View Information Collection Request (ICR) Package
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0985-0023
ICR Reference No:
200710-0985-001
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
HHS/ACL
Agency Tracking No:
Title:
Fourth National Study of OAA Title III Service Recipients
Type of Information Collection:
New collection (Request for a new OMB Control Number)
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
02/01/2008
Retrieve Notice of Action (NOA)
Date Received in OIRA:
10/11/2007
Terms of Clearance:
This collection is approved contingent upon the following term of clearance: In November 2008, the Administration on Aging will brief OMB on the status of the Fourth National Study of OAA Title III Service Recipients.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
02/28/2011
18 Months From Approved
Responses
6,250
0
0
Time Burden (Hours)
4,000
0
0
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):
None
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:
72 FR 31836
06/08/2007
30-day Notice:
Federal Register Citation:
Citation Date:
72 FR 45249
08/13/2007
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Fourth 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
0
0
6,250
0
0
Annual Time Burden (Hours)
4,000
0
0
4,000
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
New collection replaces an annual study which has: 1) a core set of questions which remains constant for each study; and 2) a variable set which focuses on different services with each update of the study; this is the fourth such national survey and it is done this way so as not to overburden the respondents with questions and in order to be flexible to the changing needs of the programs and constituents being studied. The content of these studies have ben designed to take about the same amount of time for each of these national studies; so therefore, the questions on reduction/increase, as stated above, do not apply to this collection, because the burden should be constant for each study.
Annual Cost to Federal Government:
$0
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]?
Uncollected
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Uncollected
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
Uncollected
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Valerie Cook 2023573583 Valerie.Cook@aoa.hhs.gov
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:
10/11/2007