Notice2023-03266
Agency Information Collection Activities; Proposed Collection; Comment Request; National Adult Maltreatment Reporting System; OMB# 0985-0054
Primary source
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Published
February 16, 2023
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 the Paperwork Reduction Act of 1995. This 30-Day notice collects comments on the information collection requirements related to an extension without change and solicits comments on the information collection requirements related to the on the information collection requirements relating to the National Adult Maltreatment Reporting System (NAMRS).
Full Text
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<title>Federal Register, Volume 88 Issue 32 (Thursday, February 16, 2023)</title>
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[Federal Register Volume 88, Number 32 (Thursday, February 16, 2023)]
[Notices]
[Pages 10118-10121]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-03266]
[[Page 10118]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Community Living
Agency Information Collection Activities; Proposed Collection;
Comment Request; National Adult Maltreatment Reporting System; OMB#
0985-0054
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 under the Paperwork Reduction Act of 1995. This 30-Day notice
collects comments on the information collection requirements related to
an extension without change and solicits comments on the information
collection requirements related to the on the information collection
requirements relating to the National Adult Maltreatment Reporting
System (NAMRS).
DATES: Submit written comments on the collection of information by
March 20, 2023.
ADDRESSES: Submit written comments on the collection of information by:
(a) Email to: <a href="/cdn-cgi/l/email-protection#3e71776c7f614d4b5c53574d4d5751507e51535c105b514e10595148"><span class="__cf_email__" data-cfemail="f3bcbaa1b2ac8086919e9a80809a9c9db39c9e91dd969c83dd949c85">[email protected]</span></a>, 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: Stephanie Whittier Eliason,
Administration for Community Living, Washington, DC 20201, 202-795-7467
at <a href="/cdn-cgi/l/email-protection#b2e1c6d7c2dad3dcdbd79ce5dadbc6c6dbd7c0f7dedbd3c1dddcf2d3d1de9cdadac19cd5ddc4"><span class="__cf_email__" data-cfemail="9fccebfaeff7fef1f6fab1c8f7f6ebebf6faeddaf3f6feecf0f1dffefcf3b1f7f7ecb1f8f0e9">[email protected]</span></a>.
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 National Adult Maltreatment Reporting System
authorized under the Elder Justice Act of 2009, which amends Title XX
of the Social Security Act [42.U.S.C. 13976 et seq.], requires that the
Secretary of the U.S. Department of Health and Human Services
``collects and disseminates data annually relating to the abuse,
exploitation, and neglect of elders in coordination with the Department
of Justice'' [Sec. 2041(a)(1)(B)] and ``conducts research related to
the provision of adult protective services'' [Sec. 2041(a)(1)(D)].
The Elder Justice Coordinating Council (EJCC) recommended
development of ``a national adult protective services (APS) system
based upon standardized data collection and a core set of service
provision standards and best practices.''
NAMRS is a voluntary system that has been annually collecting since
FY 2016 both summary and de-identified case-level data on APS
investigations submitted by states, and the data does not include any
personally identifiable information. NAMRS has and will continue to
consist of three components:
(1) Descriptive data on state agency and practices from all states
through the ``Agency Component,'' and
(2) Case-level, non-identifiable data on persons who receive an
investigation by APS in response to an allegation of abuse, neglect, or
exploitation through ``Case Component'', or
(3) For states that are unable to submit a case-level file through
the ``Case Component,'' a ``Key Indicators Component'' will be
available for them to submit data on a smaller set of core items.
ACL will continue to provide technical assistance to assist in the
preparation of data submissions by state APS agencies and APS agencies
in the District of Columbia, Puerto Rico, Guam, Northern Mariana
Islands, Virgin Islands, and American Samoa (states, hereafter).
To address gathering necessary and relevant demographic information
to assess diversity and equity in evidence-based program scaling,
participation, and advances; \1\ the proposed revisions were compared
to the Updates on Terminology of Sexual Orientation and Gender Identity
(SOGI) Survey Measures from the Federal Committee on Statistical
Methodology that came out after publication of the 60-day notice.
Several of the changes originally proposed were consistent with SOGI,
and ACL made additional changes in the 30-day posting to further align
with the SOGI recommendations. The proposed collection is consistent
with the SOGI recommendations conceptually and specifically aligns for
most of the code values for sexual orientation and gender identity. A
60-day Federal Register notice published on Monday, May 23, 2022, in
Federal Register Vol. 87, No. 99, page 31243.
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\1\ Executive Order on Advancing Racial Equity and Support for
Underserved Communities Through the Federal Government and the
Executive Order on Advancing Equality for Lesbian, Gay, Bisexual,
Transgender, Queer, and Intersex Individuals.
