[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]
-----------------------------------------------------------------------
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.
-----------------------------------------------------------------------
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
------------------------------------------------------------------------
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.
------------------------------------------------------------------------
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.
----------------------------------------------------------------------------------------------------------------
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 6, 904 .............. 10,480
----------------------------------------------------------------------------------------------------------------
[[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