OMB control number
Prevention and Public Health Funds Evidence-Based Falls Prevention Program Information Collection
OMB 0985-0039 · HHS/ACL.
The Administration on Aging (AoA), part of the Administration for Community Living (ACL), uses these data collection tools to monitor grantees receiving “Evidence-Based Falls Prevention Programs” cooperative agreements.” Grantee agencies through this program represent a variety of organization types, including state agencies, universities, and nonprofit organizations. Grantees are tasked with two primary goals: (1) significantly increase the number of older adults who participate in evidence-based falls prevention programs; and (2) develop a sustainable infrastructure for these proven interventions. ACL Falls Prevention grantees currently collect information at both the workshop and participant level. Specific to the workshop, information on workshop type, site type, location, start/end date, etc. is collected. At the participant level, de-identified demographic and health status information is collected prior to workshop participation. A sample of participants also completes a Post Program Survey to assess whether the program is achieving its intended outcomes, i.e., reducing falls risk factors and/or incidence. AoA funds a National Falls Prevention Resource Center(the “Center”) to provide technical assistance (TA) to ACL grantees as well as the broader network of organizations implementing evidence-based falls prevention programs. The Center developed a database, which grantees and other program sites use to provide data on their workshops. This system allows AoA regular monitoring of grantee performance status, including data analysis, maps, comparative charts, and identification of high- and low-performing grantees in order to identify and target TA needs. AoA uses the information from the PPHF Falls Prevention data collection tools to: 1) Comply with reporting requirements mandated by the authorizing statutes; 2) Collect data for performance measures used in the justification of the budget to Congress and by program, state, and national decision makers; 3) Effectively manage the Falls Prevention program at the federal, state, and local levels; 4) Identify program implementation issues and pinpoint areas for technical assistance activities; 5) Identify best practices in program implementation and building sustainable program delivery systems as well as develop resources to enable current and future grantees to learn from and replicate these practices; and 6) Provide information for reports to Congress, other governmental agencies, stakeholders, and to the public about PPHF Falls Prevention grantee progress.
The latest form for Prevention and Public Health Funds Evidence-Based Falls Prevention Program Information Collection expires 2029-03-31 and can be found here.
Document Name |
|---|
Form and Instruction |
Form and Instruction |
Form and Instruction |
Supporting Statement A |
Supplementary Document |
Supplementary Document |
| Extension without change of a currently approved collection | 2024-04-25 | ||
|
Approved without change |
Extension without change of a currently approved collection | 2021-03-12 | |
|
Approved with change |
Reinstatement with change of a previously approved collection | 2018-02-02 | |
|
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2015-05-28 | |
|
Withdrawn and continue |
No material or nonsubstantive change to a currently approved collection | 2015-03-09 | |
|
Approved with change |
New collection (Request for a new OMB Control Number) | 2014-11-10 |
Participant Information Forms
Federal Enterprise Architecture: Community and Social Services - Social Services
| Form NA | Participant Information Form | Fillable Fileable | Form and instruction |
| Form NA | Participant Post Session Survey | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.