[Federal Register Volume 84, Number 53 (Tuesday, March 19, 2019)]
[Notices]
[Pages 10098-10100]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-05115]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Community Living


Agency Information Collection Activities; Submission for OMB 
Review; Public Comment Request; No Wrong Door (NWD) System Management 
Tool

AGENCY: Administration for Community Living (ACL), HHS.

ACTION: Notice.

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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 by the Paperwork Reduction Act of 1995. This 30-Day notice 
collects comments on the information collection requirements related to 
ACL's Aging and Disability Resource Center/No Wrong Door System (ADRC/
NWD) New Data Collection (ICR New).

DATES: Submit written comments on the collection of information by 
April 18, 2019.

ADDRESSES: Submit written comments on the collection of information by:
    (a) email to: [email protected], 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: Joseph Lugo at [email protected] 
or 202-795-7391.

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.
    The NWD System Management Tool (NWD MT) provides a platform 
documenting key elements that are necessary to evaluate the progress of 
the NWD System model and to understand and document the extent to which 
a state's NWD System is streamlining and coordinating access to LTSS 
through four core functions of State Governance and Administration, 
Public Outreach and Coordination with Key Referral Sources, Person-
Centered Counseling, and Streamlined Eligibility for Public Programs.
    In addition, this tool will include data collection for the 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 
VDC too will collect qualitative and quantitative data elements 
necessary to evaluate the impact of the VDC program.
    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.

Comments in Response to the 60-Day Federal Register Notice

    A notice was published in the Federal Register on November 2, 2018, 
Volume 83, Number 213, pp. 55186-55187. Three emails were received with 
comments.
    In addition to the public comments, feedback on the tools were 
sought from the following:
     ACL Performance and Evaluation subject matter experts.
     VHA and CMS subject matter experts.
     Subject-matter experts at state agencies representing 
Aging, Intellectual/Developmental Disabilities, Physical Disabilities, 
and Medicaid.
     Grantee focus groups and workgroups (with fewer than 9 
participants).
    ACL's response to the comments received are noted in the table 
below:

[[Page 10099]]



------------------------------------------------------------------------
    Data collection form             Comment            ACL response
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NWD Management Tool.........  I understand that     ACL appreciates the
                               although not          commenter's views
                               required, health      on healthcare
                               information shared    technology and I/DD
                               solution models       care and services,
                               that are multi-       however ACL finds
                               state adoptable is    this comment to be
                               key to the NWD        unrelated to the
                               system, tracking,     proposed data
                               and monitoring        collection tools.
                               systems of the I/DD
                               care and services.
                               Please feel free to
                               share this
                               correspondence with
                               team members/
                               stakeholders whom
                               we can speak with
                               in regards to
                               furthering contact
                               with regarding
                               healthcare
                               technology
                               expansion within
                               the I/DD industry.
NWD Management Tool.........  In State Level        ACL appreciates this
                               Question 5 and        comment and fully
                               Local Level           understands the
                               Question 1 related    authorizations of
                               to funding of the     Section 4 AT Act
                               NWD System, it is     dollars. The State
                               unclear if the        Level question 5
                               dollars and           and Local Level
                               percentages to be     Question 1 are
                               reported are actual   meant to capture
                               dollars or if that    actual expenditures
                               can include in-kind   and dollars
                               contributions. One    supporting NWD
                               of the choices in     System functions,
                               those two reporting   not in-kind
                               tables under          contributions.
                               Federal Funding is    Therefore, in
                               ``Other ACL           response to this
                               Programs'' which      comment, ACL
                               references            proposes to edit
                               Assistive             these questions for
                               Technology. A State/  clarification and
                               Territory AT          remove Assistive
                               Program could make    Technology as an
                               an in-kind            example under
                               contribution to the   ``Other ACL
                               state or local        Programs.''
                               level NWD system,
                               e.g., they could
                               provide a
                               refurbished AT
                               device allowing an
                               individual to
                               remain in their
                               home as part of
                               their reuse program
                               (state level AT Act
                               activity) or they
                               could provide
                               training on AT for
                               NWD staff/partners
                               (state leadership
                               AT activity). It is
                               highly unlikely
                               there would be
                               actual Section 4 AT
                               Act dollars being
                               provided to the NWD
                               state system budget
                               as the NWD System
                               functions as
                               outlined for these
                               data points are not
                               authorized
                               activities for use
                               of Section 4 funds
                               under the AT Act.
                               It would be helpful
                               to clarify if in-
                               kind contributions
                               are or are not to
                               be reported in both
                               of these tables.
NWD Management Tool.........  The level of detail   ACL appreciates this
                               proposed is           comment and
                               tremendous, with no   understands that
                               permanent federal     states and aging
                               funding source for    and disability
                               the programs. The     network agencies
                               number of divisions   will need support
                               within Nebraska       (e.g., training,
                               DHHS & Nebraska       grant funding,
                               Veterans              etc.) before
                               Administration will   beginning the data
                               require significant   collection. The
                               coordination. If      state's NWD Lead
                               the information       Agency will
                               remains as            determine which
                               proposed, I would     state and local
                               suggest a long lead   partners would
                               time in collection    contribute to the
                               requirements. Or      data collection.
                               parceled out          Various agencies
                               requests and the      and divisions may
                               ability for each      prepare for data
                               division to address   submission in
                               their area of         phases, as
                               expertise.            determined by the
                                                     state.
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    The proposed form(s) 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 112 
hours for state level staff, 7,968 hours for local agency staff and 
2,400 hours for VDC program providers for a total of 10,480 hours. This 
burden estimate is calculated based upon a sample of states and program 
providers testing the NWD MT and VDC Tool. 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.

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                                                     Number of     Responses per     Hours per     Annual burden
       Respondent/data collection activity          respondents     respondent       response          hours
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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          6, 904  ..............          10,480
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[[Page 10100]]

    Dated: March 13, 2019.
Lance Robertson,
Administrator and Assistant Secretary for Aging.
[FR Doc. 2019-05115 Filed 3-18-19; 8:45 am]
BILLING CODE 4154-01-P