Notice2022-25698
Agency Information Collection Activities; Submission for OMB Review; Public Comment Request; Prevention and Public Health Fund Evidence-Based Chronic Disease Self-Management Education Program Information Collection; OMB# 0985-0036
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
November 25, 2022
Issuing agencies
Health and Human Services DepartmentCommunity Living Administration
Abstract
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 under section 506(c)(2)(A) of the Paperwork Reduction Act of 1995. This 30-Day notice collects comments on the requirements related to the Prevention and Public Health Fund Evidence-Based Chronic Disease Self-Management Education Program Information Collection OMB# 0985- 0036.
Full Text
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<title>Federal Register, Volume 87 Issue 226 (Friday, November 25, 2022)</title>
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[Federal Register Volume 87, Number 226 (Friday, November 25, 2022)]
[Notices]
[Pages 72488-72491]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-25698]
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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; Prevention and Public Health Fund
Evidence-Based Chronic Disease Self-Management Education Program
Information Collection; OMB# 0985-0036
AGENCY: Administration for Community Living, 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 under section 506(c)(2)(A) of the Paperwork Reduction Act of
1995. This 30-Day notice collects comments on the requirements related
to the Prevention and Public Health Fund Evidence-Based Chronic Disease
Self-Management Education Program Information Collection OMB# 0985-
0036.
DATES: Submit written comments on the collection of information by
December 27, 2022.
ADDRESSES: Submit written comments and recommendations for the proposed
information collection within 30 days of publication of this notice to
<a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a> Find the information collection by
selecting ``Currently under 30-day Review--Open for Public Comments''
or by using the search function. 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: Shannon Skowronski
(<a href="/cdn-cgi/l/email-protection#e0b388818e8e8f8ece938b8f97928f8e938b89a081838cce888893ce878f96"><span class="__cf_email__" data-cfemail="580b303936363736762b33372f2a37362b333118393b347630302b763f372e">[email protected]</span></a>). Administration for Community Living,
Washington, DC 20201, Attention: Shannon Skowronski.
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 Administration for Community Living (ACL) is
requesting approval to collect data for the Prevention and Public
Health Fund Evidence-Based Chronic Disease Self-Management Education
Program Information Collection OMB# 0985-0036. The Evidence-Based
[[Page 72489]]
Chronic Disease Self-Management Education (CDSME) Grant Program is
financed through the Prevention and Public Health Fund (PPHF). The
statutory authority for cooperative agreements under the most recent
program announcement (FY 2022) is contained in the Older Americans Act,
Title IV; and the Patient Protection and Affordable Care Act, 42 U.S.C.
300u-11 (Prevention and Public Health Fund). The CDSME Grant Program
supports a National CDSME Resource Center that provides technical
assistance, education, and resources for the national CDSME network of
partners, and awards competitive grants to implement and promote the
sustainability of evidence-based CDSME programs that have been proven
to provide older adults and adults with disabilities with education and
tools to help them better manage chronic conditions such as diabetes,
heart disease, arthritis, chronic pain, and depression. OMB approval of
the existing set of CDSME data collection tools (OMB Control Number,
0985-0036) expires on 11/30/2022. This data collection continues to be
necessary for the monitoring of program operations and outcomes. ACL
currently uses and proposes to continue to use a set of tools to
collect information for each program including: (1) Program Information
Cover Sheet and Attendance Log, to be completed by the program leaders;
and a (2) Participant Information Survey to be completed by
participants on a voluntary basis before or at the beginning of the
first program session and at the last session or post program to
document their demographic and health characteristics. ACL/AoA intends
to continue using an online data entry system for the program and
participant survey data.
ACL collected public comments for analysis, conducted focus groups
that included a sub-set of current CDSME grantees, as well as consulted
with subject-matter experts to gather feedback and determine if changes
to the data collection tools are warranted.
Comments in Response to the 60-Day Federal Register Notice
A notice published in the Federal Register Vol. 87, No. 137 on July
19, 2022. Five (5) public comments were received during the 60-day FRN.
ACL's responses to these comments, along with feedback from grantee
focus groups, National CDSME Resource Center and ACL's Center for
Policy and Evaluation, are included below.
