83 FR 13989 - Agency Information Collection Activities; Submission for OMB Review; Public Comment Request; Older American Act Title III and Title VII (Chapters 3 and 4) Annual State Program Reporting (Annual Performance Data Collection); This is a Revision to the Existing State Program Report (OMB Approval 0985-0008)
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Community Living Federal Register Volume 83, Issue 63 (April 2, 2018)
Administration for Community Living
Federal Register Volume 83, Issue 63 (April 2, 2018)
| Page Range | 13989-13990 | |
| FR Document | 2018-06662 |
[Federal Register Volume 83, Number 63 (Monday, April 2, 2018)] [Notices] [Pages 13989-13990] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-06662] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Community Living Agency Information Collection Activities; Submission for OMB Review; Public Comment Request; Older American Act Title III and Title VII (Chapters 3 and 4) Annual State Program Reporting (Annual Performance Data Collection); This is a Revision to the Existing State Program Report (OMB Approval 0985-0008) AGENCY: Administration for Community Living (ACL), HHS. ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: The Administration for Community Living is announcing that the proposed collection of information listed above has been submitted to the Office of Management and Budget (OMB) for review and clearance as required under section 506(c)(2)(A) of the Paperwork Reduction Act of 1995. This 30-Day notice collects comments on the information collection requirements related to annual performance data from State grantees under the Older Americans Act related to Title III and Title VII (Chapters 3 and 4) of that act. Title III includes, for example, home delivered and congregate meal services, transportation and caregiver service; and Title VII includes Elder Abuse Prevention and Legal Assistance Development (ICR Rev). DATES: Submit written comments on the collection of information by May 2, 2018. ADDRESSES: Submit written comments on the collection of information by: (a) Email to: OIRA_submission@omb.eop.gov, Attn: OMB Desk Officer for ACL; (b) Fax to 202.395.5806, Attn: OMB Desk Officer for ACL; or (c) By mail to the Office of Information and Regulatory Affairs, OMB, New Executive Office Bldg., 725 17th St. NW, Rm. 10235, Washington, DC 20503, Attn: OMB Desk Officer for ACL. FOR FURTHER INFORMATION CONTACT: ACL's Office of Performance and Evaluation at SPRredesign.comments@acl.hhs.gov. SUPPLEMENTARY INFORMATION: In compliance with 44 U.S.C. 3507, ACL has submitted the following proposed collection of information to OMB for review and clearance. This collection is a revision of the 2016 approved version of the State Program Report and incorporates significant reduction in data collected. This data collection is essential to provide performance measures as required by Congress and the GPRA Modernization Act of 2010 (GPRAMA). Significant revisions to the SPR were last implemented in 2005. This proposed collection is a revision of the currently approved version (effective 2016-2019). The factors that influenced the proposed revision of the SPR, include: (1) The need to modernize the data structure to allow for more efficient reporting and the ability to use current technology for reporting and analysis; (2) the interest in aligning data elements within and across data collections; (3) the need to consider alternative data elements that reflect the current Aging Network and long-term care services and supports; and (4) the need to reduce reporting burden while enhancing data quality. The proposed SPR revision reduces the number of data elements reported by 70% and the amount of time for completion by 30% as compared to the current 2016-2019 SPR. This is a reduction of 874 hours from the previous version. [[Page 13990]] Reductions in data elements are found throughout the data collection but are concentrated in the consumer demographic components. Due to the aggregate level nature of the SPR, information on combinations of demographic characteristics (e.g., number of women served who are 65 years or older and have 2 activity of daily living limitations) require exponentially larger numbers of data elements compared to single demographic characteristics (e.g. number of women served). To reduce the reporting burden associated with the number of data elements ACL is proposing to limit data element combinations. For example, the revised SPR asks for demographic characteristic such as age, race, and gender for three or more ADL and IADLs rather than for zero, one, two and three or more ADLs and IADLs. The remaining proposed demographic data elements include indicators of priority populations (i.e., social and economic vulnerability and frailty) found in the OAA and will allow ACL to continue to measure efforts to target services. Limited expansions in data elements are found in the Title III-E National Family Caregiver Support Program service component. The proposal separates out three service areas that were reported as a whole (i.e., counseling, training and support group services). Separation allows for support group services to be categorized as a non-registered service for which consumer demographic details are no longer reported. Additional information regarding the types of respite services provided under the OAA is sought. The proposal separates assistance services into two types: (1) Case management, and (2) information and assistance. Case management assistance services are categorized as registered, meaning caregiver demographic data are reported while information and assistance services do not include reporting of demographic data. Supplemental services are reported in the same manner as ``other service'' under Title III-B, Home and Community-based Services (HCBS) program. Across the OAA services, greater detail regarding expenditure data is proposed. Under Title III- B, HCBS program, the proposed data collection expands data regarding Title VII legal assistance services. The ACL seeks data on the OAA