Agency Information Collection Activities; Proposed Collection; Comment Request; National Adult Maltreatment Reporting System; OMB# 0985-0054, 10118-10121 [2023-03266]
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Federal Register / Vol. 88, No. 32 / Thursday, February 16, 2023 / Notices
FOR FURTHER INFORMATION CONTACT:
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Community Living
Agency Information Collection
Activities; Proposed Collection;
Comment Request; National Adult
Maltreatment Reporting System; OMB#
0985–0054
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 under the Paperwork
Reduction Act of 1995. This 30-Day
notice collects comments on the
information collection requirements
related to an extension without change
and solicits comments on the
information collection requirements
related to the on the information
collection requirements relating to the
National Adult Maltreatment Reporting
System (NAMRS).
DATES: Submit written comments on the
collection of information by March 20,
2023.
ADDRESSES: Submit written comments
on the collection of information by:
(a) Email to: 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.
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SUMMARY:
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Stephanie Whittier Eliason,
Administration for Community Living,
Washington, DC 20201, 202–795–7467
at Stephanie.WhittierEliason@
acl.hhs.gov.
In
compliance with 44 U.S.C. 3507, ACL
has submitted the following proposed
collection of information to OMB for
review and clearance. The National
Adult Maltreatment Reporting System
authorized under the Elder Justice Act
of 2009, which amends Title XX of the
Social Security Act [42.U.S.C. 13976 et
seq.], requires that the Secretary of the
U.S. Department of Health and Human
Services ‘‘collects and disseminates data
annually relating to the abuse,
exploitation, and neglect of elders in
coordination with the Department of
Justice’’ [Sec. 2041(a)(1)(B)] and
‘‘conducts research related to the
provision of adult protective services’’
[Sec. 2041(a)(1)(D)].
The Elder Justice Coordinating
Council (EJCC) recommended
development of ‘‘a national adult
protective services (APS) system based
upon standardized data collection and a
core set of service provision standards
and best practices.’’
NAMRS is a voluntary system that has
been annually collecting since FY 2016
both summary and de-identified caselevel data on APS investigations
submitted by states, and the data does
not include any personally identifiable
information. NAMRS has and will
continue to consist of three components:
(1) Descriptive data on state agency
and practices from all states through the
‘‘Agency Component,’’ and
(2) Case-level, non-identifiable data
on persons who receive an investigation
by APS in response to an allegation of
SUPPLEMENTARY INFORMATION:
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abuse, neglect, or exploitation through
‘‘Case Component’’, or
(3) For states that are unable to submit
a case-level file through the ‘‘Case
Component,’’ a ‘‘Key Indicators
Component’’ will be available for them
to submit data on a smaller set of core
items.
ACL will continue to provide
technical assistance to assist in the
preparation of data submissions by state
APS agencies and APS agencies in the
District of Columbia, Puerto Rico,
Guam, Northern Mariana Islands, Virgin
Islands, and American Samoa (states,
hereafter).
To address gathering necessary and
relevant demographic information to
assess diversity and equity in evidencebased program scaling, participation,
and advances; 1 the proposed revisions
were compared to the Updates on
Terminology of Sexual Orientation and
Gender Identity (SOGI) Survey
Measures from the Federal Committee
on Statistical Methodology that came
out after publication of the 60-day
notice. Several of the changes originally
proposed were consistent with SOGI,
and ACL made additional changes in
the 30-day posting to further align with
the SOGI recommendations. The
proposed collection is consistent with
the SOGI recommendations
conceptually and specifically aligns for
most of the code values for sexual
orientation and gender identity. A 60day Federal Register notice published
on Monday, May 23, 2022, in Federal
Register Vol. 87, No. 99, page 31243.
1 Executive Order on Advancing Racial Equity
and Support for Underserved Communities
Through the Federal Government and the Executive
Order on Advancing Equality for Lesbian, Gay,
Bisexual, Transgender, Queer, and Intersex
Individuals.
E:\FR\FM\16FEN1.SGM
16FEN1
Federal Register / Vol. 88, No. 32 / Thursday, February 16, 2023 / Notices
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RESPONSE TO PUBLIC COMMENT TABLE
Name
Position
Comment
Draft response/notes for
discussion
Shelly Fiebich .....
Director, Bureau of
Adult Services Division of Child Welfare
and Community Services New York State.
