Agency Information Collection Activities; Submission for OMB Review; Public Comment Request; No Wrong Door (NWD) System Management Tool, 10098-10100 [2019-05115]
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10098
Federal Register / Vol. 84, No. 53 / Tuesday, March 19, 2019 / Notices
for the revised form. One commenter
suggested that we change the list of AT
devices. After consideration of the
comment, AIDD will modify the list of
AT devices while retaining the majority
of the original categories. One
commenter suggested we delay the data
collection for one year to allow grantees
time to prepare. While this may be
optimal, two other tools are expiring in
2019. Therefore, AIDD will proceed
with using this data collection in 2019.
Issues of the scope, content,
availability of data, format, and clarity
of instructions for the One PPR have
been discussed with all of the P&A
systems through focus groups, work
groups, and in conferences organized on
behalf of Administration on Intellectual
and Developmental Disabilities by the
National Disability Rights Network
(NDRN). The format is based on the
efforts of these focus groups, work
groups, and conferences.
The proposed form(s) may be found
on the ACL website at: https://
www.acl.gov/about-acl/public-input.
Estimated Program Burden
The annual burden on this form is
estimated as 7,296 annual burden hours.
Instrument
Number of
respondents
Number of
responses per
respondent
Average
burden hours
per response
Total burden
hours
One Protection and Advocacy Annual Program Performance Report ............
57
1
128
7,296
Dated: March 13, 2019.
Lance Robertson,
Administrator and Assistant Secretary for
Aging.
(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.
[FR Doc. 2019–05114 Filed 3–18–19; 8:45 am]
BILLING CODE 4154–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
FOR FURTHER INFORMATION CONTACT:
Administration for Community Living
Agency Information Collection
Activities; Submission for OMB
Review; Public Comment Request; No
Wrong Door (NWD) System
Management Tool
Administration for Community
Living (ACL), HHS.
ACTION: Notice.
AGENCY:
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 by the Paperwork Reduction
Act of 1995. This 30-Day notice collects
comments on the information collection
requirements related to ACL’s Aging
and Disability Resource Center/No
Wrong Door System (ADRC/NWD) New
Data Collection (ICR New).
DATES: Submit written comments on the
collection of information by April 18,
2019.
SUMMARY:
Submit written comments
on the collection of information by:
(a) email to: OIRA_submission@
omb.eop.gov, Attn: OMB Desk Officer
for ACL;
ADDRESSES:
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Joseph Lugo at joseph.lugo@acl.hhs.gov
or 202–795–7391.
In
compliance with 44 U.S.C. 3507, ACL
has submitted the following proposed
collection of information to OMB for
review and clearance.
The NWD System Management Tool
(NWD MT) provides a platform
documenting key elements that are
necessary to evaluate the progress of the
NWD System model and to understand
and document the extent to which a
state’s NWD System is streamlining and
coordinating access to LTSS through
four core functions of State Governance
and Administration, Public Outreach
and Coordination with Key Referral
Sources, Person-Centered Counseling,
and Streamlined Eligibility for Public
Programs.
In addition, this tool will include data
collection for the Veteran Directed Care
(VDC) program, an evidence-based selfdirected program where person-centered
counselors from aging and disability
network agencies within a state’s NWD
System provide facilitated assessment
and care planning, arrange fiscal
management services and provide
ongoing counseling and support to
Veterans, their families and caregivers.
The VDC too will collect qualitative and
SUPPLEMENTARY INFORMATION:
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quantitative data elements necessary to
evaluate the impact of the VDC program.
The NWD MT and the VDC tool will
enable ACL and its partners to collect
and analyze data elements necessary to
assess the progress of the NWD System
model, track performance measures, and
identify gaps and best practices. These
tools have been designed in close
collaboration with states and are
intended to simplify grant reporting
requirements to reduce burden on local
and state entities and will provide a
consistent, streamlined and coordinated
statewide approach to help states govern
their NWD System and manage their
programs efficiently.
Comments in Response to the 60-Day
Federal Register Notice
A notice was published in the Federal
Register on November 2, 2018, Volume
83, Number 213, pp. 55186–55187.
Three emails were received with
comments.
