Certification of Maintenance of Effort

ICR 202010-0985-002

OMB: 0985-0009

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2020-11-27
IC Document Collections
IC ID
Document
Title
Status
10263 Modified
ICR Details
0985-0009 202010-0985-002
Active 201710-0985-004
HHS/ACL
Certification of Maintenance of Effort
Extension without change of a currently approved collection   No
Regular
Approved without change 01/04/2021
Retrieve Notice of Action (NOA) 11/30/2020
  Inventory as of this Action Requested Previously Approved
01/31/2024 36 Months From Approved 12/31/2020
112 0 56
56 0 28
0 0 0

The Administration for Community Living is requesting approval of the Certification of Maintenance of Effort for Title III and extension of, with minor revisions due to statutory language changes, to the Certification for Long-Term Care Ombudsman (LTCO) Program Expenditures, OMB number 0985-0009. Title III of the Older Americans Act, as amended, 42 USC 3029(c), requires that a State’s allotment for a given fiscal year be reduced by the percentage (if any) by which its expenditures from State sources are less than its average annual expenditures from such sources for the period of three consecutive fiscal years preceding such fiscal year. The information collected on the Federal Financial Report, SF 425, combines the funds from State and local sources, ACL is unable to identify expenditures solely from State sources without the requested financial data. Under Title III of the Older Americans Act, as amended, 42 USC 3027(a)(9), assurances are required from the State agency that they will carry out a State Long-Term Care Ombudsman Program and will expend for such purposes an amount that is not less than an amount expended by the State agency with funds received under Title III for fiscal year 2019. An additional assurance is established in Title VII of the Older Americans Act, as amended; 42 USC 3058d(a)(4) requires that the State will use funds made available in addition to, and will not supplant, any funds that are expended under Federal or State law. The LTCO data allows ACL to monitor compliance with these requirements.

PL: Pub.L. 45 - 49 1321 Name of Law: grantee cert of maintenance
   PL: Pub.L. 109 - 365 374 Name of Law: null
  
None

Not associated with rulemaking

  85 FR 51034 08/19/2020
85 FR 73274 11/17/2020
No

1
IC Title Form No. Form Name
Certification of Maintenance of Effort NA ACL MOE

  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 112 56 0 0 56 0
Annual Time Burden (Hours) 56 28 0 0 28 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
There is an adjustment increase in the number of respondents. This is an extension without change to the currently approved ICR. There is an adjustment of 56 respondents from the previous collection year. All information collected on the current form was collected in the previous form.

$5,509
No
    No
    No
No
No
No
No
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.
11/30/2020


© 2024 OMB.report | Privacy Policy