ACL will align the proposed NAMRS code values with the recent federal Sexual Orientation
and Gender Identity (SOGI) recommendations.
The SOGI recommendations use ‘‘prefer not to
answer’’ instead of ‘‘X’’. If NYS uses ‘‘X’’ as a
value in its case management system, then it
should map ‘‘X’’ to the appropriate category
in NAMRS.
Based on the SOGI recommendations, we will
also add the following code values: [If respondent is AIAN:] Two-Spirit and ‘‘Prefer not
to answer’’.
Shelly Fiebich .....
Director, Bureau of
Adult Services Division of Child Welfare
and Community Services New York State.
Shelly Fiebich .....
Director, Bureau of
Adult Services Division of Child Welfare
and Community Services New York State.
Case Component 5 & 6: ACL should enhance
the quality and clarify of information collected
by adding ‘‘declined to answer’’ as a selection for gender identity and sexual orientation.
Key Indicator 9: ACL should enhance the quality and clarity of information collected by providing an option for individuals to mark their
gender as ‘‘X’’ in fields that collect this information. People should also have the option
to mark decline to answer in fields collecting
information about gender identity and sexual
orientation. Including these additional options
leads to more accurate information and affirming reporting by individuals. It’s consistent
with the Biden administration‘s efforts to authorize individuals to select ‘‘X’’ as their gender marker on U.S. passports and other federal documents, and in alignment with New
York State‘s commitment to provide individuals the option of marking agenda or sex as
‘‘X’’ on state forms, including a driver license,
learner permit or non-driver identification card.
Agency Component 7.1.1: The collection of estimated FTEs of staff and supervisors devoted only to APS work when staff are
shared among other programs is not feasible
in NY because this information is not collected or tracked at the state level and all reporting systems are for separate entities. Further, the collection of this information does
not appear necessary for the proper performance of ACL functions.
Regarding ACL‘s estimated program burden,
NYSOCFS respectfully submits that the
agency requirement to collect FTEs would require an annual estimated statewide burden
of over 370 hours for the local Department of
Social Services to collect and submit that information to New York State OCFS.
Agency 10: ACL should clarify the definition of
‘‘priority level’’ to provide clarity of information
collected.
Shelly Fiebich .....
Director, Bureau of
Adult Services Division of Child Welfare
and Community Services New York State.
Agency 21: ACL should clarify the definition of
and purpose for the request of collecting the
source of ethical principles and how it relates
to the proper performance of ACL’s functions.
Jay Colbert .........
Data Manager The
Polis Center at IUPUI
School of Informatics
and Computing.
I’ve been looking at your NAMRS reports. If I
read them right, it’s all national data. Is there
any place to get state-level data yet?
Please include the need for state-level data reports in your NAMRS public comment tracking document.
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No change. FTEs is not a required data element and if it is considered too costly to collect and reported by any state they do not
have to do so. The FTE data is important to
understanding the APS system workforce and
is used in various technical assistance and
evaluation activities.
No change. Based on responses in NAMRS, almost all states have priority levels and are
generally using this terminology. Each state
defines a set of priority responses based on
its policy. ACL received no other comments
indicating a need to define the term. States
are encouraged to use the comment field to
provide state-specific clarifying information
and a link to the specific policy.
No change. One of the defining characteristics
of the APS system is how it addresses issues
such as self-determination, so it is important
to understand the source of each program’s
ethical principles. ACL oversees implementation of the Elder Justice Act and its funding,
so it is important to understand how programs respect individual rights consistent
with the EJA.
Agree. Prior to this data renewal, ACL has not
shared state specific data without state permission. Notice was provided in the 60-day
FRN and is addressed again in the Supporting Statement for this 30 FRN of ACL’s
intent to begin sharing state-specific data.
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Federal Register / Vol. 88, No. 32 / Thursday, February 16, 2023 / Notices
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RESPONSE TO PUBLIC COMMENT TABLE—Continued
Name
Position
Comment
Draft response/notes for
discussion
Dorian Long ........
Connecticut APS ..........
No change. The NAMRS age ranges were selected to match census categories and not
the proposed categories.
Maria Greene .....
Consultant ....................
Maria Greene .....
Consultant ....................
