83 FR 55186 - Agency Information Collection Activities: Proposed Collection; Public Comment Request; New Data Collection (ICR New) of the No Wrong Door (NWD) System Management Tool
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Community Living Federal Register Volume 83, Issue 213 (November 2, 2018)
Administration for Community Living
Federal Register Volume 83, Issue 213 (November 2, 2018)
| Page Range | 55186-55187 | |
| FR Document | 2018-24053 |
[Federal Register Volume 83, Number 213 (Friday, November 2, 2018)] [Notices] [Pages 55186-55187] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-24053] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Community Living Agency Information Collection Activities: Proposed Collection; Public Comment Request; New Data Collection (ICR New) of the No Wrong Door (NWD) System Management Tool AGENCY: Administration for Community Living, Department of Health and Human Services. ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: The Administration for Community Living (ACL) is announcing an opportunity for the public to comment on the proposed collection of information listed above. Under the Paperwork Reduction Act of 1995 (the PRA), Federal agencies are required to publish a notice in the Federal Register concerning each proposed collection of information, including each proposed extension of an existing collection of information, and to allow 60 days for public comment in response to the notice. This New Data Collection (ICR New) solicits comments on the information collection requirements relating to the Aging and Disability Resource Center/No Wrong Door System (ADRC/NWD). The statutory authority for ADRC/NWD is contained in Title IV of the Older Americans Act (OAA), as amended by the Older Americans Act Amendments of 2006, Public Law 109-365. DATES: Comments on the collection of information must be submitted electronically by 11:59 p.m. (EST) or postmarked by January 2, 2019. ADDRESSES: Submit electronic comments on the collection of information to: Ami Patel, [email protected]. Submit written comments on the collection of information to Administration for Community Living, 330 C Street SW, Washington, DC 20201, Attention: Ami Patel. FOR FURTHER INFORMATION CONTACT: Ami Patel at (202) 795-7376 or [email protected]. SUPPLEMENTARY INFORMATION: Under the PRA (44 U.S.C. 3501-3520), Federal agencies must obtain approval from the Office of Management and Budget (OMB) for each collection of information they conduct or sponsor. ``Collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and includes agency requests or requirements that members of the public submit reports, keep records, or provide information to a third party. Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) requires Federal agencies to provide a 60-day notice in the Federal Register concerning each proposed collection of information, including each proposed extension of an existing collection of information, before submitting the collection to OMB for approval. To comply with this requirement, ACL is publishing a notice of the proposed collection of information set forth in this document. With respect to the following collection of information, ACL invites comments on our burden estimates or any other aspect of this collection of information, including: (1) Whether the proposed collection of information is necessary for the proper performance of ACL's functions, including whether the information will have practical utility; (2) the accuracy of ACL's estimate of the burden of the proposed collection of information, including the validity of the methodology and assumptions used to determine burden estimates; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques when appropriate, and other forms of information technology. ACL, the Centers for Medicare and Medicaid Services (CMS), and the Veterans Health Administration (VHA) have partnered to support states' efforts in developing coordinated systems of access, or No Wrong Door (NWD) Systems, to make it easier for people to learn about and access long-term services and supports (LTSS). When seeking services and supports, individuals and caregivers often face multiple, fragmented processes that are complex and confusing. States' access systems have been built over time as programs and funding streams have been added, creating duplicative eligibility and intake processes that are difficult for individuals and their caregivers to use. To address these issues, the NWD System model supports state efforts to streamline access to LTSS options for all populations and provides the infrastructure to promote the collaboration of local service organizations, making service delivery more efficient and person- centered. Examples of coordinated efforts include processes where individuals are assessed once via a common or standardized data collection method that captures a core set of individual level data relevant for determining the range of necessary LTSS. The federal vision for the NWD System gives states flexibility in determining how best to organize, structure and operate the various functions of their NWD System. States continue to integrate, in some cases restructure, and over time strengthen their existing programs in order to realize the joint ACL/CMS/VHA vision for a fully coordinated and integrated system of access. These efforts are supported by a variety of initiatives, including the VHA's Veteran Directed Care (VDC) program, an evidence-based self-directed program where person-centered counselors from aging and disability