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, 72488-72491 [2022-25698]
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Federal Register / Vol. 87, No. 226 / Friday, November 25, 2022 / Notices
respondents, including through the use
of automated collection techniques
when appropriate, and other forms of
information technology.
Legal authority for the State Plan for
Independent Living (SPIL) is contained
in Chapter 1 of Title VII of the
Rehabilitation Act of 1973, as amended
by the Workforce Innovation and
Opportunity Act ([the Act], Pub. L. 113–
128). Section 704 of the Rehabilitation
Act requires that, to be eligible to
receive financial assistance under
Chapter 1, ‘‘a State shall submit to the
Department, and obtain approval of, a
State plan containing such provisions as
the Department may require.’’ ACL
approval of the SPIL is required for
states to receive federal funding for both
the Independent Living Services State
grants and Centers for Independent
Living (CIL) programs. Federal statute
and regulations require the collection of
this information every three years. The
current three-year approval period for
the SPIL expires March 31, 2023. The
SPIL Instrument is the template for
SPILs; the SPIL Instructions explain the
Instrument and give tips about how to
draft SPILs.
The Office of Independent Living
Programs (OILP) is proposing minor
revisions based on OILP and the
technical assistance provider revising
the Instrument and Instructions to
resolve issues that SILCs have reported
having with their SPILs, and to increase
the Instrument’s and Instructions’
clarity, conciseness, and precision. For
example,
• The revised Instrument and
Instructions correct grammatical and
punctuation errors.
• The revised Instructions add lines
for each core service.
• The revised Instrument and
Instructions clarify the definition, and
example, of state match.
These updates were recommended by
the technical assistance provider and
analyzed by all the independent living
project officers who work directly with
SPILs and the issues that they plan for.
The SPIL is jointly developed by the
chairperson of the Statewide
Independent Living Council and the
directors of the CILs in the state, after
receiving public input from individuals
throughout the State, and signed by the
chairperson of the SILC, acting on
behalf of—and at the direction of—the
SILC, the director of the designated
State entity, and not less than 51
percent of the directors of the CILs in
the State. ACL reviews the SPIL for
compliance with the Rehabilitation Act
Number of
respondents
Respondent/data collection activity
Responses
per
respondent
Hours per
response
Annual burden
hours
Statewide Independent Living Councils ..........................................................
56
1
60
3,360
Total ..........................................................................................................
56
1
60
3,360
Dated: November 19, 2022.
Alison Barkoff,
Acting Administrator and Assistant Secretary
for Aging.
[FR Doc. 2022–25691 Filed 11–23–22; 8:45 am]
BILLING CODE 4154–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Community Living
khammond on DSKJM1Z7X2PROD with NOTICES
and 45 CFR part 1329 and approves the
SPIL. The SPIL serves as a primary
planning document for continuous
monitoring of, and technical assistance
to, the state independent living (IL)
programs to ensure appropriate
planning, financial support and
coordination, and other assistance to
appropriately address, statewide, needs
for the provision of IL services in the
state.
The proposed data collection tools
may be found on the ACL website for
review at https://www.acl.gov/aboutacl/public-input.
Estimated Program Burden: ACL
estimates the burden associated with
this collection of information as follows:
56 Statewide Independent Living
Councils (SILCs) will respond to the
requirement for a SPIL every three
years. Each state’s SILC will take
approximately 60 hours to develop the
SPIL for a total of approximately 3,360
hours. This estimate is based on
amounts of time SILCs have reported
previously spending to complete the
SPIL. ACL does not expect the change
in Instrument and Instructions to take
more or less time than the currently
approved information collection.
Therefore, there is no change to the
estimated reporting burden.
Agency Information Collection
Activities; Submission for OMB
Review; Public Comment Request;
Prevention and Public Health Fund
Evidence-Based Chronic Disease SelfManagement Education Program
Information Collection; OMB# 0985–
0036
Administration for Community
Living, HHS.
AGENCY:
ACTION:
Notice.
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18:43 Nov 23, 2022
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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 SelfManagement Education Program
Information Collection OMB# 0985–
0036.
SUMMARY:
Submit written comments on the
collection of information by December
27, 2022.
DATES:
Submit written comments
and recommendations for the proposed
information collection within 30 days of
publication of this notice to
www.reginfo.gov/public/do/PRAMain
Find the information collection by
selecting ‘‘Currently under 30-day
ADDRESSES:
PO 00000
Frm 00047
Fmt 4703
Sfmt 4703
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
(Shannon.skowronski@acl.hhs.gov).