Specific ages of perpetrator may present as a
challenge. Connecticut proposes that age
ranges are added as an option be used to
support more opportunities for completion of
data element. Please see below:
17 and younger.
18 to 34 years.
35 to 59 years.
60 to 74 years.
75 years and over.
While conducting a comprehensive review of
NAMRS, please consider adding requirements for a unique identification number for
the worker and supervisor involved in a case.
This is done in the child maltreatment reporting system and is useful data for analyzing
staff workload and caseloads.
I propose the addition of one question to the
NAMRS Agency Component. In the Agency
Profile, ask a question about the Information
System that the state uses to collect data.
Mary McGurran ..
Adult Protection Supervisor | Aging and
Adult Services, Minnesota Department of
Human Services.
Case Component, Case Component, Key Indicators; Use social service terminology for
consistency with the ACL definition of adult
protective services (APS) as a social service
program to maximize client safety and independence and for consistency with ACL values for person-centered planning processes.
Suggestions:
• Investigation: Assessment.
• Victim: Client, Adult, Adult vulnerable to maltreatment, Older adult or Adult with a disability.
• Perpetrator: Person responsible, or person
alleged responsible for maltreatment.
Mary McGurran ..
Adult Protection Supervisor | Aging and
Adult Services, Minnesota Department of
Human Services.
Agency Component Data; Enhance selections
on APS use of involuntary interventions.
26. Involuntary Intervention: Add Guardianship
and Mental Health Commitment.
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No change. While this would provide useful information, it would add burden to state responses. ACL would not want to make this
change in the final posting without discussion
with stakeholders. ACL will consider its inclusion in the future.
Agree. Understanding the case information systems used by states will help ACL provide
technical assistance support to APS programs in submitting data and is important for
understanding and modernizing the NAMRS
system. The data collection will include an
additional question in the Agency Component
as follows:
Select which of the following describes the
automated system your state uses to document case information:
• Statewide system developed by the state
• Statewide system developed by an outside
vendor. (Please use the comment field to
identify the vendor, the name of the system,
and when you obtained it.)
• Separate systems for different geographic
areas of the state
• Do not have an automated system.
Comment: If your state has multiple APS programs, please provide response to the above
question for each program. If your state used
a statewide system developed by an outside
vendor, please use the comment field to
identify the vendor, the name of the system,
and when you obtained it.
No change. While ACL agrees person-centered
terminology should be used whenever possible, the original terms were selected carefully and deliberatively after consultation with
state APS programs. ACL would not want to
make this kind of change in the final posting
without further consultation with the states.
The terminology in NAMRS needs to be consistent with state law in across the states and
ACL is not aware to what extent the proposed terms are currently used. Because of
the importance of the issue, the Adult Protective Services Technical Assistance Resource
Center recently hosted a discussion of APS
terminology to start such a dialogue. ACL will
consider changes in terminology in future
changes.
No change in the selections but include ‘‘mental
health commitment’’ in the examples. The
current selections list does not include specific interventions and inclusion of them
would be changing the nature of the data element.
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Federal Register / Vol. 88, No. 32 / Thursday, February 16, 2023 / Notices
RESPONSE TO PUBLIC COMMENT TABLE—Continued
Name
Position
Comment
Draft response/notes for
discussion
Mary McGurran ..
Adult Protection Supervisor | Aging and
Adult Services, Minnesota Department of
Human Services.
Adult Protection Supervisor | Aging and
Adult Services, Minnesota Department of
Human Services.
Case Component Data; Enhance data selections to include a service approach effective
in preventing maltreatment..
CLT26: Add code for Support System Engaged
No change. The suggested code ‘‘Support System Engaged’’ falls under the definition of
current code value ‘‘Care Case Management’’
and should be mapped and reported to it.
NAMRS Annual Report; Enhance data report to
improve utility for APS program evaluation
and equity.
Add: race/ethnicity; gender identify; sexual orientation; disability type for clients referred
and accepted for APS and for voluntary and
involuntary services and interventions.
Add state population rate for: reports; reports
accepted; investigation/assessment; services;
involuntary intervention; client location at APS
start and close.
No change. ACL agrees in principle with this
recommendation. However, it impacts the reporting and use of the current data and does
not require a change in the proposed data
elements. The suggested demographic categories are all currently part of the data collection except that referred and accepted
data is collected in the Agency Component
and is not client specific. After this data renewal, as noted in the postings, ACL will
begin sharing state specific data so this recommendation is timely. ACL will consider
how to incorporate state population rates in
any future reports that include state-specific
data.