[[Page 10119]]
Response to Public Comment Table
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Draft response/notes for
Name Position Comment discussion
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Shelly Fiebich.............. Director, Bureau of Case Component 5 & 6: ACL ACL will align the proposed
Adult Services should enhance the quality NAMRS code values with the
Division of Child and clarify of information recent federal Sexual
Welfare and Community collected by adding Orientation and Gender
Services New York ``declined to answer'' as a Identity (SOGI)
State. selection for gender recommendations.
identity and sexual The SOGI recommendations
orientation. use ``prefer not to
Key Indicator 9: ACL should answer'' instead of ``X''.
enhance the quality and If NYS uses ``X'' as a
clarity of information value in its case
collected by providing an management system, then it
option for individuals to should map ``X'' to the
mark their gender as ``X'' appropriate category in
in fields that collect this NAMRS.
information. People should Based on the SOGI
also have the option to recommendations, we will
mark decline to answer in also add the following
fields collecting code values: [If
information about gender respondent is AIAN:] Two-
identity and sexual Spirit and ``Prefer not to
orientation. Including answer''.
these additional options
leads to more accurate
information and affirming
reporting by individuals.
It's consistent with the
Biden administration`s
efforts to authorize
individuals to select ``X''
as their gender marker on
U.S. passports and other
federal documents, and in
alignment with New York
State`s commitment to
provide individuals the
option of marking agenda or
sex as ``X'' on state
forms, including a driver
license, learner permit or
non-driver identification
card.
Shelly Fiebich.............. Director, Bureau of Agency Component 7.1.1: The No change. FTEs is not a
Adult Services collection of estimated required data element and
Division of Child FTEs of staff and if it is considered too
Welfare and Community supervisors devoted only to costly to collect and
Services New York APS work when staff are reported by any state they
State. shared among other programs do not have to do so. The
is not feasible in NY FTE data is important to
because this information is understanding the APS
not collected or tracked at system workforce and is
the state level and all used in various technical
reporting systems are for assistance and evaluation
separate entities. Further, activities.
the collection of this
information does not appear
necessary for the proper
performance of ACL
functions.
Regarding ACL`s estimated
program burden, NYSOCFS
respectfully submits that
the agency requirement to
collect FTEs would require
an annual estimated
statewide burden of over
370 hours for the local
Department of Social
Services to collect and
submit that information to
New York State OCFS.
Shelly Fiebich.............. Director, Bureau of Agency 10: ACL should No change. Based on
Adult Services clarify the definition of responses in NAMRS, almost
Division of Child ``priority level'' to all states have priority
Welfare and Community provide clarity of levels and are generally
Services New York information collected. using this terminology.
State. Each state defines a set
of priority responses
based on its policy. ACL
received no other comments
indicating a need to
define the term. States
are encouraged to use the
comment field to provide
state-specific clarifying
information and a link to
the specific policy.
Shelly Fiebich.............. Director, Bureau of Agency 21: ACL should No change. One of the
Adult Services clarify the definition of defining characteristics
Division of Child and purpose for the request of the APS system is how
Welfare and Community of collecting the source of it addresses issues such
Services New York ethical principles and how as self-determination, so
State. it relates to the proper it is important to
performance of ACL's understand the source of
functions. each program's ethical
principles. ACL oversees
implementation of the
Elder Justice Act and its
funding, so it is
important to understand
how programs respect
individual rights
consistent with the EJA.
Jay Colbert................. Data Manager The Polis I've been looking at your Agree. Prior to this data
Center at IUPUI School NAMRS reports. If I read renewal, ACL has not
of Informatics and them right, it's all shared state specific data
Computing. national data. Is there any without state permission.
place to get state-level Notice was provided in the
data yet? 60-day FRN and is
Please include the need for addressed again in the
state-level data reports in Supporting Statement for
your NAMRS public comment this 30 FRN of ACL's
tracking document. intent to begin sharing
state-specific data.
[[Page 10120]]
Dorian Long................. Connecticut APS........ Specific ages of perpetrator No change. The NAMRS age
may present as a challenge. ranges were selected to
Connecticut proposes that match census categories
age ranges are added as an and not the proposed
option be used to support categories.
more opportunities for
completion of data element.
Please see below:
17 and younger..............
18 to 34 years..............
35 to 59 years..............
60 to 74 years..............
75 years and over...........
Maria Greene................ Consultant............. While conducting a No change. While this would
comprehensive review of provide useful
NAMRS, please consider information, it would add
adding requirements for a burden to state responses.
unique identification ACL would not want to make
number for the worker and this change in the final
supervisor involved in a posting without discussion
case. This is done in the with stakeholders. ACL
child maltreatment will consider its
reporting system and is inclusion in the future.
useful data for analyzing
staff workload and
caseloads.
Maria Greene................ Consultant............. I propose the addition of Agree. Understanding the
one question to the NAMRS case information systems
Agency Component. In the used by states will help
Agency Profile, ask a ACL provide technical
question about the assistance support to APS
Information System that the programs in submitting
state uses to collect data. data and is important for
understanding and
modernizing the NAMRS
system. The data
collection will include an
additional question in the
Agency Component as
follows:
Select which of the
following describes the
automated system your
state uses to document
case information:
<bullet> Statewide system
developed by the state
<bullet> Statewide system
developed by an outside
vendor. (Please use the
comment field to identify
the vendor, the name of
the system, and when you
obtained it.)
