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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: 201802-0985-002
Status: Historical Active	Previous ICR Reference No: 201706-0985-002
Agency/Subagency: HHS/ACL	Agency Tracking No:
Title: National Longitudinal Survey of Older Americans Act Participants
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: 04/11/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/22/2018
Terms of Clearance: OMB appreciates the thoughtful and rigorous manner in which ACL has developed plans to transition the National Survey of Older Americans Act Participants to a longitudinal study in order to provide added value to users and stakeholders. In order to align the OMB clearance process with the data collection schedule, ACL agrees to submit a one-year extension or revision request at the end of the current 3-year approval period, followed by a full 3-year clearance package when that one-year extension expires. At least 6 months prior to submission of the next 3-year OMB clearance package, ACL agrees to provide a report to OMB describing the initial results and lessons learned, as well as any revisions planned for the next round of OMB clearance.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2021	36 Months From Approved	02/28/2021
Responses	19,150	0	6,250
Time Burden (Hours)	13,600	0	5,000
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	19,150	6,250	12,900
Annual Time Burden (Hours)	13,600	5,000	8,600
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: This is a proposed revision to a previously approved data collection. The previously approved data collection covered a cross-sectional survey. This PRA package covers a three-year longitudinal survey, as well as cognitive testing of an updated survey instrument. The results of the cognitive testing will be incorporated into the final survey instrument. The final survey instrument will be administered in the longitudinal survey. When respondents are unreachable at either Year 2 or Year 3 of the data collection, interviewers will administer a brief questionnaire to the respondents’ contact person to determine their status (e.g., currently receiving services or not currently receiving services and the reasons for the non-contact).

Annual Cost to Federal Government: $1,491,397

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. Yes

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: Mark Snyderman 202 795-7439