Administration for Community Living,
Washington, DC 20201, Attention:
Shannon Skowronski.
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
SUPPLEMENTARY INFORMATION:
E:\FR\FM\25NON1.SGM
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Federal Register / Vol. 87, No. 226 / Friday, November 25, 2022 / Notices
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
72489
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
Topic/issue
Comment
ACL response
Survey Purpose .........
Suggestion to add a purpose statement to the forms to better
inform participants of why this specific data collection is pertinent.
Multiple comments were received as detailed below:
(a) Suggestion to change the type of bullet used for the response options from a circle to a text box.
(b) Suggestion to group the disability-related questions and
present in a table/grid format.
Multiple respondents suggested the incorporation of inclusive
sexual orientation and gender identity question(s).
ACL will not adopt this suggestion. The purpose of this data collection is
multi-fold—with different benefits and potential uses of the data by federal, state, and local stakeholders.
(a) ACL will incorporate this suggested revision.
(b) ACL will incorporate this suggested revision.
Survey Format ...........
khammond on DSKJM1Z7X2PROD with NOTICES
Sexual Orientation
and Gender Identity
(SOGI).
Race/Ethnicity ............
Multiple comments were received as detailed below:
Suggestion to combine the race and ethnicity questions
into one item.
Suggestion to ‘‘Include Middle Eastern/North African
(MENA) as a response option. This race does not roll up
to the current categories (maybe white) and could be a
cause for not answering the question’’.
Chronic Conditions
List.
Multiple comments were received as detailed below:
(a) Suggestion to expand the list of conditions to include
post-traumatic stress disorder (PTSD), substance use
disorder, urinary incontinence, malnutrition and Alzheimer’s Disease or other dementia.
(b) Suggestion to alphabetize the list to facilitate data entry
Social Isolation/Loneliness.
Multiple respondents suggested that this question be revised as
it is asking about two different constructs—isolation and loneliness. Many respondents suggested ‘‘replacing the question
with the UCLA loneliness questions’’—a three part question.
Participant Outcomes
Questions.
(a) Multiple suggestions to add outcomes questions to better
understand the impact of participating in a program and what
participants might have done since the program to manage
their chronic condition.
(b) Suggestions to add elements from the Patient Activation
Measure, Healthy Days Measures and RAPID3.
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HHS, and ACL as an operating division of HHS, recognize the importance
of collecting SOGI data to better assess diversity and equity in evidence-based program scaling and participation.
ACL intends to update this question to incorporate more inclusive questions and responses.
ACL works to align data collection with what is currently collected across
the Federal Government, specifically the U.S. Census. The questions as
presented reflect how race/ethnicity is asked. ACL will not incorporate
the suggestion to combine the race and ethnicity questions.
Similarly, ACL will not incorporate the suggestion to include the MENA
group for the reason mentioned above. However, ACL will incorporate
the ‘‘some other race’’ option to allow for inclusion of additional responses.
(a) ACL will incorporate these conditions based on the growing prevalence
of these conditions in the aging population. For example, an estimated
6.5 million older adults are living with Alzheimer’s dementia in 2022,
73% of which are 75 years and older; 50% of older adults are at risk for
becoming malnourished; and nearly 1 million adults aged 65 and older
live with a substance use disorder.
(b) ACL will incorporate this suggested revision.
ACL appreciates the suggestion to collect more data around social isolation and loneliness but has decided in the interest of balancing data collection and burden to not include these specific questions in the survey.
Instead, the constructs will be separated into their own questions in efforts to better analyze and report the information collected.
(a) ACL is interested in assessing impact of the program as well as activities that participants may be using to manage their condition as a result
of their participation. ACL will therefore include a question that will assess what participants have done as it relates to talking with their
healthcare provider, reviewing medications with appreciate healthcare
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.
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Federal Register / Vol. 87, No. 226 / Friday, November 25, 2022 / Notices
PARTICIPANT INFORMATION SURVEY—Continued
Topic/issue
Comment
ACL response
Satisfaction Question
Request to add satisfaction question into the post-survey. Summary of respondents justification include ‘‘Many organizations
may be offering multiple programs, or just getting their programs off the ground. Measuring participants’ 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’’.
Suggestion to incorporate questions specific to language other
than English spoken at home, language preference for reading or speaking about health/medical information, how well
someone speaks English.
Although a satisfaction question has not been part of the required data
collection elements, ACL agrees with this suggestion and will include a
satisfaction question in the survey to assess the extent to which a program is meeting the needs of the participant, as well as overall program
delivery.