Mary McGurran ..
Estimated Program Burden: ACL
estimates the burden associated with
this collection of information as follows:
59 APS programs will respond every
year to the Agency Component, with 50
states providing Case Component data
and 9 states providing Key Indicator
data. The total annual burden is
estimated to be 5,416 hours. The
estimates are based on the amount of
time States have previously reported in
completing the data collection
instruments; continued increase in the
number of states reporting on Case
Component and Key Indicator
Component data; one-time costs for the
Number of
respondents
Respondent/data collection activity
Responses
per
respondent
Hours per
response
Annual burden
estimate
Agency One-Time ............................................................................................
Key Indicator One-Time ...................................................................................
Case Component One-Time ............................................................................
59
9
50
1
1
1
6.20
30.00
83
365.80
270.00
4,150.00
One-Time Subtotal ...................................................................................
Agency Component .........................................................................................
Key Indicators Component ..............................................................................
Case Component .............................................................................................
........................
59
9
50
........................
1
1
1
119.20
4
20
100
4,785.80
236.00
180.00
5,000.00
Recurring Sub-total ...................................................................................
........................
........................
124
5,416.00
Dated: February 11, 2023.
Alison Barkoff,
Acting Administrator and Assistant Secretary
for Aging.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
[FR Doc. 2023–03266 Filed 2–15–23; 8:45 am]
Agency Information Collection
Activities: Proposed Collection; Public
Comment Request; of the ACL Generic
Clearance for the Collection of
Qualitative Research and Assessment:
OMB 0985–NEW
BILLING CODE 4154–01–P
Administration for Community Living
Administration for Community
Living, Department of Health and
Human Services.
ACTION: Notice.
AGENCY:
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changes in the data elements for this
renewal; and assumption of modest
incremental efficiencies by States in
reporting data to NAMRS every year,
including, most significantly, minimal
need to recode to extract data after the
initial year.
The Administration for
Community Living (ACL) is announcing
an opportunity for the public to
comment on the proposed collection of
SUMMARY:
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information listed above. Under the
Paperwork Reduction Act of 1995
(PRA), Federal agencies are required to
publish a 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 IC solicits comments on the
information collection requirements
relating to the ACL Generic Clearance
for the Collection of Qualitative
Research and Assessment, a generic
mechanism to conduct qualitative
research in support of program
improvement, knowledge generation,
and technical assistance for ACL
programs and populations served by the
agency.
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]]>Agencies
[Federal Register Volume 88, Number 32 (Thursday, February 16, 2023)]
[Notices]
[Pages 10118-10121]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-03266]
[[Page 10118]]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Community Living
Agency Information Collection Activities; Proposed Collection;
Comment Request; National Adult Maltreatment Reporting System; OMB#
0985-0054
AGENCY: Administration for Community Living (ACL), HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Administration for Community Living is announcing that the
proposed collection of information listed above has been submitted to
the Office of Management and Budget (OMB) for review and clearance as
required under the Paperwork Reduction Act of 1995. This 30-Day notice
collects comments on the information collection requirements related to
an extension without change and solicits comments on the information
collection requirements related to the on the information collection
requirements relating to the National Adult Maltreatment Reporting
System (NAMRS).
DATES: Submit written comments on the collection of information by
March 20, 2023.
ADDRESSES: Submit written comments on the collection of information by:
(a) Email to: [email protected], Attn: OMB Desk Officer
for ACL;
(b) Fax to 202.395.5806, Attn: OMB Desk Officer for ACL; or
(c) By mail to the Office of Information and Regulatory Affairs,
OMB, New Executive Office Bldg., 725 17th St. NW, Rm. 10235,
Washington, DC 20503, Attn: OMB Desk Officer for ACL.
FOR FURTHER INFORMATION CONTACT: Stephanie Whittier Eliason,
Administration for Community Living, Washington, DC 20201, 202-795-7467
at [email protected].
