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OMB Control No: 0985-0005	ICR Reference No: 202404-0985-004
Status: Received in OIRA	Previous ICR Reference No: 202108-0985-001
Agency/Subagency: HHS/ACL	Agency Tracking No:
Title: State Annual Long-Term Care Ombudsman Report
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 10/31/2024

	Requested	Previously Approved
Expiration Date	36 Months From Approved	12/31/2025
Responses	52	52
Time Burden (Hours)	11,153	11,153
Cost Burden (Dollars)	0	0

Abstract: The State Annual Long-Term Care Ombudsman Report is needed to comply with Administration for Community Living/Administration on Aging (ACL/AoA) reporting requirements in the Older Americans Act (OAA); and 45 CFR §1324.21(b) (1) and (b)(2)(v). The long-term care ombudsman report is used to measure the services and strategies that are provided to assist residents in the protection of their health, safety, welfare or rights; advocate at the state and federal levels for changes needed to improve the quality of life and care in long-term care facilities; and effectively manage the Long-Term Care Ombudsman Program at the state and federal level. The National Ombudsman Reporting System (NORS) was developed in response to these needs and directives. Section 712(c) of the OAA requires the state agency to establish a statewide uniform reporting system to: (1) Collect and analyze data relating to resident complaints and conditions in long-term care facilities for the purpose of identifying and resolving significant problems. and (2) Submit the data on a regular basis to the state licensing/certifying agency, other state and federal entities that the Ombudsman determines to be appropriate, the Assistant Secretary for Aging, and the National Long-Term Care Ombudsman Resource Center.

Authorizing Statute(s): US Code: 42 USC chapter 35 Name of Law: Programs for Older Americans
PL: Pub.L. 109 - 365 712 (c),(h)(1)-(3) 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:
	89 FR 63956	08/06/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 86807	10/31/2024
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
State Annual Long-Term Care Ombudsman Report	NA, NA, NA	NORS Table 1 , NORS Table 2 , NORS Table 3

ICR Summary of Burden

	Total Request	Previously Approved
Annual Number of Responses	52	52
Annual Time Burden (Hours)	11,153	11,153
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:

Annual Cost to Federal Government: $207,994

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

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