Participant Information Survey
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Topic/issue Comment ACL response
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Survey Purpose................... Suggestion to add a purpose ACL will not adopt this suggestion. The
statement to the forms to better purpose of this data collection is
inform participants of why this multi-fold--with different benefits and
specific data collection is potential uses of the data by federal,
pertinent. state, and local stakeholders.
Survey Format.................... Multiple comments were received as (a) ACL will incorporate this suggested
detailed below: revision.
(a) Suggestion to change the type (b) ACL will incorporate this suggested
of bullet used for the response revision.
options from a circle to a text
box.
(b) Suggestion to group the
disability-related questions and
present in a table/grid format.
Sexual Orientation and Gender Multiple respondents suggested the HHS, and ACL as an operating division of
Identity (SOGI). incorporation of inclusive sexual HHS, recognize the importance of
orientation and gender identity collecting SOGI data to better assess
question(s). diversity and equity in evidence-based
program scaling and participation.
ACL intends to update this question to
incorporate more inclusive questions
and responses.
Race/Ethnicity................... Multiple comments were received as ACL works to align data collection with
detailed below: what is currently collected across the
Suggestion to combine the race and Federal Government, specifically the
ethnicity questions into one item. U.S. Census. The questions as presented
Suggestion to ``Include Middle reflect how race/ethnicity is asked.
Eastern/North African (MENA) as a ACL will not incorporate the suggestion
response option. This race does to combine the race and ethnicity
not roll up to the current questions.
categories (maybe white) and could Similarly, ACL will not incorporate the
be a cause for not answering the suggestion to include the MENA group
question''. for the reason mentioned above.
However, ACL will incorporate the
``some other race'' option to allow for
inclusion of additional responses.
Chronic Conditions List.......... Multiple comments were received as (a) ACL will incorporate these
detailed below: conditions based on the growing
(a) Suggestion to expand the list prevalence of these conditions in the
of conditions to include post- aging population. For example, an
traumatic stress disorder (PTSD), estimated 6.5 million older adults are
substance use disorder, urinary living with Alzheimer's dementia in
incontinence, malnutrition and 2022, 73% of which are 75 years and
Alzheimer's Disease or other older; 50% of older adults are at risk
dementia. for becoming malnourished; and nearly 1
(b) Suggestion to alphabetize the million adults aged 65 and older live
list to facilitate data entry. with a substance use disorder.
(b) ACL will incorporate this suggested
revision.
Social Isolation/Loneliness...... Multiple respondents suggested that ACL appreciates the suggestion to
this question be revised as it is collect more data around social
asking about two different isolation and loneliness but has
constructs--isolation and decided in the interest of balancing
loneliness. Many respondents data collection and burden to not
suggested ``replacing the question include these specific questions in the
with the UCLA loneliness survey. Instead, the constructs will be
questions''--a three part question. separated into their own questions in
efforts to better analyze and report
the information collected.
Participant Outcomes Questions... (a) Multiple suggestions to add (a) ACL is interested in assessing
outcomes questions to better impact of the program as well as
understand the impact of activities that participants may be
participating in a program and using to manage their condition as a
what participants might have done result of their participation. ACL will
since the program to manage their therefore include a question that will
chronic condition. assess what participants have done as
(b) Suggestions to add elements it relates to talking with their
from the Patient Activation healthcare provider, reviewing
Measure, Healthy Days Measures and medications with appreciate healthcare
RAPID3. personnel, increasing physical
activity, eating healthy foods,
participating in other health and
wellness programming, and talking to
their friends and family about their
health.
(b) ACL will not incorporate these
suggestions at this time as these
measures are: too general; lack direct
applicability to assessing impact of
participating in a CDSME program; or
are too specific to particular chronic
conditions or symptom.
[[Page 72490]]
Satisfaction Question............ Request to add satisfaction Although a satisfaction question has not
question into the post-survey. been part of the required data
Summary of respondents collection elements, ACL agrees with
justification include ``Many this suggestion and will include a
organizations may be offering satisfaction question in the survey to
multiple programs, or just getting assess the extent to which a program is
their programs off the ground. meeting the needs of the participant,
Measuring participants' as well as overall program delivery.
satisfaction and overall
experience with the program can
help identify strengths and
challenges across programs and
implementation sites, including
satisfaction with the leaders,
time the program was offered,
location, and other factors that
impact delivery and
sustainability''.
