View Information Collection Request (ICR) Package

OMB Control No: 0985-0055	ICR Reference No: 201712-0985-001
Status: Historical Active	Previous ICR Reference No: 201612-0985-003
Agency/Subagency: HHS/ACL	Agency Tracking No:
Title: Process Evaluation and Special Studies Related to the Long-Term Care Ombudsman Program
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/01/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/01/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2020	03/31/2020	03/31/2020
Responses	765	0	765
Time Burden (Hours)	484	0	484
Cost Burden (Dollars)	0	0	0

Abstract: The Administration for Community Living/Administration on Aging (ACL/AoA) is requesting approval from the Office of Management and Budget (OMB) for data collection associated with the Process Evaluation and Special Studies Related to the Long-Term Care Ombudsman Program (LTCOP) (Contract # HHSP233201500048I). ). The Older Americans Act (OAA) Title III-C Elderly Nutrition Services Program (statutory authority is contained in Title II section 205(a)(2)(A) authorizes ACL to evaluate all named programs. The goal of the LTCOP (named in section 712 of the Older American’s Act) is to protect and promote the health, safety, welfare, and rights of long-term care facility residents. Administered by ACL/AoA, LTCOPs operate in all 50 states, the District of Columbia, Puerto Rico, and Guam. Each of these programs is led by a full-time ombudsman who is responsible for statewide program administration and oversight of representatives of the office and volunteers who assist in carrying out the core activities of the program, including resolving residents' complaints, advocating for systemic change, and providing information and consultation to residents and their families. In 2014, there were 1,293 paid program staff and 8,155 volunteers serving the program across the country and in Puerto Rico. The purpose of the process evaluation is to obtain a thorough understanding of the LTCOP’s structure and operations at the national, state and local levels; use of resources to carry out legislative mandates; the nature of program partnerships; and processes for sharing information on promising program practices and areas for improvement. Data collection for the process evaluation consists of two rounds. ACL seeks clearance for round one and provisional clearance for Round 2 dependent upon receiving final marked up surveys. The first round focuses on obtaining information from three respondent categories at the national and state levels: Federal staff, national stakeholders, and State ombudsmen. Data collection from these respondents will help inform and refine the second round of data collection focusing on obtaining information from respondents at the local level. These include local directors/regional representatives, local representatives, and volunteers. For example, data collected from Round 1 will serve to inform the subsequent data collection for Task 7 of the project. This task focuses on investigating how the ombudsman program has been addressing and affecting the changing landscape of long term services and supports (LTSS). State ombudsmen responses to questions about reforms in LTSS and home and community-based care will help identify states for further study and obtain information at the local level. This package addresses these two rounds of the project, with an emphasis on the first round

Authorizing Statute(s): US Code: 42 USC 3017 Name of Law: Evaluations of Programs
PL: Pub.L. 109 - 365 206 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:
	81 FR 41975	06/28/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 72591	10/20/2016
Did the Agency receive public comments on this ICR? No

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	765	765
Annual Time Burden (Hours)	484	484
Annual Cost Burden (Dollars)	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: This is a new information collection.

Annual Cost to Federal Government: $312,512

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. 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

Agency Contact: Susan Jenkins 202 795-7369

View ICR - OIRA Conclusion