network agencies within a state's NWD System provide facilitated assessment and care planning, arrange fiscal management services and provide ongoing counseling and support to Veterans, their families and caregivers. The NWD System Management Tool (NWD MT) provides a platform for data collection necessary to evaluate the four primary functions of a NWD System: State Governance and Administration, Public Outreach and Coordination with Key Referral Sources, Person Centered Counseling, and Streamlined Access to Public LTSS Programs. In addition, this tool will include data collection for the VDC program to collect qualitative and quantitative data elements necessary to evaluate the impact of the VDC program. The VDC tool will track key performance measures and identify best practices and technical assistance needs. The NWD MT and the VDC tool will enable ACL and its partners to collect and analyze data elements necessary to assess the progress of the NWD System model, track performance measures, and identify gaps and best practices. These tools have been designed in close collaboration with states and are intended to simplify grant reporting requirements to reduce burden on local and state entities and will provide a consistent, streamlined and coordinated statewide approach to help states govern their NWD System and manage their programs efficiently. The proposed data collection tools may be found on the ACL website for review at: https://www.acl.gov/about-acl/public-input. Estimated Program Burden: ACL estimates the burden of this collection of information as follows: Fifty-six lead NWD System state and territorial agencies will respond to the NWD MT bi-annually and it will take approximately half an hour to collect the data and an additional half hour to input the data into a web-based system. [[Page 55187]] Additionally, an estimated 996 local agencies will take approximately three hours to collect the data and one hour to submit the data to their lead NWD System state agency. If all state and local agencies respond bi-annually, the national burden estimate for the NWD MT would be a total of 8,080 hours annually. This burden estimate is calculated based upon a sample of three states that tested a demonstration of the NWD MT as a part of the grantee requirements under the NWD System Implementation grant, a competitive funding opportunity funded in 2016 through 2018. Each state entity submitting data will receive local- level data from designated NWD System entities. The estimated response burden includes time to review the instructions, gather existing information, and complete and review the data entries in a web-based system. An estimated 400 VDC program entities will respond to the VDC Tool on a monthly basis, all of which are also NWD local-level entities, for an annual burden of 2,400 hours. This burden estimate is calculated based upon information provided by a current VDC program provider testing a demonstration of the VDC tool. The NWD MT and the VDC tool have been developed to increase ease and uniformity of reporting and improve the ability of ACL to manage and analyze data. ---------------------------------------------------------------------------------------------------------------- Number of Responses per Hours per Annual burden Respondent/data collection activity respondents respondent response hours ---------------------------------------------------------------------------------------------------------------- NWD Management Tool data collection and entry-- 56 2 1.0 112 State Level.................................... NWD Management Tool data collection and entry-- 996 2 4.0 7,968 Local Level.................................... Veteran Directed Care Tool...................... 400 12 0.5 2,400 --------------------------------------------------------------- Total:...................................... 1,452 .............. .............. 10,480 ---------------------------------------------------------------------------------------------------------------- Dated: October 23, 2018. Mary Lazare, Principal Deputy Administrator. [FR Doc. 2018-24053 Filed 11-1-18; 8:45 am] BILLING CODE 4154-01-P
![55186 Federal Register / Vol. 83, No. 213 / Friday, November 2, 2018 / Notices
[FR Doc. 2018–23924 Filed 11–1–18; 8:45 am] public submit reports, keep records, or level data relevant for determining the
BILLING CODE 4120–01–C provide information to a third party. range of necessary LTSS.
Section 3506(c)(2)(A) of the PRA (44 The federal vision for the NWD
U.S.C. 3506(c)(2)(A)) requires Federal System gives states flexibility in
DEPARTMENT OF HEALTH AND agencies to provide a 60-day notice in determining how best to organize,
HUMAN SERVICES the Federal Register concerning each structure and operate the various
proposed collection of information, functions of their NWD System. States
Administration for Community Living including each proposed extension of an continue to integrate, in some cases
existing collection of information, restructure, and over time strengthen
Agency Information Collection their existing programs in order to
before submitting the collection to OMB
Activities: Proposed Collection; Public realize the joint ACL/CMS/VHA vision
for approval. To comply with this
Comment Request; New Data for a fully coordinated and integrated
requirement, ACL is publishing a notice
Collection (ICR New) of the No Wrong system of access. These efforts are
of the proposed collection of
Door (NWD) System Management Tool supported by a variety of initiatives,
information set forth in this document.
