View Information Collection Request (ICR) Package

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: 201908-0985-001
Status: Historical Active	Previous ICR Reference No: 201812-0985-001
Agency/Subagency: HHS/ACL	Agency Tracking No:
Title: National Survey of Older Americans Act Participants
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 with change	Conclusion Date: 08/20/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/08/2019
Terms of Clearance: Title updated (to remove "longitudinal ") and the change request is approved with the understanding that: a) NSOAAP is not transitioning to a longitudinal study, b) NSOAAP no longer needs a one-year extension at the end of the current 3-year approval period as is stated in the Terms of Clearance, c) non-substantive changes have been made to the information collection instrument, d) NSOAAP is keeping the revisions to the study questions that were approved on 4/11/18, and e) ACL still anticipates submitting a request to OMB to add a rotating module to the study. With this, only the “2019 14th NSOAAP Survey Instrument” is needed for the collection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2021	04/30/2021	04/30/2021
Responses	19,150	0	19,150
Time Burden (Hours)	13,600	0	13,600
Cost Burden (Dollars)	0	0	0

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