State Plan of Assistive Technology

ICR 202105-0985-001

OMB: 0985-0048

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2021-05-24
IC Document Collections
ICR Details
0985-0048 202105-0985-001
Received in OIRA 201802-0985-001
HHS/ACL
State Plan of Assistive Technology
Reinstatement without change of a previously approved collection   No
Regular 05/26/2021
  Requested Previously Approved
36 Months From Approved
56 0
4,088 0
0 0

Section 4 of the Assistive Technology Act of 2004 (AT Act) provides grants to states to operate comprehensive statewide assistive technology programs (Statewide AT Programs) that increase access to and acquisition of AT devices and services for individuals with disabilities and older Americans. States are required to submit an application to ACL in order to receive funds under this grant program. Section 4(d) of the AT Act requires that this application contain: (1) Information identifying and describing the lead agency and implementing entity (if applicable) responsible for carrying out the Statewide AT Program and a description of how the implementing entity (if applicable) coordinates and collaborates with the state; (2) A description of how public and private entities were involved in the development of the application and will be involved in implementation of the grant, including the resources to be committed by these entities; (3) A description of how the Statewide AT Program will implement the activities required under the grant, which include state financing, device reutilization, device loans, device demonstrations, training, technical assistance, and public awareness. Statewide AT Programs must conduct these activities in coordination and collaboration with other appropriate entities; (4) An explanation of how the grant funds will be allocated, used, and tracked; (5) A set of assurances; and (6) A description of the activities that will be supported with State funds. The information collected through this State Plan for AT instrument is necessary for ACL and states to comply with Sections 4 and 7 of the AT Act.

PL: Pub.L. 108 - 364 4 Name of Law: Assistive Technology Act of 1998, as amended
  
None

Not associated with rulemaking

  86 FR 11545 02/25/2021
86 FR 26522 05/14/2021
No

1
IC Title Form No. Form Name
State Grants for Assistive Technology Program NA State Plan for AT

  Total Request 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 56 0 0 56 0 0
Annual Time Burden (Hours) 4,088 0 0 4,088 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a reinstatement of a previously approved information collection, there is a program change increase of 4,088 annual burden hours.

$60,000
No
    No
    No
No
No
No
No
Tomakie Washington 202 795-7336 tomakie.washington@acl.hhs.gov

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
05/26/2021


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