AGENCY: Administration for Community With respect to the following including the VHA’s Veteran Directed
Living, Department of Health and collection of information, ACL invites Care (VDC) program, an evidence-based
Human Services. comments on our burden estimates or self-directed program where person-
ACTION: Notice. any other aspect of this collection of centered counselors from aging and
information, including: disability network agencies within a
SUMMARY: The Administration for (1) Whether the proposed collection state’s NWD System provide facilitated
Community Living (ACL) is announcing of information is necessary for the assessment and care planning, arrange
an opportunity for the public to proper performance of ACL’s functions, fiscal management services and provide
comment on the proposed collection of including whether the information will ongoing counseling and support to
information listed above. Under the have practical utility; Veterans, their families and caregivers.
Paperwork Reduction Act of 1995 (the (2) the accuracy of ACL’s estimate of The NWD System Management Tool
PRA), Federal agencies are required to the burden of the proposed collection of (NWD MT) provides a platform for data
publish a notice in the Federal Register information, including the validity of collection necessary to evaluate the four
concerning each proposed collection of the methodology and assumptions used primary functions of a NWD System:
information, including each proposed to determine burden estimates; State Governance and Administration,
extension of an existing collection of (3) ways to enhance the quality, Public Outreach and Coordination with
information, and to allow 60 days for utility, and clarity of the information to Key Referral Sources, Person Centered
public comment in response to the be collected; and Counseling, and Streamlined Access to
notice. (4) ways to minimize the burden of Public LTSS Programs. In addition, this
This New Data Collection (ICR New) the collection of information on tool will include data collection for the
solicits comments on the information respondents, including through the use VDC program to collect qualitative and
collection requirements relating to the of automated collection techniques quantitative data elements necessary to
Aging and Disability Resource Center/ when appropriate, and other forms of evaluate the impact of the VDC program.
No Wrong Door System (ADRC/NWD). information technology. The VDC tool will track key
The statutory authority for ADRC/NWD ACL, the Centers for Medicare and performance measures and identify best
is contained in Title IV of the Older Medicaid Services (CMS), and the practices and technical assistance
Americans Act (OAA), as amended by Veterans Health Administration (VHA) needs.
the Older Americans Act Amendments have partnered to support states’ efforts The NWD MT and the VDC tool will
of 2006, Public Law 109–365. in developing coordinated systems of enable ACL and its partners to collect
DATES: Comments on the collection of
access, or No Wrong Door (NWD) and analyze data elements necessary to
information must be submitted Systems, to make it easier for people to assess the progress of the NWD System
electronically by 11:59 p.m. (EST) or learn about and access long-term model, track performance measures, and
postmarked by January 2, 2019. services and supports (LTSS). When identify gaps and best practices. These
seeking services and supports, tools have been designed in close
ADDRESSES: Submit electronic
individuals and caregivers often face collaboration with states and are
comments on the collection of multiple, fragmented processes that are
information to: Ami Patel, ami.patel@ intended to simplify grant reporting
complex and confusing. States’ access requirements to reduce burden on local
acl.hhs.gov. Submit written comments systems have been built over time as
on the collection of information to and state entities and will provide a
programs and funding streams have consistent, streamlined and coordinated
Administration for Community Living, been added, creating duplicative
330 C Street SW, Washington, DC statewide approach to help states govern
eligibility and intake processes that are their NWD System and manage their
20201, Attention: Ami Patel. difficult for individuals and their
FOR FURTHER INFORMATION CONTACT: Ami programs efficiently.
caregivers to use. To address these The proposed data collection tools
Patel at (202) 795–7376 or ami.patel@ issues, the NWD System model supports
acl.hhs.gov. may be found on the ACL website for
state efforts to streamline access to LTSS review at: https://www.acl.gov/about-
SUPPLEMENTARY INFORMATION: Under the options for all populations and provides acl/public-input.
