Notice2023-24255
Agency Information Collection Activities; Submission for OMB Review; Public Comment Request; Assessment and Evaluation of ACL's American Indian, Alaska Natives, and Native Hawaiian Programs Older Americans Act Title VI (OMB Control Number 0985-0059)
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 3, 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 the Assessment and Evaluation of ACL's American Indian, Alaska Natives, and Native Hawaiian Programs Older Americans Act Title VI (OMB Control Number 0985-0059).
Full Text
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<title>Federal Register, Volume 88 Issue 212 (Friday, November 3, 2023)</title>
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[Federal Register Volume 88, Number 212 (Friday, November 3, 2023)]
[Notices]
[Pages 75598-75600]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-24255]
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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; Assessment and Evaluation of ACL's
American Indian, Alaska Natives, and Native Hawaiian Programs Older
Americans Act Title VI (OMB Control Number 0985-0059)
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 the Paperwork Reduction Act of 1995. This 30-day notice
collects comments on the information collection requirements related to
the Assessment and Evaluation of ACL's American Indian, Alaska Natives,
and Native Hawaiian Programs Older Americans Act Title VI (OMB Control
Number 0985-0059).
DATES: Submit written comments on the collection of information by
December 4, 2023.
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: Amanda Cash at <a href="/cdn-cgi/l/email-protection#b4f5d9d5dad0d59af7d5c7dcf4d5d7d89adcdcc79ad3dbc2"><span class="__cf_email__" data-cfemail="59183438373d38771a382a3119383a357731312a773e362f">[email protected]</span></a>
or (202) 795-7369.
SUPPLEMENTARY INFORMATION: In compliance with 44 U.S.C. 3507, the
Administration for Community Living (ACL) has submitted the following
[[Page 75599]]
proposed collection of information to OMB for review and clearance.
The Administration for Community Living (ACL) is requesting
approval for data collection associated with the Assessment and
Evaluation of ACL's American Indian, Alaska Natives, and Native
Hawaiian Programs Older Americans Act Title VI (OMB Control Number
0985-0059). OAA Title VI establishes grants to Native Americans for
nutrition services, supportive services, and family caregiver support
services.
The purpose of Title VI is ``to promote the delivery of supportive
services, including nutrition services, to American Indians, Alaskan
Natives, and Native Hawaiians that are comparable to services provided
under Title III'' (42 U.S.C. 3057), which provides nutrition, caregiver
and supportive services to the broader U.S. population. Title VI is
comprised of three parts; Part A provides nutrition and supportive
services to American Indians and Alaska Natives, Part B provides
nutrition and supportive services to Native Hawaiians, and Part C
provides caregiver services to any programs that have Part A/B.
The previous data collection for this project entailed a series of
interviews and focus groups with Title VI program staff, elders, and
caregivers. American Indian, Alaska Native, and Native Hawaiian (AI/AN/
NH) populations experience significant health and socioeconomic
disparities compared to the rest of the U.S. population. The AI/AN
population has the highest rate of disabilities and the lowest life
expectancy compared to the averages for the overall population (Centers
for Disease Control and Prevention [CDC], 2008; Goins, Moss, Buchwald,
& Guralnik, 2007). While 18% of the non-Hispanic white population is 65
years or older, just 8% of Native Hawaiians and 10% of the AI/AN
population is 65 years or older (AoA, 2015). However, as overall life
expectancy increases, the proportion of older AI/AN adults is expected
to increase. By 2050, the percentage of non-Hispanic white adults is
expected to decrease by 20%, while the population of older minority
population adults, including AI/AN/NH, is expected to increase by 110%
(AoA, 2015; CDC, 2013). For AI/AN populations, this translates to a 93%
increase in the number of older adults. In addition, the population
aged 75 and older needing long-term care is expected to double by the
year 2030 (AoA, 2015; CDC 2013; Goins et al., 2007).
In fiscal year 2023, ACL awarded 290 Title VI three-year grants to
tribes/tribal organizations elders for the provision of nutrition and
supportive services, and a portion of awardees also received funds for
the Native American Caregiver Support Program. The Assessment and
Evaluation of the Title VI Programs will examine the effects of the
program on:
1. Older Indians, their families and caregivers
2. Tribal communities
3. Intergenerational connections in tribal communities
4. Management of the Title VI program
Additionally, the assessment will examine how using COVID
supplemental funds impacted Title VI services provided to older adults.