In addition to the public comments,
feedback on the tools were sought from
the following:
• ACL Performance and Evaluation
subject matter experts.
• VHA and CMS subject matter
experts.
• Subject-matter experts at state
agencies representing Aging,
Intellectual/Developmental Disabilities,
Physical Disabilities, and Medicaid.
• Grantee focus groups and
workgroups (with fewer than 9
participants).
ACL’s response to the comments
received are noted in the table below:
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Federal Register / Vol. 84, No. 53 / Tuesday, March 19, 2019 / Notices
Data collection form
Comment
ACL response
NWD Management Tool .....................................
I understand that although not required,
health information shared solution models
that are multi-state adoptable is key to the
NWD system, tracking, and monitoring systems of the I/DD care and services. Please
feel free to share this correspondence with
team members/stakeholders whom we can
speak with in regards to furthering contact
with regarding healthcare technology expansion within the I/DD industry.
In State Level Question 5 and Local Level
Question 1 related to funding of the NWD
System, it is unclear if the dollars and percentages to be reported are actual dollars
or if that can include in-kind contributions.
One of the choices in those two reporting
tables under Federal Funding is ‘‘Other
ACL Programs’’ which references Assistive
Technology. A State/Territory AT Program
could make an in-kind contribution to the
state or local level NWD system, e.g., they
could provide a refurbished AT device allowing an individual to remain in their home
as part of their reuse program (state level
AT Act activity) or they could provide training on AT for NWD staff/partners (state
leadership AT activity). It is highly unlikely
there would be actual Section 4 AT Act dollars being provided to the NWD state system budget as the NWD System functions
as outlined for these data points are not authorized activities for use of Section 4 funds
under the AT Act. It would be helpful to
clarify if in-kind contributions are or are not
to be reported in both of these tables.
The level of detail proposed is tremendous,
with no permanent federal funding source
for the programs. The number of divisions
within Nebraska DHHS & Nebraska Veterans Administration will require significant
coordination. If the information remains as
proposed, I would suggest a long lead time
in collection requirements. Or parceled out
requests and the ability for each division to
address their area of expertise.
ACL appreciates the commenter’s views on
healthcare technology and I/DD care and
services, however ACL finds this comment
to be unrelated to the proposed data collection tools.
NWD Management Tool .....................................
NWD Management Tool .....................................
The proposed form(s) may be found
on the ACL website at: https://
www.acl.gov/about-acl/public-input.
Estimated Program Burden
ACL estimates the burden of this
collection of information as 112 hours
for state level staff, 7,968 hours for local
agency staff and 2,400 hours for VDC
program providers for a total of 10,480
hours. This burden estimate is
calculated based upon a sample of states
and program providers testing the NWD
Number of
respondents
Respondent/data collection activity
ACL appreciates this comment and fully understands the authorizations of Section 4
AT Act dollars. The State Level question 5
and Local Level Question 1 are meant to
capture actual expenditures and dollars
supporting NWD System functions, not inkind contributions. Therefore, in response to
this comment, ACL proposes to edit these
questions for clarification and remove Assistive Technology as an example under
‘‘Other ACL Programs.’’
ACL appreciates this comment and understands that states and aging and disability
network agencies will need support (e.g.,
training, grant funding, etc.) before beginning the data collection. The state’s NWD
Lead Agency will determine which state and
local partners would contribute to the data
collection. Various agencies and divisions
may prepare for data submission in phases,
as determined by the state.
MT and VDC Tool. The estimated
response burden includes time to
review the instructions, gather existing
information, and complete and review
the data entries in a web-based system.
Responses
per
respondent
Hours per
response
Annual
burden hours
NWD Management Tool data collection and entry—State Level ....................
NWD Management Tool data collection and entry—Local Level ...................
Veteran Directed Care Tool .............................................................................
56
996
400
2
2
12
1.0
4.0
0.5
112
7,968
2,400
Total: .........................................................................................................
1,452
6, 904
........................
10,480
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Federal Register / Vol. 84, No. 53 / Tuesday, March 19, 2019 / Notices
Dated: March 13, 2019.
Lance Robertson,
Administrator and Assistant Secretary for
Aging.
