[Federal Register Volume 66, Number 19 (Monday, January 29, 2001)]
[Notices]
[Pages 8113-8115]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-2425]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration on Aging


Agency Information Collection Activities: Submission for Office 
of Management and Budget (OMB) Review; Comment Request; Extension and 
Revision of a Currently Approved Information Collection

AGENCY: Administration on Aging, HHS.

ACTION: Notice of revision and request for comments.

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SUMMARY: The Administration on Aging is announcing an opportunity for 
public comment on the proposed request for an extension and revision to 
the currently approved information collection, as required by the 
Paperwork Reduction Act of 1995. This notice solicits comments on the 
requirements relating to the submission, by AoA grantees, of semiannual 
financial reports on all Title III grants. The information contained in 
the OMB 269 and its supplemental forms are reports currently being 
collected concurrently.

SUPPLEMENTARY INFORMATION:
    Title: Supplemental Form to the Financial Status Report for all AoA 
Title III Grantees OMB control number 0985-0004.
    Description: Supplemental form to the Financial Status Report 
provide an understanding of how projects funds by the Older American 
Act are being administered by grantees, in conformance with legislative 
requirements, pertinent federal regulations, and other applicable 
instructions and guidelines issues by the Administration on Aging 
(AoA). This information will be used for federal oversight of Title III 
Projects.
    Respondents: State Agencies on Aging.
    Number of Respondents: 56.
    Average Number of Responses per Respondent: 2.
    Average Burden Hours: 1 hour per State Agency.
    To request more information concerning the revised Supplemental 
Form to the Financial Status Report (269) or to obtain a copy, please 
call Margaret A. Tolson on (202) 401-0838. Written comments and 
recommendations for the proposed information collection should be sent 
directly to the following address: Administration on Aging, Wilbur J. 
Cohen Federal Building, 330 Independence Avenue, SW, Room 4254, 
Washington, DC 20201 Attn: Margaret A. Tolson. Written comments should 
be received within 60 days of this notice.

Jeanette C. Takamura,
Assistant Secretary for Aging.

The Administration on Aging (AoA) Additional Instructions for 
Completing Financial Status Report and Supplemental Form to SF-269

General Instructions

    (1) All amounts reported should be rounded off to the nearest 
dollar; no cents should be reported.
    (2) Leave blank items 10.c and 10.g since the Deductive and the 
Matching or Cost Sharing alternatives are not allowed.
    (3) The amount reported in item 10.e should represent non-State, 
subrecipient contributions (i.e. those non-Federal resources 
contributed by AAA's, nutrition and service providers, etc.).
    (4) The amount reported in item 10.h should represent those outlays 
made from State resources.
    (5) Item 10.k should include the total Federal and State share of 
unliquidated obligations. These would include State funds awarded to 
AAA's, etc. which have not been earned/expended.
    (6) Item 10.l, the State's share from 10.k above.
    (7) Please note that program income used in accordance with the 
Additional Alternative (Item 10.r) is a CUMULATIVE AMOUNT and should 
not be included in the total outlays on line 10.a.
    Since the current form does not have multiple columns for reporting 
more than one program function, State Agencies are required to break 
down the following items on the Supplemental Form to the SF 269.
    Item 10.i Total recipient share of outlays.
    Sections 304 and 308 of the Older Americans Act and Section 1321.47 
of the Title III regulations require a match of 25 percent for State 
and Area Plan Administration and 15 percent for all services. Breakdown 
Item 10.i, Column III, to identify the total non-Federal amount 
expended for State and Area Plan Administration.
    Item 10.o Total Federal funds authorized for this funding period.
    The break down of Item 10.o should be the State's allocation of 
Federal funds for the following five (5) program functions:
    1. State Administration/Administrative Activities.
    Sections 308 (a)(1) and (b)(2) provide the authority for States to 
expend the greatest of 5% of their total allotment or $500,000 for this 
function. Provide the total amount of Title III funds used for State 
Administration. This total must be broken down further to identify the 
amount of funds utilized from each program allotment.
    2. Part B, Supportive Services, Part C1, Congregate Meals and Part 
C2, Home Delivered Meals.
    Sections 308(b)(4) and (5) provide the authority for States to 
transfer between Subparts C1 and C2 and between Parts B and C. Provide 
the amount utilized by the State after transfers for each of the three 
program allotments.
    3. Long-Term Care Ombudsman.
    Sections 304(d)(1)(B) and 307(a)(9) provides the authority to 
utilize Part B funds for Long-Term Care Ombudsman services. Provide the 
amount of Fiscal Year 2000, Title III-B funds utilized by the State for 
costs incurred by the State Agency in support of the Statewide Long-
Term Care Ombudsman program. This amount should be excluded from Part B 
amount in item 2 above.
    4. Part D, Disease Prevention and Health Promotion Services.
    Section 303(d) authorizes funds for grants under Part D. Provide 
the amount