Additional Questions
ACL appreciates the suggestion to collect more data but has decided in
the interest of balancing data collection and burden to not include these
additional elements on the survey.
PROGRAM INFORMATION COVER SHEET
Topic/issue
Size of Implementation Site.
Consent to Receive
Information from
National CDSME
Resources Center.
Facilitator Demographics.
Facilitator Status ........
Program Delivery Format.
Network Status ..........
Comment
ACL response
Suggestion to include the question ‘‘How many older adults
does your organization serve on an annual basis?’’ as this
would be helpful in analyzing the differences in how small
and large sites implement programs.
A comment was received that this question seems unnecessary
to have as a standard question, since it should only be asked
once of each leader.
ACL will not be incorporating this element at this time. Being able to scale
and sustain programs depend on a variety of factors. The number of
older adults served is not an adequate measure of success in program
implementation.
Requesting this consent through a standard data collection form is the
most direct manner ACL can use to ensure that program facilitators can
opt in to receiving technical assistance communications from our National CDSME Resource Center.
ACL agrees and will incorporate this suggestion by including the same
questions as outlined in the participant information survey.
Suggestion to include demographic questions such as age,
race/ethnicity as facilitator demographics can have a large
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.
Suggestion to include a question to better understand how
facilitators 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.
Suggestion to include a question that asks about the delivery
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’’.
A suggestion was made to ask a question about network status—‘‘Is this workshop implemented as a part of a centralized, coordinated Community-Integrated Health Network?
Yes/No. If yes, provide the name of the Community—Integrated Network: (open-ended)’’.
ACL agrees and will incorporate this suggestion.
ACL agrees and will incorporate this suggestion.
Although Community Care Hubs/Community Integrated Health Network
are increasing across the country, ACL will not incorporate this suggestion at this time. This may cause undue burden on a program facilitator
or implementation site coordinator and possibly delay the return of data.
khammond on DSKJM1Z7X2PROD with NOTICES
ATTENDANCE LOG
Topic/issue
Comment
ACL response
Format ..........................................................................
Suggestions to:
(a) Modify format to add the following: survey
completion, liability form completion, attendance to other programs at site, and an example row.
(b) Make participant ID column smaller so participants do not write their names.
(a) This form is to be completed by the program
facilitator who should clearly print the program information and participant IDs. As a part of their
training, facilitators should be instructed to not put
participant name or other identifying 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.
Estimated Program Burden: ACL
estimates the burden associated with
this collection of information as follows:
Number of
respondents
Respondent/data collection activity
Program facilitators (Program Information Cover Sheet, Attendance Log).
Program participants (Participant Information Survey) .........
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680
14,000
Fmt 4703
Responses per
respondent
Hours per
response
Twice per year (one set per
program).
1 ...............................................
Sfmt 4703
E:\FR\FM\25NON1.SGM
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Annual
burden hours
.34
462.40
.20
2,800.00
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Federal Register / Vol. 87, No. 226 / Friday, November 25, 2022 / Notices
Number of
respondents
Respondent/data collection activity
Responses per
respondent
Hours per
response
Annual
burden hours
Data entry staff (Program Information Cover Sheet, Attendance Log, Participant Information Survey).
70
Once per program times 1,360
programs.
.20
272.0
Total Burden Hours ........................................................
........................
..................................................
........................
** 3,534
** 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
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2018–N–1262]
Notice of Approval of Product Under
Voucher: Rare Pediatric Disease
Priority Review Voucher
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice.
The Food and Drug
Administration (FDA) is announcing the
issuance of approval of a product
redeeming a priority review voucher.
The Federal Food, Drug, and Cosmetic
Act (FD&C Act), as amended by the
Food and Drug Administration Safety
and Innovation Act (FDASIA),
authorizes FDA to award priority review
vouchers to sponsors of approved rare
pediatric disease product applications
that meet certain criteria. FDA is
required to publish notice of the
issuance of priority review vouchers as
well as the approval of products
redeeming a priority review voucher.
FDA has determined that the
supplemental application for SKYRIZI
(risankizumab-rzaa), approved June 16,
2022, meets the criteria for redeeming a
priority review voucher.
FOR FURTHER INFORMATION CONTACT:
Cathryn Lee, Center for Drug Evaluation
and Research, Food and Drug
Administration, 10903 New Hampshire
Ave., Silver Spring, MD 20993–0002,
301–796–1394, email: Cathryn.Lee@
fda.hhs.gov.