Electronic Submissions
[FR Doc. 2019–05115 Filed 3–18–19; 8:45 am]
BILLING CODE 4154–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2019–N–0549]
Agency Information Collection
Activities; Proposed Collection;
Comment Request; Medical Devices;
Use of Symbols in Labeling—Glossary
to Support the Use of Symbols in
Labeling
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice.
The Food and Drug
Administration (FDA or Agency) is
announcing an opportunity for public
comment on the proposed collection of
certain information by the Agency.
Under the Paperwork Reduction Act of
1995 (PRA), Federal Agencies are
required to publish notice in the
Federal Register concerning each
proposed collection of information,
including each proposed extension of an
existing collection of information, and
to allow 60 days for public comment in
response to the notice. This notice
solicits comments on product labeling
regulations to explicitly allow for the
optional inclusion of graphical
representations of information, or
symbols, in labeling (including labels)
without adjacent explanatory text
(referred to in this document as ‘‘standalone symbols’’) if certain requirements
are met.
SUMMARY:
Submit either electronic or
written comments on the collection of
information by May 20, 2019.
DATES:
You may submit comments
as follows. Please note that late,
untimely filed comments will not be
considered. Electronic comments must
be submitted on or before May 20, 2019.
The https://www.regulations.gov
electronic filing system will accept
comments until 11:59 p.m. Eastern Time
at the end of May 20, 2019. Comments
received by mail/hand delivery/courier
(for written/paper submissions) will be
considered timely if they are
postmarked or the delivery service
acceptance receipt is on or before that
date.
ADDRESSES:
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Submit electronic comments in the
following way:
• Federal eRulemaking Portal:
https://www.regulations.gov. Follow the
instructions for submitting comments.
Comments submitted electronically,
including attachments, to https://
www.regulations.gov will be posted to
the docket unchanged. Because your
comment will be made public, you are
solely responsible for ensuring that your
comment does not include any
confidential information that you or a
third party may not wish to be posted,
such as medical information, your or
anyone else’s Social Security number, or
confidential business information, such
as a manufacturing process. Please note
that if you include your name, contact
information, or other information that
identifies you in the body of your
comments, that information will be
posted on https://www.regulations.gov.
• If you want to submit a comment
with confidential information that you
do not wish to be made available to the
public, submit the comment as a
written/paper submission and in the
manner detailed (see ‘‘Written/Paper
Submissions’’ and ‘‘Instructions’’).
Written/Paper Submissions
Submit written/paper submissions as
follows:
• Mail/Hand Delivery/Courier (for
written/paper submissions): Dockets
Management Staff (HFA–305), Food and
Drug Administration, 5630 Fishers
Lane, Rm. 1061, Rockville, MD 20852.
• For written/paper comments
submitted to the Dockets Management
Staff, FDA will post your comment, as
well as any attachments, except for
information submitted, marked and
identified, as confidential, if submitted
as detailed in ‘‘Instructions.’’
Instructions: All submissions received
must include the Docket No. FDA–
2019–N–0549 for ‘‘Use of Symbols in
Labeling.’’ Received comments, those
filed in a timely manner (see
ADDRESSES), will be placed in the docket
and, except for those submitted as
‘‘Confidential Submissions,’’ publicly
viewable at https://www.regulations.gov
or at the Dockets Management Staff
between 9 a.m. and 4 p.m., Monday
through Friday.
• Confidential Submissions—To
submit a comment with confidential
information that you do not wish to be
made publicly available, submit your
comments only as a written/paper
submission. You should submit two
copies total. One copy will include the
information you claim to be confidential
with a heading or cover note that states
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‘‘THIS DOCUMENT CONTAINS
CONFIDENTIAL INFORMATION.’’ The
Agency will review this copy, including
the claimed confidential information, in
its consideration of comments. The
second copy, which will have the
claimed confidential information
redacted/blacked out, will be available
for public viewing and posted on
https://www.regulations.gov. Submit
both copies to the Dockets Management
Staff. If you do not wish your name and
contact information to be made publicly
available, you can provide this
information on the cover sheet and not
in the body of your comments and you
must identify this information as
‘‘confidential.’’ Any information marked
as ‘‘confidential’’ will not be disclosed
except in accordance with 21 CFR 10.20
and other applicable disclosure law. For
more information about FDA’s posting
of comments to public dockets, see 80
FR 56469, September 18, 2015, or access
the information at: https://www.gpo.gov/
fdsys/pkg/FR-;2015-09-18/pdf/201523389.pdf.
