Annual Progress Report & Data Collection Instrument form for Assistive Technology Grantees (SC)

Forms and Documents

Document Name	Status
Statewide AT Annual Performance Measurements Report Form	New
Statewide AT Customer Satisfaction Survey Form and Instruction	New
Instruction Manual & Definitions for Annual Report for the State Grant for Assistive Technology Program Form and Instruction	Modified
Att_PReporting Legal Basis.doc Supplementary Document	2006-11-01
Att_memo to Ms. Potter, AT.doc Supplementary Document	2006-11-01
Att_supplemetal AT documents.doc Supplementary Document	2006-11-01
Att_AT Act Supporting Statement 1-10-07.doc Supporting Statement A	2007-01-11

IC Document Collections

IC ID	Document Title	Status
46672	Statewide AT Annual Performance Measurements Report Form	New
46671	Statewide AT Customer Satisfaction Survey Form and Instruction	New
21562	Instruction Manual & Definitions for Annual Report for the State Grant for Assistive Technology Program Form and Instruction	Modified

ICR Details

OMB Control No: 1820-0572	ICR Reference No: 200611-1820-002
Status: Historical Active	Previous ICR Reference No: 200202-1820-001
Agency/Subagency: ED/OSERS	Agency Tracking No: 3125
Title: Annual Progress Report & Data Collection Instrument form for Assistive Technology Grantees (SC)
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/22/2007
	Date Received in OIRA: 11/03/2006
Terms of Clearance: This reinstatement represents a substantial increase in the burden imposed on States to submit performance information for Assistive Technology grants. Although the majority of this burden increase can be attributed to statutory requirements of the reauthorized AT Act, RSA will continue to look for ways to decrease the burden imposed on respondents.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2010	36 Months From Approved
Responses	190,456	0	0
Time Burden (Hours)	26,796	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This data collection will be conducted annually to obtain program and performance information from NIDRR state assistive technology grantees on their project activities. The information collected will assist federal NIDRR staff in responding to GPRA. Data will primarily be collected through an internet form. The data instrument will be the basis for developing an electronic, web-based data collection system into which Statewide AT Programs report annual data.

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Authorizing Statute(s): PL: Pub.L. 108 - 364 4 and 7 Name of Law: Assistive Technology Act of 1998
  

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:
	71 FR 30898	05/31/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 64687	11/03/2006
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Instruction Manual & Definitions for Annual Report for the State Grant for Assistive Technology Program	N/A	Instructions Manual & Definitions for Annual Report for State Grant for Assistive Technology Program
Statewide AT Customer Satisfaction Survey	n/a	Statewide AT Customer Satisfaction Survey
Statewide AT Annual Performance Measurements Report	N/A	State Accessment and Performance Measurement Form

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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	190,456	0	0	190,456	0	0
Annual Time Burden (Hours)	26,796	0	0	26,796	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: The agency now has a new manner of collecting data based on additional experience, and input from the states. Since we have broken the tiny performance measurement survey and customer satisfaction survey into separate instruments, the public burden is distributed this way and is the still the same burden.

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Annual Cost to Federal Government: $316,890

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

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: 11/03/2006

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