National Survey of OAA Title III Service Recipients

Forms and Documents

Document Name	Status
Nation Survey Justification B.docx Supporting Statement B	2010-08-17
Nation survey justification A 081610.docx Supporting Statement A	2010-08-27

IC Document Collections

IC ID	Document Title	Status
182321	National Study of OAA Title III Service Recipients Other-List of survey questions and instructions	Modified

ICR Details

OMB Control No: 0985-0023	ICR Reference No: 201009-0985-001
Status: Historical Active	Previous ICR Reference No: 200710-0985-001
Agency/Subagency: HHS/ACL	Agency Tracking No:
Title: National Survey of OAA Title III Service Recipients
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/25/2010
	Date Received in OIRA: 09/02/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2013	36 Months From Approved	02/28/2011
Responses	6,250	0	6,250
Time Burden (Hours)	4,000	0	4,000
Cost Burden (Dollars)	0	0	0

---

Abstract: The Administration on Aging (AoA) has undertaken an effort to develop a core set of performance measures for state and community programs on aging operating under the Older American Act (OAA). This assists AoA to meet the accountability provisions of the Program Assessment Rating Tool (PART) and Government Performance and Results Act (GPRA). AoA has funded the nationwide survey of AoA participants utilizing the survey modules based on the Sixth Performance Outcome Measures Project.

---

Authorizing Statute(s): PL: Pub.L. 109 - 365 205(a)(1)(C) Name of Law: Older Americans Act
   PL: Pub.L. 109 - 365 206 Name of Law: Older Americans Act
   PL: Pub.L. 109 - 365 202(f) Name of Law: Older Americans Act
  

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:
	75 FR 26759	05/12/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 48973	08/12/2010
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
National Study of OAA Title III Service Recipients

---

ICR Summary 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	6,250	6,250	0	0	0	0
Annual Time Burden (Hours)	4,000	4,000	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $998,532

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? 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? Uncollected

---

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: 09/02/2010

---