-13 Approved with change
201205-0985-001 Extension without change of a currently approved collection 2012-05-04 Approved without change
200906-0985-001 Extension without change of a currently approved collection 2009-06-24 Approved without change
200604-0985-001 Revision of a currently approved collection 2006-04-04 Approved without change
200509-0985-001 Extension without change of a currently approved collection 2005-09-19 Approved without change
200411-0985-001 No material or nonsubstantive change to a currently approved collection 2004-11-10 Approved without change
200210-0985-001 Reinstatement with change of a previously approved collection 2002-10-23 Approved without change
200106-0985-002 Revision of a currently approved collection 2001-06-20 Approved without change
199807-0985-001 Extension without change of a currently approved collection 1998-07-16 Approved without change
199708-0985-001 Reinstatement with change of a previously approved collection 1997-08-18 Approved without change
199506-0985-001 New collection (Request for a new OMB Control Number) 1995-06-29 Approved without change