Notice2024-08009
Agency Information Collection Activities: Submission for OMB Review; Public Comment Request; Prevention and Public Health Fund Evidence-Based Falls Prevention Program Information Collection; OMB Control Number 0985-0039
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
April 16, 2024
Issuing agencies
Health and Human Services DepartmentCommunity Living Administration
Abstract
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 the proposed extension of this ACL Prevention and Public Health Fund Evidence-Based Falls Prevention Program Information Collection.
Full Text
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<title>Federal Register, Volume 89 Issue 74 (Tuesday, April 16, 2024)</title>
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[Federal Register Volume 89, Number 74 (Tuesday, April 16, 2024)]
[Notices]
[Pages 26895-26897]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-08009]
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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 Falls Prevention Program Information Collection; OMB
Control Number 0985-0039
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 the proposed extension of this ACL Prevention
and Public Health Fund Evidence-Based Falls Prevention Program
Information Collection.
DATES: Comments on the collection of information must be submitted
electronically by 11:59 p.m. ET or postmarked. May 16, 2024.
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, Attention: OMB Desk Officer for ACL.
FOR FURTHER INFORMATION CONTACT: Donna Bethge, Administration for
Community Living. Washington, DC 20201, or <a href="/cdn-cgi/l/email-protection#0a4e6564646b24486f7e626d6f4a6b696624626279246d657c"><span class="__cf_email__" data-cfemail="094d66676768274b6c7d616e6c49686a652761617a276e667f">[email protected]</span></a>,
(202) 795-7659.
SUPPLEMENTARY INFORMATION: In compliance with the Paperwork Reduction
Act (44 U.S.C. 3506), the Administration for Community Living (ACL) has
submitted the following proposed collection of information to OMB for
review and clearance. The Evidence-Based Falls Prevention 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 2023) is contained in the Older Americans Act,
title IV; and the Patient Protection and Affordable Care Act,
(Prevention and Public Health Fund). The Falls Prevention Grant Program
awards competitive grants to implement and promote the sustainability
of evidence-based Falls Prevention programs that have been proven to
provide older adults and adults with disabilities with education and
tools to help them reduce falls and/or risk of falls and fall-related
injuries and supports a National Falls Prevention Resource Center that
provides technical assistance, education, and resources for the
national Falls Prevention network of partners. OMB approval of the
existing set of Falls Prevention data collection tools (OMB Control
Number, 0985-0039) expires on 04/30/2024. This data collection
continues to be necessary for the monitoring of program operations and
outcomes. ACL currently uses and proposes to continue to use the
following tools to collect information for each program:
(1) a Program Information Cover Sheet and an Attendance Log,
completed by the program leaders, to record the location of agencies
that sponsor programs and will allow mapping of the delivery
infrastructure; and
(2) a Participant Information Form and a Participant Post Program
Survey to be completed by participants.
ACL intends to continue using an online data entry system for the
program and participant survey data.
This IC collects demographic data from grantees receiving programs
and services funded by HHS. ACL will adhere to best practices for
collection of all demographic information when this information is
collected for the programs listed in accordance with OMB guidance.
This includes, but is not limited to, guidance specific to the
collection of sexual orientation and gender identity (SOGI) items that
align with Executive Order 13985 on Advancing Racial Equity and Support
for Underserved Communities Through the Federal Government, Executive
Order 14075 on Advancing Equality for Lesbian, Gay, Bisexual,
Transgender, Queer, and Intersex Individuals, and Executive Order 13988
on Preventing and Combating Discrimination on the Basis of Gender
Identity and Sexual Orientation. Understanding these disparities can
and should lead to improved service delivery for ACL's programs and
populations served.
Comments in Response to the 60-day Federal Register Notice (FRN)
ACL published a 60-day FRN on December 14, 2023, at 88 FR 86657.
ACL received fifty-four comments from the public, feedback from four
focus groups (that included a subset of current and past falls
prevention grantees and program administrators) and input from subject
matter experts during the 60-day public comment period. A public
comment summary table and ACL response is provided below.
[[Page 26896]]
Participant Information Form and Participant Post Program Survey
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Comment Response
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Several comments suggested HHS and ACL, as an operating
incorporating inclusive sexual division of HHS, recognize the
orientation and gender identity importance of collecting
question(s). Sexual Orientation and Gender
Identity (SOGI) data to better
assess diversity and equity in
evidence-based program scaling
and participation.
ACL has incorporated more
inclusive questions and
responses.
Several comments suggested adding a ACL has adopted this
question to ask if the participant was suggestion.
a caregiver.
Suggestions were received to edit the ACL reviewed the chronic
question regarding chronic conditions: condition question and:
<bullet> Include additional <bullet> Adopted suggestions
conditions (e.g., Hearing Loss and of certain conditions that
Vision Impairment among others). most aligned to fall risk
and the growing prevalence
of these conditions in the
aging population.
<bullet> Increase possible <bullet> Additional
responses (including length of responses were not adopted
diagnosis, don't remember or not at this time.
sure).
Several comments received suggested ACL has adopted the suggestion
revising the social isolation and to separate the single
loneliness question as it combines two question into two questions in
different conditions. efforts to better analyze and
report the information
collected.
Multiple comments made suggestions for ACL adopted the following
the existing question 11 regarding suggestions:
falls:
<bullet> Change formatting for <bullet> Corrected
clarification. formatting.
<bullet> Change Primary Care <bullet> Changed language
Physician to Health Care Provider. from Primary Care Physician
to Health Care Provider.
<bullet> Edit and reorder answers <bullet> Combined question b
for 11 b and c. Add `urgent care' and c to reduce burden and
and `blank response'. added Urgent Care Center as
a response option.
