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OMB Control No: 0985-0022	ICR Reference No: 201006-0985-001
Status: Historical Active	Previous ICR Reference No: 200703-0985-001
Agency/Subagency: HHS/ACL	Agency Tracking No:
Title: Alzheimer's Disease Supportive Services Program (ADSSP) Data Collection
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/11/2010
	Date Received in OIRA: 06/07/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2013	36 Months From Approved	08/31/2010
Responses	94	0	38
Time Burden (Hours)	1,410	0	950
Cost Burden (Dollars)	0	0	0

Abstract: The Alzheimer's Disease Supportive Services Program (ADSSP) was established under Section 398 of the Public Health Service Act (P.L. 78-410; 42 U.S.C. 280c-3). It was amended by the Home Health Care and Alzheimer's Disease Amendments of 1990 (PL 101-557) and by the Health Professions Education Partnerships Act of 1998 (PL 105-392). The ADSSP is administered by the Administration on Aging (AoA) within the U.S. Department of Health and Human Services. The ADSSP program helps states extend supports and services to persons with dementia and their family caregivers, with a focus on underserved populations. The PHS Act requires AoA to "provide for an evaluation of each demonstration project for which a grant is made." In compliance with the PHS Act, AoA developed a new State data collection protocol that will require future ADSSP state grantees (those funded starting in FY 2011) to transmit semi-annual data to AoA. In December 2009, AoA initiated a review of the current ADSSP-Data Reporting Tool (ADSSP-DRT) to ensure the acceptability of these items for evaluating the program and minimizing burden for respondents. This review included experts in the field of Alzheimer's disease and long-term care who are familiar with the program, as well as current ADSSP grantees. Feedback was provided by phone and e-mail over a period of 4 months. The result of this input is the revised ADSSP-DRT and supporting documents. As with the current ADSSP-DRT, AoA will work with ADSSP grantees to ensure easy access to a reporting system and offer regular training in using the tool to ensure minimal burden for program grantees.

Authorizing Statute(s): PL: Pub.L. 101 - 557 398 399 399A Name of Law: Home Health Care and Alzheimer's Disease Amendment of 1990
   PL: Pub.L. 78 - 410 398 Name of Law: Public Health Service Act
   PL: Pub.L. 105 - 392 302 Name of Law: Health Professions Education Partnerships 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 12241	03/15/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 28809	05/24/2010
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
Alzheimer's Disease Supportive Services Program (ADSSP) Data Collection

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	94	38	56
Annual Time Burden (Hours)	1,410	950	460
Annual Cost Burden (Dollars)	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: The annual reporting burden hour estimates have increased from 950 hours to 1410 hours for the following reasons: o The new estimates are for 47 grantee respondents, rather than the 38 grantee respondents from the original ADSSP-DRT approval. o Although, for the current data set, it was anticipated that grantee respondents would spend 25 hours spent reporting annually, the actual number of hours spent, as reported by the current ADSSP state grantees consulted, was 15 hours annually. o The frequency of data reporting will increase from annually to semi-annually. The annual reporting burden for grantees is anticipated to be 30 hours (15 twice yearly x 2). This is likely an over-estimate because several items included in the current tool are not included in the revised tool. Refinements have also been made to the supporting documents in order to streamline the data collection template and data definitions. The proposed move from annual to semi-reporting came as a result of a re-evaluation of the ADSSP-DRT by AoA, experts in the field of Alzheimer's disease and long-term care, and current ADSSP state grantees. Based on the collection experiences over the past three years, AoA and the expert reviewers believe that more frequent data collection would be helpful in order to comply with the requirements of the PHS Act, for federal level advocacy and for management of the program; all ADSSP state grantees consulted believed that more up-to-date information would be helpful for state-level advocacy.

Annual Cost to Federal Government: $22,288

Does this IC contain surveys, censuses, or employ statistical methods? No

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]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Harry Posman 2023573540

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