identified priority legal issues for closed cases. Comments in Response to the 60-Day Federal Register Notice A 60-day Federal Register Notice was published in the Federal Register on June 1, 2017, Vol. 82, No. 104, pp. 25293-25294. ACL received comments from fourteen (14) organizations and one (1) individual about the State Performance Report (SPR) redesign. ACL reviewed all of the comments, but some of the comments were deemed not relevant because they were: (a) About the data submission process itself (b) did not request a change (c) only commented on the format (d) indicated topics for technical assistance and training for the final data collection or (e) provided commentary without referencing the SPR. Regarding concerns about the:Timeline-ACL proposes moving the effective date back by 12 months, Cost, burden, and changes to data elements-ACL recognizes that there is always a cost to changing data systems, but believes that the anticipated improvement in the data justifies the proposed changes, New items related to Legal Services-ACL worked closely with program staff and stakeholders to develop a reasonable data collection to measure the contribution of this important program about which performance data were not previously collected, Need for additional elements including sub-state and individual level data-ACL is not adding more elements or more granular data collection at this time but will consider those suggestions for future data collections, Need for improved definitions and language-ACL made several changes to specific elements and is using these comments to inform the training and technical assistance it provides, and Caregiver program-ACL made revisions to several items and is using these comments to inform the training and technical assistance it provides. A detailed analysis of the comments and responses can be found at (https://www.reginfo.gov/public/do/PRAMain. The proposed data collection template may be found on the ACL website at https://www.acl.gov/about-acl/public-input. Estimated Program Burden: ACL estimates the burden of this collection of information as follows: 56 State Agencies on Aging respond annually and it will take an average of 33.5 hours for a total of 1,876 hours. This is a reduction of 874 hours from the previous version. The burden estimate of 33.5 hours was derived from feedback from grantees. ---------------------------------------------------------------------------------------------------------------- Number of Responses per Hours per Annual burden Respondent/data collection activity respondents respondent response hours ---------------------------------------------------------------------------------------------------------------- Older American Act Title III and Title VII 56 1 33.5 1,876 (Chapters 3 and 4) Annual State Program Reporting...................................... --------------------------------------------------------------- Total....................................... 56 1 33.5 1,876 ---------------------------------------------------------------------------------------------------------------- Dated: March 26, 2018. Mary Lazare, Principal Deputy Administrator. [FR Doc. 2018-06662 Filed 3-30-18; 8:45 am] BILLING CODE 4154-01-P
![Federal Register / Vol. 83, No. 63 / Monday, April 2, 2018 / Notices 13989
year 2019, the SNP–MOC program area Finally, separate from the audit requirements related to annual
has been more accurately renamed process and in order to address performance data from State grantees
Special Needs Program Care sponsoring organizations’ concerns under the Older Americans Act related
Coordination Quality Improvement regarding undue harm in Star Ratings to Title III and Title VII (Chapters 3 and
Performance Evaluation (SNP–CCQIPE). during audit years. The number of 4) of that act. Title III includes, for
In addition, the Medication Therapy sponsoring organizations that are example, home delivered and
Management (MTM) pilot protocol has required to submit universes annually congregate meal services, transportation
been suspended until further notice. For for their coverage/organization and caregiver service; and Title VII
that reason, it is no longer posted to the determinations and appeals increased. includes Elder Abuse Prevention and
CMS website. In 2016, CMS expanded this annual Legal Assistance Development (ICR
Beginning in audit year 2019, the data collection to all MA and Part D Rev).
collected via program-specific record sponsoring organizations. The universes DATES: Submit written comments on the
layouts, and collected via impact are submitted in the same format as collection of information by May 2,
analyses on an as-needed basis, will be required for audits under the Part D 2018.
consolidated into each program area CDAG protocol and the Part C ODAG
data request document. The pre-audit protocol. The universes are then ADDRESSES: Submit written comments
issue summary was updated for analyzed for timeliness on an annual on the collection of information by:
technical terminology changes. Three of basis, across all sponsoring (a) Email to: OIRA_submission@
the questionnaires and the power point organizations, to allow a more omb.eop.gov, Attn: OMB Desk Officer
template that previously have been comprehensive review of the accuracy for ACL;
distributed as part of our CPE audits of Part C and D appeals data to calculate (b) Fax to 202.395.5806, Attn: OMB
will remain. However, the CPE self- Star Ratings. Form Number: CMS–10191 Desk Officer for ACL; or
assessment questionnaire and the CDAG (OMB control number: 0938–1000); (c) By mail to the Office of
and ODAG questionnaires have been Frequency: Yearly; Affected Public: Information and Regulatory Affairs,
removed. We have added new Private Sector (business or other for- OMB, New Executive Office Bldg., 725
questionnaires for FA and SNP– profit and not-for-profit institutions); 17th St. NW, Rm. 10235, Washington,
CCQIPE. A revised template for Number of Respondents: 166; Total DC 20503, Attn: OMB Desk Officer for
collecting root cause analyses from Annual Responses: 211; Total Annual ACL.