Additional Questions............. Suggestion to incorporate questions ACL appreciates the suggestion to
specific to language other than collect more data but has decided in
English spoken at home, language the interest of balancing data
preference for reading or speaking collection and burden to not include
about health/medical information, these additional elements on the
how well someone speaks English. survey.
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Program Information Cover Sheet
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Topic/issue Comment ACL response
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Size of Implementation Site...... Suggestion to include the question ACL will not be incorporating this
``How many older adults does your element at this time. Being able to
organization serve on an annual scale and sustain programs depend on a
basis?'' as this would be helpful variety of factors. The number of older
in analyzing the differences in adults served is not an adequate
how small and large sites measure of success in program
implement programs. implementation.
Consent to Receive Information A comment was received that this Requesting this consent through a
from National CDSME Resources question seems unnecessary to have standard data collection form is the
Center. as a standard question, since it most direct manner ACL can use to
should only be asked once of each ensure that program facilitators can
leader. opt in to receiving technical
assistance communications from our
National CDSME Resource Center.
Facilitator Demographics......... Suggestion to include demographic ACL agrees and will incorporate this
questions such as age, race/ suggestion by including the same
ethnicity as facilitator questions as outlined in the
demographics can have a large participant information survey.
impact on the effectiveness of
program implementation. Knowing
some demographic characteristics
about the leaders could inform
equity, diversity, and inclusion
initiatives and add value to
understanding program adoption and
sustainability.
Facilitator Status............... Suggestion to include a question to ACL agrees and will incorporate this
better understand how facilitators suggestion.
are compensated as organizations
use a mix of paid and volunteer
staff. It would be helpful to
analyze whether a certain model is
used more frequently depending on
the program or whether the
leader's employment status has an
impact on completion of the
workshop.
Program Delivery Format.......... Suggestion to include a question ACL agrees and will incorporate this
that asks about the delivery suggestion.
format for a program-- ``With many
programs now offered in multiple
formats, it is important to know
how program format impacts the
demographic of participants who
elect one format vs another,
completion rates, and mapping the
growth of these alternate program
formats''.
Network Status................... A suggestion was made to ask a Although Community Care Hubs/Community
question about network status-- Integrated Health Network are
``Is this workshop implemented as increasing across the country, ACL will
a part of a centralized, not incorporate this suggestion at this
coordinated Community-Integrated time. This may cause undue burden on a
Health Network? Yes/No. If yes, program facilitator or implementation
provide the name of the Community-- site coordinator and possibly delay the
Integrated Network: (open-ended)''. return of data.
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Attendance Log
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Topic/issue Comment ACL response
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Format.......................... Suggestions to: (a) This form is
(a) Modify format to be completed
to add the by the program
following: survey facilitator who
completion, should clearly
liability form print the program
completion, information and
attendance to participant IDs.
other programs at As a part of
site, and an their training,
example row. facilitators
(b) Make should be
participant ID instructed to not
column smaller so put participant
participants do name or other
not write their identifying
names. information in
the participant
ID column.
(b) ACL will not
incorporate this
suggestion to
reduce burden on
the program
facilitator. If a
grantee would
like to collect
additional
information, they
may choose to do
so independently.
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Estimated Program Burden: ACL estimates the burden associated with
this collection of information as follows:
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Number of Hours per Annual burden
Respondent/data collection activity respondents Responses per respondent response hours
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Program facilitators (Program 680 Twice per year (one set .34 462.40
Information Cover Sheet, Attendance per program).
Log).
Program participants (Participant 14,000 1....................... .20 2,800.00
Information Survey).
[[Page 72491]]
Data entry staff (Program Information 70 Once per program times .20 272.0
Cover Sheet, Attendance Log, 1,360 programs.
Participant Information Survey).
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Total Burden Hours................ .............. ........................ .............. ** 3,534
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** Rounded to the nearest hour.
Dated: November 18, 2022.
Alison Barkoff,
Acting Administrator and Assistant Secretary for Aging.
[FR Doc. 2022-25698 Filed 11-23-22; 8:45 am]
BILLING CODE 4154-01-P
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