[[Page 8114]]

of Title III funds utilized for preventive health services.
    5. Part E, National Family Caregiver Support Program.
    Sections 303(e)(1) and (2) authorizes funds for grants under Part 
E. Provide the amount of Title III funds utilized for caregiver 
services. Also provide statewide expenditures by service categories.
    6. Area Plan Administration.
    Sections 304(d)(1)(A) and 308(a)(3) provide the authority for 
States to utilize a maximum of 10% of their total allotment for Area 
Plan Administration. This total must be broken down further to identify 
amount of funds utilized from each program allotment.

FINANCIAL STATUS REPORT

AOA SUPPLEMENTAL FORM TO SF-269--TITLE III

STATE------------------------------------------------------------------
DATE SUBMITTED---------------------------------------------------------
FY---------------------------------------------------------------------
REPORTING PERIOD ENDED-------------------------------------------------

Item 10i  Column III, Total Recipient Share of Outlays which consist of 
outlays from:

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                                                                        State                     AAAs
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    ADMIN...................................................    $____________________     $____________________
Title III
    Part B..................................................    $____________________     $____________________
    LTCO (Part B)...........................................    $____________________     $____________________
    Part C-1................................................    $____________________     $____________________
    Part C-2................................................    $____________________     $____________________
    Part D..................................................    $____________________     $____________________
    Part E..................................................    $____________________     $____________________
                                                             ---------------------------------------------------
      TOTAL.................................................    $____________________     $____________________
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Item 10j-Column III, Federal Share of Net Outlays:

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                                                                        State                     AAAs
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    ADMIN...................................................    $____________________     $____________________
Title III
    Part B..................................................    $____________________     $____________________
    LTCO (Part B)...........................................    $____________________     $____________________
    Part C-1................................................    $____________________     $____________________
    Part C-2................................................    $____________________     $____________________
    Part D..................................................    $____________________     $____________________
    Part E..................................................    $____________________     $____________________
                                                             ---------------------------------------------------
      TOTAL.................................................    $____________________     $____________________
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Item 10o Column III Total Federal Funds Authorized by AOA for the 
Federal FY______ have been allocated by the State as follows (as 
applicable):

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1. State administrative activities which consists of funds
 in the amount of $____________ from the following:
    Part B..................................................    $____________________
    Part C-1................................................    $____________________
    Part C-2................................................    $____________________
    Part D..................................................    $____________________
    Part E..................................................    $____________________
2. Part B, Supportive Services..............................    $____________________
3. Part B, Long Term Care Ombudsman.........................    $____________________       FY 2000 $__________
4. Part C-1, Congregate Meals...............................    $____________________
5. Part C-2, Home Delivered Meals...........................    $____________________
6. Part D, Preventive Health................................    $____________________
7. Part E, Caregivers.......................................    $____________________
Area Plan Administration which consists of funds from:
    Part B..................................................    $____________________
    Part C-1................................................    $____________________
    Part C-2................................................    $____________________
    Part E..................................................    $____________________
Item 10p  Column III, Unobligated Funds:
    Part B..................................................    $____________________        Part D $__________
    Part C-1................................................    $____________________        Part E $__________
    Part C-2................................................    $____________________
Item 10r  Column III, Disbursed Program Income using the
 additional alternative (cumulative amount):
    Part B..................................................    $____________________        Part D $__________
    Part C-1................................................    $____________________        Part E $__________

[[Page 8115]]

 
    Part C-2................................................    $____________________
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                                         Part E (Statewide Expenditures)
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                                          EXPENDITURES                  UNITS                 PEOPLE SERVED
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INFORMATION.......................    $____________________      ____________________      ____________________
ASSISTANCE........................    $____________________      ____________________      ____________________
COUNSELING SUPPORT GROUPS TRAINING    $____________________      ____________________      ____________________
RESPITE...........................    $____________________      ____________________      ____________________
SUPPLEMENTAL SERVICES.............    $____________________      ____________________      ____________________
                                   --------------------------
      TOTAL.......................    $____________________
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[FR Doc. 01-2425 Filed 1-26-01; 8:45 am]
BILLING CODE 4154-01-U