SUPPLEMENTARY INFORMATION: In compliance with 44 U.S.C. 3507, ACL has
submitted the following proposed collection of information to OMB for
review and clearance. The National Adult Maltreatment Reporting System
authorized under the Elder Justice Act of 2009, which amends Title XX
of the Social Security Act [42.U.S.C. 13976 et seq.], requires that the
Secretary of the U.S. Department of Health and Human Services
``collects and disseminates data annually relating to the abuse,
exploitation, and neglect of elders in coordination with the Department
of Justice'' [Sec. 2041(a)(1)(B)] and ``conducts research related to
the provision of adult protective services'' [Sec. 2041(a)(1)(D)].
The Elder Justice Coordinating Council (EJCC) recommended
development of ``a national adult protective services (APS) system
based upon standardized data collection and a core set of service
provision standards and best practices.''
NAMRS is a voluntary system that has been annually collecting since
FY 2016 both summary and de-identified case-level data on APS
investigations submitted by states, and the data does not include any
personally identifiable information. NAMRS has and will continue to
consist of three components:
(1) Descriptive data on state agency and practices from all states
through the ``Agency Component,'' and
(2) Case-level, non-identifiable data on persons who receive an
investigation by APS in response to an allegation of abuse, neglect, or
exploitation through ``Case Component'', or
(3) For states that are unable to submit a case-level file through
the ``Case Component,'' a ``Key Indicators Component'' will be
available for them to submit data on a smaller set of core items.
ACL will continue to provide technical assistance to assist in the
preparation of data submissions by state APS agencies and APS agencies
in the District of Columbia, Puerto Rico, Guam, Northern Mariana
Islands, Virgin Islands, and American Samoa (states, hereafter).
To address gathering necessary and relevant demographic information
to assess diversity and equity in evidence-based program scaling,
participation, and advances; \1\ the proposed revisions were compared
to the Updates on Terminology of Sexual Orientation and Gender Identity
(SOGI) Survey Measures from the Federal Committee on Statistical
Methodology that came out after publication of the 60-day notice.
Several of the changes originally proposed were consistent with SOGI,
and ACL made additional changes in the 30-day posting to further align
with the SOGI recommendations. The proposed collection is consistent
with the SOGI recommendations conceptually and specifically aligns for
most of the code values for sexual orientation and gender identity. A
60-day Federal Register notice published on Monday, May 23, 2022, in
Federal Register Vol. 87, No. 99, page 31243.
---------------------------------------------------------------------------
\1\ Executive Order on Advancing Racial Equity and Support for
Underserved Communities Through the Federal Government and the
Executive Order on Advancing Equality for Lesbian, Gay, Bisexual,
Transgender, Queer, and Intersex Individuals.
[[Page 10119]]
Response to Public Comment Table
----------------------------------------------------------------------------------------------------------------
Draft response/notes for
Name Position Comment discussion
----------------------------------------------------------------------------------------------------------------
Shelly Fiebich.............. Director, Bureau of Case Component 5 & 6: ACL ACL will align the proposed
Adult Services should enhance the quality NAMRS code values with the
Division of Child and clarify of information recent federal Sexual
Welfare and Community collected by adding Orientation and Gender
Services New York ``declined to answer'' as a Identity (SOGI)
State. selection for gender recommendations.
identity and sexual The SOGI recommendations
orientation. use ``prefer not to
Key Indicator 9: ACL should answer'' instead of ``X''.
enhance the quality and If NYS uses ``X'' as a
clarity of information value in its case
collected by providing an management system, then it
option for individuals to should map ``X'' to the
mark their gender as ``X'' appropriate category in
in fields that collect this NAMRS.
information. People should Based on the SOGI
also have the option to recommendations, we will
mark decline to answer in also add the following
fields collecting code values: [If
information about gender respondent is AIAN:] Two-
identity and sexual Spirit and ``Prefer not to
orientation. Including answer''.
these additional options
leads to more accurate
information and affirming
reporting by individuals.
It's consistent with the
Biden administration`s
efforts to authorize
individuals to select ``X''
as their gender marker on
U.S. passports and other
federal documents, and in
alignment with New York
State`s commitment to
provide individuals the
option of marking agenda or
sex as ``X'' on state
forms, including a driver
license, learner permit or
non-driver identification
card.