Docket: For access to the docket to
read background documents or the
electronic and written/paper comments
received, go to https://
www.regulations.gov and insert the
docket number, found in brackets in the
heading of this document, into the
‘‘Search’’ box and follow the prompts
and/or go to the Dockets Management
Staff, 5630 Fishers Lane, Rm. 1061,
Rockville, MD 20852.
FOR FURTHER INFORMATION CONTACT:
Amber Sanford, Office of Operations,
Food and Drug Administration, Three
White Flint North, 10A–12M, 11601
Landsdown St., North Bethesda, MD
20852, 301–796–8867, PRAStaff@
fda.hhs.gov.
Under the
PRA (44 U.S.C. 3501–3520), Federal
Agencies must obtain approval from the
Office of Management and Budget
(OMB) for each collection of
information they conduct or sponsor.
‘‘Collection of information’’ is defined
in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes Agency requests
or requirements that members of the
public submit reports, keep records, or
provide information to a third party.
Section 3506(c)(2)(A) of the PRA (44
U.S.C. 3506(c)(2)(A)) requires Federal
Agencies to provide a 60-day notice in
the Federal Register concerning each
proposed collection of information,
including each proposed extension of an
existing collection of information,
before submitting the collection to OMB
for approval. To comply with this
requirement, FDA is publishing notice
SUPPLEMENTARY INFORMATION:
E:\FR\FM\19MRN1.SGM
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]]>Agencies
[Federal Register Volume 84, Number 53 (Tuesday, March 19, 2019)]
[Notices]
[Pages 10098-10100]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-05115]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Community Living
Agency Information Collection Activities; Submission for OMB
Review; Public Comment Request; No Wrong Door (NWD) System Management
Tool
AGENCY: Administration for Community Living (ACL), HHS.
ACTION: Notice.
-----------------------------------------------------------------------
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 by the Paperwork Reduction Act of 1995. This 30-Day notice
collects comments on the information collection requirements related to
ACL's Aging and Disability Resource Center/No Wrong Door System (ADRC/
NWD) New Data Collection (ICR New).
DATES: Submit written comments on the collection of information by
April 18, 2019.
ADDRESSES: Submit written comments on the collection of information by:
(a) email to: OIRA_submission@omb.eop.gov, 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: Joseph Lugo at joseph.lugo@acl.hhs.gov
or 202-795-7391.
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 NWD System Management Tool (NWD MT) provides a platform
documenting key elements that are necessary to evaluate the progress of
the NWD System model and to understand and document the extent to which
a state's NWD System is streamlining and coordinating access to LTSS
through four core functions of State Governance and Administration,
Public Outreach and Coordination with Key Referral Sources, Person-
Centered Counseling, and Streamlined Eligibility for Public Programs.
In addition, this tool will include data collection for the Veteran
Directed Care (VDC) program, an evidence-based self-directed program
where person-centered counselors from aging and disability network
agencies within a state's NWD System provide facilitated assessment and
care planning, arrange fiscal management services and provide ongoing
counseling and support to Veterans, their families and caregivers. The
VDC too will collect qualitative and quantitative data elements
necessary to evaluate the impact of the VDC program.
The NWD MT and the VDC tool will enable ACL and its partners to
collect and analyze data elements necessary to assess the progress of
the NWD System model, track performance measures, and identify gaps and
best practices. These tools have been designed in close collaboration
with states and are intended to simplify grant reporting requirements
to reduce burden on local and state entities and will provide a
consistent, streamlined and coordinated statewide approach to help
states govern their NWD System and manage their programs efficiently.
Comments in Response to the 60-Day Federal Register Notice
A notice was published in the Federal Register on November 2, 2018,
Volume 83, Number 213, pp. 55186-55187. Three emails were received with
comments.
In addition to the public comments, feedback on the tools were
sought from the following:
ACL Performance and Evaluation subject matter experts.
VHA and CMS subject matter experts.
Subject-matter experts at state agencies representing
Aging, Intellectual/Developmental Disabilities, Physical Disabilities,
and Medicaid.