<bullet> Separate systems
for different geographic
areas of the state
<bullet> Do not have an
automated system.
Comment: If your state has
multiple APS programs,
please provide response to
the above question for
each program. If your
state used a statewide
system developed by an
outside vendor, please use
the comment field to
identify the vendor, the
name of the system, and
when you obtained it.
Mary McGurran............... Adult Protection Case Component, Case No change. While ACL agrees
Supervisor [verbar] Component, Key Indicators; person-centered
Aging and Adult Use social service terminology should be used
Services, Minnesota terminology for consistency whenever possible, the
Department of Human with the ACL definition of original terms were
Services. adult protective services selected carefully and
(APS) as a social service deliberatively after
program to maximize client consultation with state
safety and independence and APS programs. ACL would
for consistency with ACL not want to make this kind
values for person-centered of change in the final
planning processes. posting without further
Suggestions: consultation with the
<bullet> Investigation: states. The terminology in
Assessment.. NAMRS needs to be
<bullet> Victim: Client, consistent with state law
Adult, Adult vulnerable to in across the states and
maltreatment, Older adult ACL is not aware to what
or Adult with a disability.. extent the proposed terms
<bullet> Perpetrator: Person are currently used.
responsible, or person Because of the importance
alleged responsible for of the issue, the Adult
maltreatment.. Protective Services
Technical Assistance
Resource Center recently
hosted a discussion of APS
terminology to start such
a dialogue. ACL will
consider changes in
terminology in future
changes.
Mary McGurran............... Adult Protection Agency Component Data; No change in the selections
Supervisor [verbar] Enhance selections on APS but include ``mental
Aging and Adult use of involuntary health commitment'' in the
Services, Minnesota interventions. examples. The current
Department of Human 26. Involuntary selections list does not
Services. Intervention: Add include specific
Guardianship and Mental interventions and
Health Commitment. inclusion of them would be
changing the nature of the
data element.
[[Page 10121]]
Mary McGurran............... Adult Protection Case Component Data; Enhance No change. The suggested
Supervisor [verbar] data selections to include code ``Support System
Aging and Adult a service approach Engaged'' falls under the
Services, Minnesota effective in preventing definition of current code
Department of Human maltreatment.. value ``Care Case
Services. CLT26: Add code for Support Management'' and should be
System Engaged. mapped and reported to it.
Mary McGurran............... Adult Protection NAMRS Annual Report; Enhance No change. ACL agrees in
Supervisor [verbar] data report to improve principle with this
Aging and Adult utility for APS program recommendation. However,
Services, Minnesota evaluation and equity. it impacts the reporting
Department of Human Add: race/ethnicity; gender and use of the current
Services. identify; sexual data and does not require
orientation; disability a change in the proposed
type for clients referred data elements. The
and accepted for APS and suggested demographic
for voluntary and categories are all
involuntary services and currently part of the data
interventions. collection except that
Add state population rate referred and accepted data
for: reports; reports is collected in the Agency
accepted; investigation/ Component and is not
assessment; services; client specific. After
involuntary intervention; this data renewal, as
client location at APS noted in the postings, ACL
start and close. will begin sharing state
specific data so this
recommendation is timely.
ACL will consider how to
incorporate state
population rates in any
future reports that
include state-specific
data.
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Estimated Program Burden: ACL estimates the burden associated with
this collection of information as follows: 59 APS programs will respond
every year to the Agency Component, with 50 states providing Case
Component data and 9 states providing Key Indicator data. The total
annual burden is estimated to be 5,416 hours. The estimates are based
on the amount of time States have previously reported in completing the
data collection instruments; continued increase in the number of states
reporting on Case Component and Key Indicator Component data; one-time
costs for the changes in the data elements for this renewal; and
assumption of modest incremental efficiencies by States in reporting
data to NAMRS every year, including, most significantly, minimal need
to recode to extract data after the initial year.
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Number of Responses per Hours per Annual burden
Respondent/data collection activity respondents respondent response estimate
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Agency One-Time................................. 59 1 6.20 365.80
Key Indicator One-Time.......................... 9 1 30.00 270.00
Case Component One-Time......................... 50 1 83 4,150.00
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One-Time Subtotal........................... .............. .............. 119.20 4,785.80
Agency Component................................ 59 1 4 236.00
Key Indicators Component........................ 9 1 20 180.00
Case Component.................................. 50 1 100 5,000.00
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Recurring Sub-total......................... .............. .............. 124 5,416.00
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Dated: February 11, 2023.
Alison Barkoff,
Acting Administrator and Assistant Secretary for Aging.
[FR Doc. 2023-03266 Filed 2-15-23; 8:45 am]
BILLING CODE 4154-01-P
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