organizations on an as-needed basis Hours: 51,548. (For policy questions FOR FURTHER INFORMATION CONTACT:
during the program audit has been regarding this collection contact Brenda ACL’s Office of Performance and
included in this package. Hudson at 443–743–9299.) Evaluation at SPRredesign.comments@
We have also included a new acl.hhs.gov.
Dated: March 28, 2018.
independent validation audit work plan William N. Parham, III, SUPPLEMENTARY INFORMATION: In
template that will be collected from Director, Paperwork Reduction Staff, Office compliance with 44 U.S.C. 3507, ACL
sponsors that are required to undergo an of Strategic Operations and Regulatory has submitted the following proposed
independent validation audit. The Affairs. collection of information to OMB for
validation audit is part of our robust [FR Doc. 2018–06645 Filed 3–30–18; 8:45 am] review and clearance. This collection is
audit process where CMS requires BILLING CODE 4120–01–P a revision of the 2016 approved version
sponsoring organizations that have been of the State Program Report and
audited and found to have deficiencies incorporates significant reduction in
to undergo a validation audit to ensure DEPARTMENT OF HEALTH AND data collected. This data collection is
correction. The validation audit utilizes HUMAN SERVICES essential to provide performance
the same audit protocols, but only tests measures as required by Congress and
the elements where deficiencies were Administration for Community Living the GPRA Modernization Act of 2010
found, as opposed to re-administering (GPRAMA). Significant revisions to the
the entire audit. This validation audit Agency Information Collection SPR were last implemented in 2005.
work plan template will be populated Activities; Submission for OMB This proposed collection is a revision of
by the sponsoring organization’s Review; Public Comment Request; the currently approved version
independent auditing firm to describe Older American Act Title III and Title VII (effective 2016–2019). The factors that
how it plans to test for correction of the (Chapters 3 and 4) Annual State influenced the proposed revision of the
deficiencies identified during the Program Reporting (Annual SPR, include: (1) The need to modernize
program audit. Performance Data Collection); This is a the data structure to allow for more
To assist in improving the audit Revision to the Existing State Program efficient reporting and the ability to use
process, we have also included an audit Report (OMB Approval 0985–0008) current technology for reporting and
feedback questionnaire that is AGENCY: Administration for Community analysis; (2) the interest in aligning data
representative of the survey link we Living (ACL), HHS. elements within and across data
send to sponsoring organizations at the ACTION: Notice. collections; (3) the need to consider
end of each program audit. Completion alternative data elements that reflect the
of this questionnaire is optional for SUMMARY: The Administration for current Aging Network and long-term
sponsoring organizations to provide Community Living is announcing that care services and supports; and (4) the
feedback on the audit process. the proposed collection of information need to reduce reporting burden while
daltland on DSKBBV9HB2PROD with NOTICES
The proposed changes to each data listed above has been submitted to the enhancing data quality. The proposed
collection instrument, along with the Office of Management and Budget SPR revision reduces the number of data
new FA and SNP–CCQIPE (OMB) for review and clearance as elements reported by 70% and the
questionnaires, root cause template, required under section 506(c)(2)(A) of amount of time for completion by 30%
validation audit work plan template and the Paperwork Reduction Act of 1995. as compared to the current 2016–2019
audit feedback questionnaire are This 30-Day notice collects comments SPR. This is a reduction of 874 hours
included in the posted PRA package. on the information collection from the previous version.
