View Information Collection Request (ICR) Package

OMB Control No: 0985-0022	ICR Reference No: 202310-0985-003
Status: Active	Previous ICR Reference No: 202010-0985-003
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 without change	Conclusion Date: 04/05/2024
	Date Received in OIRA: 12/29/2023
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2027	36 Months From Approved	04/30/2024
Responses	138	0	540
Time Burden (Hours)	916	0	2,329
Cost Burden (Dollars)	0	0	0

Abstract: The Alzheimer’s and Dementia Program Data Reporting Tool (ADP-DRT) is needed in order to: •Collect data for performance measures used in the justification of the budget to Congress and by program, state and national decision makers. •Effectively manage the ACL’s Alzheimer’s Disease Program at the federal, state and local levels. •Advocate at the federal and state levels for more effective and efficient supports and services for persons with Alzheimer’s disease and their caregivers. The ADP-DRT collects information about the delivery of supports and services by the Administration for Community Living (ACL) Alzheimer’s Disease Program grantees, including basic demographic information about service recipients and spending on direct services and administrative expenses. The Older American’s Act requires ACL to evaluate “demonstration projects that support the objectives of this Act, including activities to bring effective demonstration projects to scale with a prioritization of projects that address the needs of under served populations, and promote partnerships among aging services, community-based organizations, and Medicare and Medicaid providers, plans, and health (including public health) systems. (Section 201 (42 U.S.C. 3011) Sec. 127. Research and Evaluation). To fulfill the evaluation requirements and allow for optimal federal and state-level management of the program, specific information must be collected from grantees, including the following: A. The number of persons with Alzheimer’s disease or related dementia or at high risk of dementia and/or their caregivers served by the program and their respective demographic characteristics. B. The number of professionals trained in dementia education, care and best practices. C. Information about grant funds spent on direct services, program administration costs and general organizational administrative costs. D. The provision of direct services to persons with Alzheimer’s disease or related dementia or at high risk of dementia and/or their caregivers. Information from the ADP-DRT will be provided to: federal and state legislators; state agencies on aging; national, state and local organizations with an interest in Alzheimer’s disease and related dementia and long-term care issues; current and future ACL Alzheimer’s Disease Program grantees; and private citizens who request it. Information will be posted on ACL’s National Alzheimer’s and Dementia Resource Center (NADRC) website.

Authorizing Statute(s): PL: Pub.L. 105 - 392 302 Name of Law: Health Professions Education Partnerships Act
   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

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:
	88 FR 7302	10/24/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 89698	12/28/2023
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	NA

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	138	540	-402
Annual Time Burden (Hours)	916	2,329	-1,413
Annual Cost Burden (Dollars)	0	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There is an annual burden decrease of 1,413 hours and 402 annual responses.

Annual Cost to Federal Government: $45,029

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

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? No

Agency Contact: Tomakie Washington 202 795-7336 tomakie.washington@acl.hhs.gov

View ICR - OIRA Conclusion