Shelly Fiebich.............. Director, Bureau of Agency Component 7.1.1: The No change. FTEs is not a
Adult Services collection of estimated required data element and
Division of Child FTEs of staff and if it is considered too
Welfare and Community supervisors devoted only to costly to collect and
Services New York APS work when staff are reported by any state they
State. shared among other programs do not have to do so. The
is not feasible in NY FTE data is important to
because this information is understanding the APS
not collected or tracked at system workforce and is
the state level and all used in various technical
reporting systems are for assistance and evaluation
separate entities. Further, activities.
the collection of this
information does not appear
necessary for the proper
performance of ACL
functions.
Regarding ACL`s estimated
program burden, NYSOCFS
respectfully submits that
the agency requirement to
collect FTEs would require
an annual estimated
statewide burden of over
370 hours for the local
Department of Social
Services to collect and
submit that information to
New York State OCFS.
Shelly Fiebich.............. Director, Bureau of Agency 10: ACL should No change. Based on
Adult Services clarify the definition of responses in NAMRS, almost
Division of Child ``priority level'' to all states have priority
Welfare and Community provide clarity of levels and are generally
Services New York information collected. using this terminology.
State. Each state defines a set
of priority responses
based on its policy. ACL
received no other comments
indicating a need to
define the term. States
are encouraged to use the
comment field to provide
state-specific clarifying
information and a link to
the specific policy.
Shelly Fiebich.............. Director, Bureau of Agency 21: ACL should No change. One of the
Adult Services clarify the definition of defining characteristics
Division of Child and purpose for the request of the APS system is how
Welfare and Community of collecting the source of it addresses issues such
Services New York ethical principles and how as self-determination, so
State. it relates to the proper it is important to
performance of ACL's understand the source of
functions. each program's ethical
principles. ACL oversees
implementation of the
Elder Justice Act and its
funding, so it is
important to understand
how programs respect
individual rights
consistent with the EJA.
Jay Colbert................. Data Manager The Polis I've been looking at your Agree. Prior to this data
Center at IUPUI School NAMRS reports. If I read renewal, ACL has not
of Informatics and them right, it's all shared state specific data
Computing. national data. Is there any without state permission.
place to get state-level Notice was provided in the
data yet? 60-day FRN and is
Please include the need for addressed again in the
state-level data reports in Supporting Statement for
your NAMRS public comment this 30 FRN of ACL's
tracking document. intent to begin sharing
state-specific data.
[[Page 10120]]
Dorian Long................. Connecticut APS........ Specific ages of perpetrator No change. The NAMRS age
may present as a challenge. ranges were selected to
Connecticut proposes that match census categories
age ranges are added as an and not the proposed
option be used to support categories.
more opportunities for
completion of data element.
Please see below:
17 and younger..............
18 to 34 years..............
35 to 59 years..............
60 to 74 years..............
75 years and over...........
Maria Greene................ Consultant............. While conducting a No change. While this would
comprehensive review of provide useful
NAMRS, please consider information, it would add
adding requirements for a burden to state responses.
unique identification ACL would not want to make
number for the worker and this change in the final
supervisor involved in a posting without discussion
case. This is done in the with stakeholders. ACL
child maltreatment will consider its
reporting system and is inclusion in the future.
useful data for analyzing
staff workload and
caseloads.
Maria Greene................ Consultant............. I propose the addition of Agree. Understanding the
one question to the NAMRS case information systems
Agency Component. In the used by states will help
Agency Profile, ask a ACL provide technical
question about the assistance support to APS
Information System that the programs in submitting
state uses to collect data. data and is important for
understanding and
modernizing the NAMRS
system. The data
collection will include an
additional question in the
Agency Component as
follows:
Select which of the
following describes the
automated system your
state uses to document
case information:
Statewide system
developed by the state
Statewide system
developed by an outside
vendor. (Please use the
comment field to identify
the vendor, the name of
the system, and when you
obtained it.)
Separate systems
for different geographic
areas of the state
Do not have an
automated system.
Comment: If your state has
multiple APS programs,
please provide response to
the above question for
each program. If your
state used a statewide
system developed by an
outside vendor, please use
the comment field to
identify the vendor, the
name of the system, and
when you obtained it.