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![13990 Federal Register / Vol. 83, No. 63 / Monday, April 2, 2018 / Notices
Reductions in data elements are found into two types: (1) Case management, always a cost to changing data systems,
throughout the data collection but are and (2) information and assistance. Case but believes that the anticipated
concentrated in the consumer management assistance services are improvement in the data justifies the
demographic components. Due to the categorized as registered, meaning proposed changes,
aggregate level nature of the SPR, caregiver demographic data are reported • New items related to Legal Services-
information on combinations of while information and assistance ACL worked closely with program staff
demographic characteristics (e.g., services do not include reporting of and stakeholders to develop a
number of women served who are 65 demographic data. Supplemental reasonable data collection to measure
years or older and have 2 activity of services are reported in the same the contribution of this important
daily living limitations) require manner as ‘‘other service’’ under Title program about which performance data
exponentially larger numbers of data III–B, Home and Community-based were not previously collected,
elements compared to single Services (HCBS) program. Across the • Need for additional elements
demographic characteristics (e.g. OAA services, greater detail regarding including sub-state and individual level
number of women served). To reduce expenditure data is proposed. Under data-ACL is not adding more elements
the reporting burden associated with the Title III–B, HCBS program, the proposed or more granular data collection at this
number of data elements ACL is data collection expands data regarding time but will consider those suggestions
proposing to limit data element Title VII legal assistance services. The for future data collections,
combinations. For example, the revised ACL seeks data on the OAA identified • Need for improved definitions and
SPR asks for demographic characteristic priority legal issues for closed cases. language-ACL made several changes to
such as age, race, and gender for three
Comments in Response to the 60-Day specific elements and is using these
or more ADL and IADLs rather than for
Federal Register Notice comments to inform the training and
zero, one, two and three or more ADLs
technical assistance it provides, and
and IADLs. The remaining proposed A 60-day Federal Register Notice was
demographic data elements include • Caregiver program-ACL made
published in the Federal Register on
indicators of priority populations (i.e., revisions to several items and is using
June 1, 2017, Vol. 82, No. 104, pp.
social and economic vulnerability and these comments to inform the training
25293–25294.
frailty) found in the OAA and will allow ACL received comments from and technical assistance it provides.
ACL to continue to measure efforts to fourteen (14) organizations and one (1) A detailed analysis of the comments
target services. individual about the State Performance and responses can be found at (https://
Limited expansions in data elements Report (SPR) redesign. ACL reviewed all www.reginfo.gov/public/do/PRAMain.
are found in the Title III–E National of the comments, but some of the The proposed data collection template
Family Caregiver Support Program comments were deemed not relevant may be found on the ACL website at
service component. The proposal because they were: (a) About the data https://www.acl.gov/about-acl/public-
separates out three service areas that submission process itself (b) did not input.
were reported as a whole (i.e., request a change (c) only commented on Estimated Program Burden: ACL
counseling, training and support group the format (d) indicated topics for estimates the burden of this collection
services). Separation allows for support technical assistance and training for the of information as follows: 56 State
group services to be categorized as a final data collection or (e) provided Agencies on Aging respond annually
non-registered service for which commentary without referencing the and it will take an average of 33.5 hours
consumer demographic details are no SPR. Regarding concerns about the: for a total of 1,876 hours. This is a
longer reported. Additional information • Timeline-ACL proposes moving the reduction of 874 hours from the
regarding the types of respite services effective date back by 12 months, previous version. The burden estimate
provided under the OAA is sought. The • Cost, burden, and changes to data of 33.5 hours was derived from feedback
proposal separates assistance services elements-ACL recognizes that there is from grantees.
Responses
Number of Hours per Annual burden
Respondent/data collection activity per
respondents response hours
respondent
Older American Act Title III and Title VII (Chapters 3 and 4) Annual State
Program Reporting ....................................................................................... 56 1 33.5 1,876
Total .......................................................................................................... 56 1 33.5 1,876
Dated: March 26, 2018. DEPARTMENT OF HEALTH AND SUMMARY: The Food and Drug
Mary Lazare, HUMAN SERVICES Administration (FDA or Agency) is
Principal Deputy Administrator. announcing the availability of a draft 5-
Food and Drug Administration year plan describing the Agency’s
[FR Doc. 2018–06662 Filed 3–30–18; 8:45 am]
BILLING CODE 4154–01–P [Docket No. FDA–2018–N–1010] approach to further the implementation
of structured benefit-risk assessment,
Food and Drug Administration including the incorporation of the
daltland on DSKBBV9HB2PROD with NOTICES
Prescription Drug User Fee Act VI patient’s voice in drug development and
Benefit-Risk Implementation Plan; decision-making, in the human drug
Request for Comments review program and the opportunity for
AGENCY: Food and Drug Administration, public comment on the draft plan. This
HHS. new draft plan is an update to the 5-year
plan published in February 2013 on
ACTION: Notice; request for comments.
FDA’s website. This new draft plan is
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Document Created: 2018-11-01 09:08:56
Document Modified: 2018-11-01 09:08:56
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Dates | Submit written comments on the collection of information by May 2, 2018. | |
| Contact | ACL's Office of Performance and Evaluation at [email protected] | |
| FR Citation | 83 FR 13989 |
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