[Federal Register Volume 88, Number 26 (Wednesday, February 8, 2023)]
[Notices]
[Pages 8286-8287]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-02672]


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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; Traumatic Brain Injury (TBI) State 
Partnership Program Performance Progress Reporting; OMB Control Number 
0985-0066

AGENCY: Administration for Community Living, Department of Health and 
Human Services.

ACTION: Notice.

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SUMMARY: The Administration for Community Living (ACL) 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 the Paperwork Reduction Act of 1995. This 
30-day notice collects comments on the information collection 
requirements related to an extension of an existing collection of 
information related to the Traumatic Brain Injury (TBI) State 
Partnership Program.

DATES: Submit written comments on the collection of information by 
March 10, 2023d.

ADDRESSES: Submit electronic 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: Elizabeth Leef, (202) 475-2482 or 
[email protected].

SUPPLEMENTARY INFORMATION: In compliance with the Paperwork Reduction 
Act, ACL has submitted the following proposed new information 
collection to OMB for review and clearance.
    The purpose of the federal Traumatic Brain Injury (TBI) State 
Partnership Program is to create and strengthen person-centered, 
culturally competent systems of services and supports that maximize the 
independence and overall health and well-being of all people with TBI 
across the lifespan, their family members, and their support networks. 
The TBI State Partnership Program funds the development and 
implementation of statewide systems that ensure access to TBI related 
services, including transitional services, rehabilitation, education 
and employment, and long-term community support. To best monitor, 
guide, and support TBI State Partnership Program grantees, ACL requires 
grantees to report about their activities and outcomes. The simplest, 
least burdensome and most useful way to accomplish this goal is to 
require grantees to submit information as part of their required 
semiannual reports via the proposed electronic data submission 
instrument (appendix A).
    In 1996, the Public Health Service Act was amended ``to provide for 
the conduct of expanded studies and the establishment of innovative 
programs with respect to traumatic brain injury, and for other 
purposes'' (Pub. L. 104-166). This legislation allowed for the 
implementation of ``grants to States for the purpose of carrying out 
demonstration projects to improve access to health and other services 
regarding traumatic brain injury.'' The TBI Reauthorization Act of 2014 
(Pub. L. 113-196) allowed the Department of Health and Human Services 
Secretary to review oversight of the federal TBI

[[Page 8287]]

programs (TBI State Partnership Grant program and the TBI Protection 
and Advocacy program) and reconsider which operating division should 
lead them. With avid support from TBI stakeholders, the Secretary found 
that the goals of the federal TBI programs closely align with ACL's 
mission to advance policy and implement programs that support the 
rights of older Americans and people with disabilities to live in their 
communities. As a result, on Oct. 1, 2015, the federal TBI programs 
moved from the Health Resources and Services Administration to ACL. 
These programs were reauthorized again by the Traumatic Brain Injury 
Reauthorization Act of 2018 (Pub. L. 115-377).
    The proposed performance progress reporting (PPR) tool is 
consistent with both the TBI State Partnership Program's purpose and 
also ACL's mission. The 2010 Government Performance Results 
Modernization Act requires federal agencies to develop annual and long-
term performance outcome measures and to report on these measures 
annually. ACL sees the GPRA Modernization Act as an opportunity to 
document annually the results that are produced through the programs it 
administers under the authority for the TBI State Partnership Program.
    It is the intent and commitment of ACL, in concert with grantees, 
to use the performance progress reporting tool of GPRAMA to 
continuously improve its programs and services.
    The TBI State Partnership Program grantees have been submitting 
data using a PRA approved tool since 2000; that tool was revised to 
create the current proposed PPR tool. Revisions were made to eliminate 
questions that the majority of grantees could not respond to or created 
undue burden, make questions clearer, and add questions that were seen 
valuable to collect.

Comments in Response to the 60-Day Federal Register Notice

    ACL published a 60-day Federal Register Notice from 9/30/2022-11/
29/2022 (87 FR 59439-59441). ACL received no comments.
    The PPR is an extension of a currently approved data collection. 
Changes were done during the Summer of 2022. Revisions were made to 
eliminate questions that the majority of grantees could not respond to 
or created undue burden, make questions clearer, and add questions that 
were seen valuable to collect.
    In August 2022, ACL received feedback through an online meeting 
with a majority of the TBI State Partnership Program grantees regarding 
the proposed PPR. Some grantees also provided written feedback. 
Additional revisions were made to the PPR tool to incorporate feedback 
received from the grantees.
    The questions that were eliminated because grantees could not 
respond to or created undue burden were regarding: estimated number of 
people in the states who have experienced a TBI and are getting some 
kind of Medicaid Home and Community Based services or supports; the 
types of settings the people were living in when they were screened for 
a TBI or receiving resource facilitation; how many people were in 
competitive, integrated employment and/or in school at the time of 
screening or receiving resource facilitation; and how many people who 
received resource facilitation were supported through a transition from 
an institution setting (e.g., criminal justice system, nursing 
facility) into the community.
    The following questions were removed because comparable information 
is available from other sources: program funds spent on activities; 
whether grantees are involved in mentoring and workgroup activities; 
and use of and satisfaction with the services of the technical 
assistance resource center.
    Questions were added to collect more information regarding the 
advisory boards/councils that are an important component of the TBI SPP 
grants. The questions added are: characteristics of the advisory board/
how structured within a state, regarding what supports are provided to 
people with TBI that are involved in the advisory boards/councils; how 
the advisory boards/councils are involved with the grant program; and 
what it means and the efforts or actions being taken to ensure that the 
advisory boards/councils are representative (e.g., of the state's 
demographics, types of brain injury, severity of brain injury, etc.).

Estimated Program Burden

    The annual burden estimates are shown below.

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                                                                     Number of    Average burden
                   Instrument                        Number of    responses (per    hours (per     Total burden
                                                    respondents     respondent)      response)         hours
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Semiannual Performance Progress Reporting.......              29               2               8             464
    Estimated Total Annual Burden Hours:........  ..............  ..............  ..............             464
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    Dated: February 3, 2023.
Alison Barkoff,
Acting Administrator and Assistant Secretary for Aging.
[FR Doc. 2023-02672 Filed 2-7-23; 8:45 am]
BILLING CODE 4154-01-P