PRA (44 U.S.C. 3501–3520), Federal the infrastructure to promote the Estimated Program Burden:
agencies must obtain approval from the collaboration of local service ACL estimates the burden of this
Office of Management and Budget organizations, making service delivery collection of information as follows:
(OMB) for each collection of more efficient and person-centered. Fifty-six lead NWD System state and
information they conduct or sponsor. Examples of coordinated efforts include territorial agencies will respond to the
‘‘Collection of information’’ is defined processes where individuals are NWD MT bi-annually and it will take
in 44 U.S.C. 3502(3) and 5 CFR assessed once via a common or approximately half an hour to collect
1320.3(c) and includes agency requests standardized data collection method the data and an additional half hour to
or requirements that members of the that captures a core set of individual input the data into a web-based system.
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![Federal Register / Vol. 83, No. 213 / Friday, November 2, 2018 / Notices 55187
Additionally, an estimated 996 local Implementation grant, a competitive NWD local-level entities, for an annual
agencies will take approximately three funding opportunity funded in 2016 burden of 2,400 hours. This burden
hours to collect the data and one hour through 2018. Each state entity estimate is calculated based upon
to submit the data to their lead NWD submitting data will receive local-level information provided by a current VDC
System state agency. If all state and data from designated NWD System program provider testing a
local agencies respond bi-annually, the entities. The estimated response burden demonstration of the VDC tool. The
national burden estimate for the NWD includes time to review the instructions, NWD MT and the VDC tool have been
MT would be a total of 8,080 hours gather existing information, and developed to increase ease and
annually. This burden estimate is complete and review the data entries in uniformity of reporting and improve the
calculated based upon a sample of three a web-based system. ability of ACL to manage and analyze
states that tested a demonstration of the An estimated 400 VDC program
data.
NWD MT as a part of the grantee entities will respond to the VDC Tool on
requirements under the NWD System a monthly basis, all of which are also
Responses
Number of Hours per Annual burden
Respondent/data collection activity per
respondents response hours
respondent
NWD Management Tool data collection and entry—State Level .................... 56 2 1.0 112
NWD Management Tool data collection and entry—Local Level ................... 996 2 4.0 7,968
Veteran Directed Care Tool ............................................................................. 400 12 0.5 2,400
Total: ......................................................................................................... 1,452 ........................ ........................ 10,480
Dated: October 23, 2018. Electronic Submissions information submitted, marked and
Mary Lazare, Submit electronic comments in the identified, as confidential, if submitted
Principal Deputy Administrator. following way: as detailed in ‘‘Instructions.’’
[FR Doc. 2018–24053 Filed 11–1–18; 8:45 am] • Federal eRulemaking Portal: Instructions: All submissions received
BILLING CODE 4154–01–P https://www.regulations.gov. Follow the must include the Docket No. FDA–
instructions for submitting comments. 2018–D–3903 for ‘‘Chronic Hepatitis B
Comments submitted electronically, Virus Infection: Developing Drugs for
DEPARTMENT OF HEALTH AND including attachments, to https:// Treatment.’’ Received comments will be
HUMAN SERVICES www.regulations.gov will be posted to placed in the docket and, except for
the docket unchanged. Because your those submitted as ‘‘Confidential
Food and Drug Administration comment will be made public, you are Submissions,’’ publicly viewable at
[Docket No. FDA–2018–D–3903] solely responsible for ensuring that your https://www.regulations.gov or at the
comment does not include any Dockets Management Staff between 9
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anyone else’s Social Security number, or submit a comment with confidential
AGENCY: Food and Drug Administration,
confidential business information, such information that you do not wish to be
HHS.
as a manufacturing process. Please note made publicly available, submit your
ACTION: Notice of availability. that if you include your name, contact comments only as a written/paper
SUMMARY: The Food and Drug information, or other information that submission. You should submit two
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announcing the availability of a draft comments, that information will be information you claim to be confidential
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Document Created: 2018-11-02 01:09:19
Document Modified: 2018-11-02 01:09:19
| 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 | Comments on the collection of information must be submitted electronically by 11:59 p.m. (EST) or postmarked by January 2, 2019. | |
| Contact | Ami Patel at (202) 795-7376 or [email protected] | |
| FR Citation | 83 FR 55186 |
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