Protection and Advocacy for Traumatic Brain Injury (PATBI) Program Performance Report

Forms and Documents

Document Name	Status
Form 1 Protection and Advocacy for Assistive Individuals with Traumatic Brain Injury (PATBI) Program Performance Report Form and Instruction	New
PATBI PPR Supporting Statement 2017 FINAL 04-20-2017.docx Supporting Statement A	2017-06-08

IC Document Collections

IC ID	Document Title	Status
226890	Protection and Advocacy for Assistive Individuals with Traumatic Brain Injury (PATBI) Program Performance Report Form and Instruction	New

ICR Details

OMB Control No: 0985-0058	ICR Reference No: 201705-0985-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACL	Agency Tracking No:
Title: Protection and Advocacy for Traumatic Brain Injury (PATBI) Program Performance Report
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/19/2018
	Date Received in OIRA: 06/09/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2021	36 Months From Approved
Responses	57	0	0
Time Burden (Hours)	912	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Children’s Health Act of 2000, 42 U.S.C. Section 300d-53(h), requires the Protection and Advocacy (P&A) System in each State to annually prepare and submit to the Secretary a report that includes documentation of the progress they have made in serving individuals with traumatic brain injury. ACL is proposing a new annual Program Performance Report (PPR) for the Protection and Advocacy for Individuals with Traumatic Brain Injury program to meet this requirement in the Act for the program. In addition to meeting the requirements for the program, the annual Program Performance Report (PPR) for the Protection and Advocacy for Individuals with Traumatic Brain Injury (PATBI) report addresses the following: • Information collected in the annual Protection and Advocacy for Individuals with Traumatic Brain Injury Program Performance Report (PPR) is necessary for the performance data that is submitted annually and reported to Congress in compliance with the Government Performance and Results Modernization Act of 2010 (GPRAMA). • To provide a national perspective on the program’s progress and to provide a gauge for the program accomplishments against program objectives for purposes of identifying continuing challenges and formulating technical assistance and management support provided to P&A systems. To meet its statutory reporting requirements, the Department is proposing the creation of a new Protection and Advocacy for Individuals with Traumatic Brain Injury Program Performance Report (PPR) form. This form will provide federal reviewers with the information needed to analyze patterns, goals, priority setting, and program performance. The PPR are reviewed by Federal staff for compliance and outcomes. Information in the PPRs is analyzed to create a national profile of programmatic compliance, outcomes, and goals and priorities for P&A Systems in order to track accomplishments against goals and to formulate areas of technical assistance related to compliance with Federal requirements. Information collected in the report will inform AIDD of trends in P&A advocacy, facilitate collaboration with other federally-funded entities, and identify best practices for the efficient use of federal funds.

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Authorizing Statute(s): US Code: 42 USC Section 300d-53(h) Name of Law: Children's Health Act of 2000
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 4888	01/17/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 20896	05/04/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Protection and Advocacy for Assistive Individuals with Traumatic Brain Injury (PATBI) Program Performance Report	1	PATBI Program Performance Report

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	57	0	0	57	0	0
Annual Time Burden (Hours)	912	0	0	912	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: To meet its statutory reporting requirements, the Department is proposing the creation of a new Protection and Advocacy for Individuals with Traumatic Brain Injury Program Performance Report (PPR) form.

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Annual Cost to Federal Government: $7,200

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/09/2017

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