This work will help ACL better understand and document the impact of
these funds, how service provision changed over time, and what gaps
existed despite the additional funding.
The Need for Assessment and Evaluation
The Assessment and Evaluation of the Title VI Programs is
authorized under Section 206(a, c) of Title II of the OAA, which
directs ACL to ``. . . measure and evaluate the impact of all programs
authorized by this Act, their effectiveness in achieving stated goals
in general, and in relation to their cost, their impact on related
programs, their effectiveness in targeting for services under this Act
unserved older individuals with greatest economic need (including low-
income minority individuals and older individuals residing in rural
areas) and unserved older individuals with greatest social need
(including low-income minority individuals and older individuals
residing in rural areas), and their structure and mechanisms for
delivery of services, including, where appropriate, comparisons with
appropriate control groups composed of persons who have not
participated in such programs.''
Consistent with requirements of the Government Performance Results
Modernization Act (GPRMA), ACL's Administration on Aging (AoA)
integrates its strategic priorities and plans with performance
measurement criteria. The AoA has three major performance measures:
improve program efficiency, improve client outcomes, and improve
effective targeting of vulnerable elders. Through program assessments,
ACL seeks a better understanding of key programs, such as the programs
under Title VI of the OAA for AI/AN/NH. Having completed most of the
data collection, the Assessment and Evaluation of the Title VI Programs
has an interest in adding a data collection activity to do a follow-up
interview with grantees after they have completed the current
evaluation cycle to understand which components of the technical
assistance, they have received have been the most useful for them.
Table 1 provides an overview of the Assessment and Evaluation of
the Title VI Program data collection activity.
Data Collection Activities
Table 1
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Activity Purpose, respondents, method, and relevant study
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Title VI Program Staff Follow-up Interviews. The Program Staff Follow-up Interviews will assess how the Title
VI Programs have been utilizing and implementing the Technical
Assistance they have received from the contractor around the
practice of evaluation. Data will include how evaluation practice
is being implemented and on what occurring basis, as well as
perceptions of met and unmet needs around evaluation; and
barriers to using evaluation. Up to 2 local staff (e.g., program
director and evaluation staff person) will participate in each
interview. The interviews will be conducted via telephone in Year
4 with up to 12 evaluation grantees, for a maximum of 24
participants, and will take 60 minutes to complete. See
Attachment A (Title VI Program Staff Consent Form and Interview
Guide).
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Use of Information Collected
ACL's strategic priorities are to empower older people and their
families to (1) make informed decisions about, and easily access,
health and long-term care options and (2) enable seniors to remain in
their own homes through the provision of home and community-based
services.
Central to these priorities is the pursuit of consistent and
effective approaches to support older adults in their own homes and
communities, and to coordinate the provision of
[[Page 75600]]
supportive services to seniors and their caregivers in an integrated
system of long-term care. Information gathered through the Assessment
and Evaluation of the Title VI Programs will inform ACL and its
partners, other Federal agencies and administrators, current grantees,
policymakers, and the field about ways to improve service delivery for
elders and their caregivers and helping them to remain in their homes
for as long as possible. For example, information gathered through the
evaluation will be used to identify gaps and challenges in service
delivery, as well as areas of further need.
Without this assessment and evaluation, Federal and local officials
will not be able to determine whether the Title VI Programs are having
the intended impact on AI/AN/NH elders and whether the grantees are
meeting the individual goals of the programs. The new proposed data
collection with further allow ACL to understand how successful the
training and technical assistance provided to Title VI evaluation
grantees was for their practice of data collection and use.
Comments in Response to the 60-Day Federal Register Notice
A notice published in the Federal Register 88 FR 56633 on August
18, 2023. There were no public comments received during the 60-day FRN.
Estimated Program Burden:
Estimated Program Burden
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Number of Number of Average burden
Respondent type Form name annual responses per (in hours) per Annual burden
respondents respondent response hours
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Program director............................... Program staff follow-up interview 12 1 1 12
guide.
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Dated: October 30, 2023.
Alison Barkoff,
Principal Deputy Administrator for the Administration for Community
Living, performing the duties of the Administrator and the Assistant
Secretary for Aging.
[FR Doc. 2023-24255 Filed 11-2-23; 8:45 am]
BILLING CODE 4154-01-P
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