<bullet> Distinguish the difference ...............................
between telling family/friend
verse telling a healthcare
provider.
Some comments suggested changing ACL adopted these suggestions
language in the existing question 13: by adjusting language:
<bullet> Make language consistent <bullet> Changed ``During
with existing question 11, the last 4 weeks'' to ``In
changing ``During the last 4 the Past 3 months'' for
weeks'' to ``In the past 3 consistency across the
months''. collection.
<bullet> Remove ``to what extent''. <bullet> Removed ``to what
extent'' for language
simplification.
<bullet> Provide an example such as <bullet> Added clarifying
``avoiding a friend's home that example of ``avoiding
has steps to enter'', ``avoiding situations with stairs or
areas with uneven ground,'' etc.''. uneven ground''.
There were several comments surrounding ACL adopted the suggestions by
existing question 14: replacing the existing
question 12 and 14 with
questions that rate falls
confidence level surrounding
activities of daily living
(ADLs).
<bullet> Rephrase language to ...............................
clarify the question and produce
more useful feedback.
<bullet> Replace existing question ...............................
14 with a validated outcome
measure using activities of daily
living (ADLs) to rate confidence.
<bullet> A physical function ...............................
question would be a better fit to
define level of independence more
clearly.
Many comments received made suggestions ACL adopted some modifications
for existing question 15: to the question:
<bullet> Change language to lower <bullet> Modified language
reading level. to replicate wording from
the Physical Activity
Guidelines.
<bullet> Include descriptions for <bullet> Added examples of
certain terms. activity from the Physical
Activity Guidelines.
<bullet> Define `vigorously' and ...............................
`moderately' more clearly and
include examples in laymen's terms.
Several comments suggested adding the
following questions to the forms:
<bullet> Reason for taking the class... ACL did not adopt these
suggestions. These questions
can be added as an optional
question by grantees when
appropriate.
<bullet> Collect name, date of ...............................
birth, and insurance information.
<bullet> How did you hear about ...............................
this class?.
Use of a mobility aid to include ...............................
cane, walker, wheelchair,
crutches, prosthesis, orthosis,
others.
For Participant Post Program Survey ACL adopted the suggestions by:
only.
Many comments suggested changes to the <bullet> Reviewing and
existing question 8 and 9. removing the redundancy of
question 8 and 9.
<bullet> Remove the redundancy of <bullet> Combining the
question 8 and 9. questions to reduce burden.
<bullet> Adjust questions to action-
oriented responses rather than
feelings or intent.
<bullet> Suggest ``I increased my
activity level'' rather than ``I
feel more comfortable increasing
my activity level.''.
<bullet> Suggest moving some
questions under a different
heading.
<bullet> Recategorize ``recommend
program to friend''.
<bullet> Remove questions that are
not relevant to falls prevention
programs that have a different
focus area.
<bullet> Removing any
questions that were not
core questions that spanned
all program areas. Removed
questions like ``I have
made safety modifications
in my home . . .''. These
can be optional questions
added by grantees when
appropriate.
<bullet> Language was adjusted
to be action oriented.
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Fall Prevention Coversheet
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Comment Response
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A few comments suggested that program ACL added language to clarify
leaders do not know the funding source. that the form should be
adapted by the grantee to only
include applicable funding
sources.
Several comments suggested adding ACL has adopted 2 of the
questions to capture: suggestions:
<bullet> Mode of delivery.......... <bullet> A question was
added to indicate mode of
delivery.
<bullet> Program setting........... <bullet> A question was
added clarifying if
facilitators are paid
staff, volunteers or other.
<bullet> Whether facilitators are ...............................
paid staff, volunteers or other
<bullet> Whether the program is an ACL did not adopt adding a
adaptation. question about adaptation.
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[[Page 26897]]
Fall Prevention Attendance Log
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Comment Response
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A suggestion was submitted to add a ACL adopted the suggestion add
column for the total number of classes a column for the total number
attended and a check box if the of classes attended.
participant was considered a completer. ACL did not adopt adding a box
to check if a participant was
a completer due to the
variability of definition of a
completer across programs.
A suggestion was submitted to add space ACL did not adopt this
for the date of each session and names suggestion. The form can be
of leaders/coaches. modified by the grantee.
Some comments suggested that for ease ACL acknowledges these
of data entry, the participant comments.
identification number is too long.
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Comments Relevant To All Forms
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Comment Response
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Some commenters suggested changes to ACL will provide the documents
the collection of data, i.e., in Word format. If resources
prefilled forms and positive remarks allow, we will provide
to prevent falls. fillable PDFs for grantee use.
One respondent commented that the ACL acknowledges the comment.
burden of data entry falls on the
program coordinators taking hours to
enter different forms.
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Estimated Program Burden:
ACL estimates the burden of this collection of information as
follows:
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Respondent/data collection Responses per Hours per Annual burden
activity Number of respondents respondent response hours
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Program leaders (Program 480 leaders.......... Twice a year (one set .50 480
Information Cover Sheet, per program).
Attendance Log).
Data entry staff (Program 48 data entry staff.. Once per program x .50 469
Information Cover Sheet, 938 programs.
Attendance Log, Participant
Information Survey, Participant
Post Program Survey).
Program participants (Participant 12,265............... 1.................... .10 1,226
Information Survey).
Program participants (Participant 7,359................ 1.................... .10 735
Post Program Survey).
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Total Burden Hours............ ..................... ..................... .............. 2,910
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Dated: April 10, 2024.
Alison Barkoff,
Principal Deputy Administrator for the Administration for Community
Living, performing the delegable duties of the Administrator and the
Assistant Secretary for Aging.
[FR Doc. 2024-08009 Filed 4-15-24; 8:45 am]
BILLING CODE 4154-01-P
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