Mary McGurran............... Adult Protection Case Component, Case No change. While ACL agrees
Supervisor [verbar] Component, Key Indicators; person-centered
Aging and Adult Use social service terminology should be used
Services, Minnesota terminology for consistency whenever possible, the
Department of Human with the ACL definition of original terms were
Services. adult protective services selected carefully and
(APS) as a social service deliberatively after
program to maximize client consultation with state
safety and independence and APS programs. ACL would
for consistency with ACL not want to make this kind
values for person-centered of change in the final
planning processes. posting without further
Suggestions: consultation with the
Investigation: states. The terminology in
Assessment.. NAMRS needs to be
Victim: Client, consistent with state law
Adult, Adult vulnerable to in across the states and
maltreatment, Older adult ACL is not aware to what
or Adult with a disability.. extent the proposed terms
Perpetrator: Person are currently used.
responsible, or person Because of the importance
alleged responsible for of the issue, the Adult
maltreatment.. Protective Services
Technical Assistance
Resource Center recently
hosted a discussion of APS
terminology to start such
a dialogue. ACL will
consider changes in
terminology in future
changes.
Mary McGurran............... Adult Protection Agency Component Data; No change in the selections
Supervisor [verbar] Enhance selections on APS but include ``mental
Aging and Adult use of involuntary health commitment'' in the
Services, Minnesota interventions. examples. The current
Department of Human 26. Involuntary selections list does not
Services. Intervention: Add include specific
Guardianship and Mental interventions and
Health Commitment. inclusion of them would be
changing the nature of the
data element.
[[Page 10121]]
Mary McGurran............... Adult Protection Case Component Data; Enhance No change. The suggested
Supervisor [verbar] data selections to include code ``Support System
Aging and Adult a service approach Engaged'' falls under the
Services, Minnesota effective in preventing definition of current code
Department of Human maltreatment.. value ``Care Case
Services. CLT26: Add code for Support Management'' and should be
System Engaged. mapped and reported to it.
Mary McGurran............... Adult Protection NAMRS Annual Report; Enhance No change. ACL agrees in
Supervisor [verbar] data report to improve principle with this
Aging and Adult utility for APS program recommendation. However,
Services, Minnesota evaluation and equity. it impacts the reporting
Department of Human Add: race/ethnicity; gender and use of the current
Services. identify; sexual data and does not require
orientation; disability a change in the proposed
type for clients referred data elements. The
and accepted for APS and suggested demographic
for voluntary and categories are all
involuntary services and currently part of the data
interventions. collection except that
Add state population rate referred and accepted data
for: reports; reports is collected in the Agency
accepted; investigation/ Component and is not
assessment; services; client specific. After
involuntary intervention; this data renewal, as
client location at APS noted in the postings, ACL
start and close. will begin sharing state
specific data so this
recommendation is timely.
ACL will consider how to
incorporate state
population rates in any
future reports that
include state-specific
data.
----------------------------------------------------------------------------------------------------------------
Estimated Program Burden: ACL estimates the burden associated with
this collection of information as follows: 59 APS programs will respond
every year to the Agency Component, with 50 states providing Case
Component data and 9 states providing Key Indicator data. The total
annual burden is estimated to be 5,416 hours. The estimates are based
on the amount of time States have previously reported in completing the
data collection instruments; continued increase in the number of states
reporting on Case Component and Key Indicator Component data; one-time
costs for the changes in the data elements for this renewal; and
assumption of modest incremental efficiencies by States in reporting
data to NAMRS every year, including, most significantly, minimal need
to recode to extract data after the initial year.
----------------------------------------------------------------------------------------------------------------
Number of Responses per Hours per Annual burden
Respondent/data collection activity respondents respondent response estimate
----------------------------------------------------------------------------------------------------------------
Agency One-Time................................. 59 1 6.20 365.80
Key Indicator One-Time.......................... 9 1 30.00 270.00
Case Component One-Time......................... 50 1 83 4,150.00
---------------------------------------------------------------
One-Time Subtotal........................... .............. .............. 119.20 4,785.80
Agency Component................................ 59 1 4 236.00
Key Indicators Component........................ 9 1 20 180.00
Case Component.................................. 50 1 100 5,000.00
---------------------------------------------------------------
Recurring Sub-total......................... .............. .............. 124 5,416.00
----------------------------------------------------------------------------------------------------------------
Dated: February 11, 2023.
Alison Barkoff,
Acting Administrator and Assistant Secretary for Aging.
[FR Doc. 2023-03266 Filed 2-15-23; 8:45 am]
BILLING CODE 4154-01-P
