Chronic Disease Self-Management Education Program

ICR 201908-0985-003

OMB: 0985-0036

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Removed
Form and Instruction
Modified
Supporting Statement A
2019-10-29
ICR Details
0985-0036 201908-0985-003
Active 201606-0985-002
HHS/ACL
Chronic Disease Self-Management Education Program
Revision of a currently approved collection   No
Regular
Approved without change 11/26/2019
Retrieve Notice of Action (NOA) 10/30/2019
  Inventory as of this Action Requested Previously Approved
11/30/2022 36 Months From Approved 11/30/2019
14,915 0 4,648
3,375 0 693
0 0 0

The Administration on Aging (AoA), part of the Administration for Community Living (ACL), will use the proposed set of data collection tools to monitor grantees receiving “Empowering Older Adults and Adults with Disabilities through Chronic Disease Self-Management Education (CDSME)” cooperative agreements. Most recently, through funding provided by 2019 Prevention and Public Health Funds, ACL awarded 11 cooperative agreements for a three-year project period beginning May 1, 2019. Grantee agencies represent a variety of organization types, including state agencies (aging and public health), area agencies on aging, universities, and nonprofit organizations. Grantees are tasked with two primary goals: (1) significantly increase the number of older adults and adults with disabilities who participate in CDSME and self-management support programs and (2) develop a sustainable infrastructure for these proven interventions. The most widely disseminated CDSME is the Chronic Disease Self-Management Program (CDSMP), originally developed at Stanford University. In addition to the English version of the CDSMP, which is appropriate for any type of chronic condition, other evidence-based self-management education programs have been developed for individuals with diabetes, chronic pain, or HIV, those with cancer or cancer survivors, for Spanish-speaking individuals, and in an internet format. Additionally, self-management support programs spanning topics such as behavioral health, physical activity, and medication management are supported through this funding initiative. Grantees collect information at both the workshop and participant level. Specific to the workshop, information on workshop type, location, start/end date, etc. is collected. At the participant level, de-identified demographic and health status information is collected. AoA funds the National Council on Aging (NCOA) to serve as the National CDSME Resource Center and provide technical assistance (TA) to grantees as well as the broader network of organizations implementing CDSME and self-management support programs. NCOA created an online database that grantees and other program sites use to provide data on their workshops. This system allows AoA to regularly monitor grantee performance status, including data analysis, maps, comparative charts, and identification of high- and low-performing grantees in order to identify and target technical assistance needs. AoA will use this set of data collection tools to monitor 29 grantees that were awarded cooperative agreements in response to the “Empowering Older Adults and Adults with Disabilities through Chronic Disease Self-Management Education Programs” funding opportunities competed in 2017, 2018, and 2019. These data collection tools will also be used for future CDSME cooperative agreements. AoA will use the information 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 CDSME program at the federal, state, and local levels; 4) identify program implementation issues and technical assistance needs; 5) identify best practices to serve as the basis for developing resources to help grantees learn from and replicate these practices; and 6) provide information for reports to Congress, other government agencies, stakeholders, and to the public about grantee progress. Data will be collected from grantee staff and program staff/volunteers involved in delivering CDSME workshops, as well as individuals who participate in CDSME workshops

US Code: 42 USC 301 Name of Law: Public Health Services Act
   PL: Pub.L. 109 - 365 202 Name of Law: functions of the Assistant Secretary for Aging
   PL: Pub.L. 111 - 148 4002 Name of Law: Prevention and Public Health Fund
   PL: Pub.L. 112 - 74 220 Name of Law: Reporting
   US Code: 42 USC 1701(a)(3)(A-B), (a)(4) Name of Law: Public Health Services Act
   US Code: 42 USC 1703(a)(4) Name of Law: Public Health Services Act
  
None

Not associated with rulemaking

  84 FR 32746 07/09/2019
84 FR 56813 10/23/2019
Yes

  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 14,915 4,648 0 0 10,267 0
Annual Time Burden (Hours) 3,375 693 0 2,789 -107 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
There is an adjustment increase of 10,283 respondents and a program change increase of 2,789 annual burden hours. ACL is not requesting renewal of Host/Implementation Organization Information Form or performance report instructions. ACL intends to continue using an online data entry system for the program and participant survey data. In addition to non-substantive formatting edits, minor changes were made to the program information cover sheet and participant information survey. All changes proposed are based on feedback from a focus group that included a sub-set of current grantees, as well as consultation with subject matter experts.

$238,326
No
    No
    No
Yes
No
No
Uncollected
Tomakie Washington 202 795-7336 tomakie.washington@acl.hhs.gov

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
10/30/2019


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