SUPPLEMENTARY INFORMATION: FDA is
announcing the approval of a product
redeeming a rare pediatric disease
priority review voucher. Under section
529 of the FD&C Act (21 U.S.C. 360ff),
which was added by FDASIA, FDA will
report the issuance of rare pediatric
disease priority review vouchers and the
approval of products for which a
khammond on DSKJM1Z7X2PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
18:43 Nov 23, 2022
Jkt 259001
voucher was redeemed. FDA has
determined that the supplemental
application for SKYRIZI (risankizumabrzaa), approved June 16, 2022, meets the
redemption criteria.
For further information about the Rare
Pediatric Disease Priority Review
Voucher Program and for a link to the
full text of section 529 of the FD&C Act,
go to https://www.fda.gov/ForIndustry/
DevelopingProductsforRareDiseases
Conditions/RarePediatricDiseasePriority
VoucherProgram/default.htm. For
further information about SKYRIZI
(risankizumab-rzaa), approved June 16,
2022, go to the ‘‘Drugs@FDA’’ website at
https://www.accessdata.fda.gov/scripts/
cder/daf/.
Dated: November 18, 2022.
Lauren K. Roth,
Associate Commissioner for Policy.
[FR Doc. 2022–25644 Filed 11–23–22; 8:45 am]
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2022–N–2782]
Antimicrobial Drugs Advisory
Committee; Notice of Meeting;
Establishment of a Public Docket;
Request for Comments
Food and Drug Administration,
Department of Health and Human
Services (HHS).
ACTION: Notice; establishment of a
public docket; request for comments.
AGENCY:
The Food and Drug
Administration (FDA) announces a
forthcoming public advisory committee
meeting of the Antimicrobial Drugs
Advisory Committee. The general
function of the committee is to provide
advice and recommendations to FDA on
regulatory issues. The meeting will be
open to the public. FDA is establishing
a docket for public comment on this
document.
SUMMARY:
The meeting will be held
virtually on January 24, 2023, from 9
a.m. to 4:30 p.m. Eastern Time.
ADDRESSES: Please note that due to the
impact of the COVID–19 pandemic, all
DATES:
PO 00000
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meeting participants will be joining this
advisory committee meeting via an
online teleconferencing platform.
Answers to commonly asked questions
about FDA advisory committee meetings
may be accessed at: https://
www.fda.gov/AdvisoryCommittees/
AboutAdvisoryCommittees/
ucm408555.htm.
FDA is establishing a docket for
public comment on this meeting. The
docket number is FDA–2022–N–2782.
Please note that late, untimely filed
comments will not be considered. The
docket will close on January 23, 2023.
The https://www.regulations.gov
electronic filing system will accept
comments until 11:59 p.m. Eastern Time
at the end of January 23, 2023.
Comments received by mail/hand
delivery/courier (for written/paper
submissions) will be considered timely
if they are received on or before that
date.
Comments received on or before
January 9, 2023, will be provided to the
committee. Comments received after
that date will be taken into
consideration by FDA. In the event that
the meeting is cancelled, FDA will
continue to evaluate any relevant
applications or information, and
consider any comments submitted to the
docket, as appropriate.
You may submit comments as
follows:
Electronic Submissions
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
E:\FR\FM\25NON1.SGM
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]]>Agencies
[Federal Register Volume 87, Number 226 (Friday, November 25, 2022)]
[Notices]
[Pages 72488-72491]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-25698]
-----------------------------------------------------------------------
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.
-----------------------------------------------------------------------
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
www.reginfo.gov/public/do/PRAMain 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
([email protected]). 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
----------------------------------------------------------------------------------------------------------------
Topic/issue Comment ACL response
----------------------------------------------------------------------------------------------------------------
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.
----------------------------------------------------------------------------------------------------------------
Program Information Cover Sheet
----------------------------------------------------------------------------------------------------------------
Topic/issue Comment ACL response
----------------------------------------------------------------------------------------------------------------
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.
----------------------------------------------------------------------------------------------------------------
Attendance Log
------------------------------------------------------------------------
Topic/issue Comment ACL response
------------------------------------------------------------------------
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.
------------------------------------------------------------------------
Estimated Program Burden: ACL estimates the burden associated with
this collection of information as follows:
----------------------------------------------------------------------------------------------------------------
Number of Hours per Annual burden
Respondent/data collection activity respondents Responses per respondent response hours
----------------------------------------------------------------------------------------------------------------
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).
-------------------------------------------------------------------------
Total Burden Hours................ .............. ........................ .............. ** 3,534
----------------------------------------------------------------------------------------------------------------
** 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