Grantee focus groups and workgroups (with fewer than 9
participants).
ACL's response to the comments received are noted in the table
below:
[[Page 10099]]
------------------------------------------------------------------------
Data collection form Comment ACL response
------------------------------------------------------------------------
NWD Management Tool......... I understand that ACL appreciates the
although not commenter's views
required, health on healthcare
information shared technology and I/DD
solution models care and services,
that are multi- however ACL finds
state adoptable is this comment to be
key to the NWD unrelated to the
system, tracking, proposed data
and monitoring collection tools.
systems of the I/DD
care and services.
Please feel free to
share this
correspondence with
team members/
stakeholders whom
we can speak with
in regards to
furthering contact
with regarding
healthcare
technology
expansion within
the I/DD industry.
NWD Management Tool......... In State Level ACL appreciates this
Question 5 and comment and fully
Local Level understands the
Question 1 related authorizations of
to funding of the Section 4 AT Act
NWD System, it is dollars. The State
unclear if the Level question 5
dollars and and Local Level
percentages to be Question 1 are
reported are actual meant to capture
dollars or if that actual expenditures
can include in-kind and dollars
contributions. One supporting NWD
of the choices in System functions,
those two reporting not in-kind
tables under contributions.
Federal Funding is Therefore, in
``Other ACL response to this
Programs'' which comment, ACL
references proposes to edit
Assistive these questions for
Technology. A State/ clarification and
Territory AT remove Assistive
Program could make Technology as an
an in-kind example under
contribution to the ``Other ACL
state or local Programs.''
level NWD system,
e.g., they could
provide a
refurbished AT
device allowing an
individual to
remain in their
home as part of
their reuse program
(state level AT Act
activity) or they
could provide
training on AT for
NWD staff/partners
(state leadership
AT activity). It is
highly unlikely
there would be
actual Section 4 AT
Act dollars being
provided to the NWD
state system budget
as the NWD System
functions as
outlined for these
data points are not
authorized
activities for use
of Section 4 funds
under the AT Act.
It would be helpful
to clarify if in-
kind contributions
are or are not to
be reported in both
of these tables.
NWD Management Tool......... The level of detail ACL appreciates this
proposed is comment and
tremendous, with no understands that
permanent federal states and aging
funding source for and disability
the programs. The network agencies
number of divisions will need support
within Nebraska (e.g., training,
DHHS & Nebraska grant funding,
Veterans etc.) before
Administration will beginning the data
require significant collection. The
coordination. If state's NWD Lead
the information Agency will
remains as determine which
proposed, I would state and local
suggest a long lead partners would
time in collection contribute to the
requirements. Or data collection.
parceled out Various agencies
requests and the and divisions may
ability for each prepare for data
division to address submission in
their area of phases, as
expertise. determined by the
state.
------------------------------------------------------------------------
The proposed form(s) may be found on the ACL website at: https://www.acl.gov/about-acl/public-input.
Estimated Program Burden
ACL estimates the burden of this collection of information as 112
hours for state level staff, 7,968 hours for local agency staff and
2,400 hours for VDC program providers for a total of 10,480 hours. This
burden estimate is calculated based upon a sample of states and program
providers testing the NWD MT and VDC Tool. The estimated response
burden includes time to review the instructions, gather existing
information, and complete and review the data entries in a web-based
system.
----------------------------------------------------------------------------------------------------------------
Number of Responses per Hours per Annual burden
Respondent/data collection activity respondents respondent response hours
----------------------------------------------------------------------------------------------------------------
NWD Management Tool data collection and entry-- 56 2 1.0 112
State Level....................................
NWD Management Tool data collection and entry-- 996 2 4.0 7,968
Local Level....................................
Veteran Directed Care Tool...................... 400 12 0.5 2,400
---------------------------------------------------------------
Total:...................................... 1,452 6, 904 .............. 10,480
----------------------------------------------------------------------------------------------------------------
[[Page 10100]]
Dated: March 13, 2019.
Lance Robertson,
Administrator and Assistant Secretary for Aging.
[FR Doc. 2019-05115 Filed 3-18-19; 8:45 am]
BILLING CODE 4154-01-P
