1 **SUPPORTING STATEMENT Protection and Advocacy of Individual Rights**  **INFORMATION COLLECTION SUBMISSION**
**A. Justification** 1. Explain the circumstances that make the collection of information necessary . Identify any legal or administrative requirements th at necessitate the collection. Attach a copy of the appropriate section of each statute and regulation mandating or authorizing the collection of information. The Annual Protection and Advocacy of Individual Rights (PAIR) Program Performance Report (Form RSA

- 509) will be used to anal yz e and evaluate the PAIR Program administered by eligible s ys tems in states. These s ys tems provide services to eligible individuals with disabilities to protect their legal and human rights. R ehabilitation S ervices A dministr ation (RSA) uses the form to meet specific data collection requirements of Section 509 of the Rehabilitation Act of 1973, as amended (the A ct), and its implementing federal regulations at 34 CFR Part 381. PAIR programs must report annually using the form (copy

attached), which is due on or before December 30 each ye ar. The current version of the form is scheduled to expire on June 30, 2014 . RSA is requesting an extension of the form; there are no changes to the form.
2. Indicate how, by

whom, and fo r what purpose the information is to be used. Except for a new collection, indicate the actual use the agency has made of the information received from the current collection. Form RSA

- 509 has enabled RSA to furnish the President and Congress with data o n the provision of protection and advocacy services and has helped to establish a sound basis for future funding requests. Data from the form have been used to evaluate the effectiveness of eligible s ys tems within individual states in meeting annual priori ties and objectives. These data also have been used to indicate trends in the provision of services from year - to
- ye ar. 3. Describe whether, and to what extent, the collection of information involves the use of automated, electronic, mechanical, or othe r technological collection techniques or forms of information technology , e.g. permitting electronic submission of responses, and the basis for the decision of adopting this means of collection. Also describe an y consideration of using information technol ogy

to reduce burden. Currently , each PAIR sy stem can transmit the RSA

- 509 data b y e - mail. RSA has also developed an electronic management information sy stem (MIS), which allows PAIR sy stems to access and submit data online.2

4. Describe efforts to identify duplication. Show specificall y wh y an y similar information already available cannot be used or modified for use of the purposes described in Item 2 above. Form RSA

- 509 provides information on the number of individuals with disabilities currentl y rec eiving protection and advocacy services authorized by

Section 509 of the A ct. No similar information is available from other data sources. 5. If the collection of information impacts small businesses or other small entities, describe any methods used to minimize burden. Several respondents are not

- for

- profit organizations. RSA included the respondents and the national organization that represents them in the initial development of this collection of information. This was done in an effort to ensure that the information requested could be provided with a minimal burden on the respondents 6. Describe the consequences to federal program or policy activities if the collection is not conducted or is conducted less frequentl y, as well as an y technical or legal obstacles to reducing burden. Because RSA uses the information obtained b y this collection in preparing its annual report to the President and Congress, current data on protection and advocacy services must be made available b y eligible s ys tems each ye ar. 7. Explain any

special circumstances that would cause an information collection to be conducted in a manner:

 requiring respondents to report information to the agency more often than quarterl y;

 requiring respondents to prepare a written response t o a collection of information in fewer than 30 day s after receipt of it;

 requiring respondents to submit more than an original and two copies of any document;

 requiring respondents to retain records, other than health, medical, government contract, grant
- in

- aid, or tax records for more than three years;  in connection with a statistical survey , that is not designed to produce valid and reliable results than can be generalized to the universe of study ;

 requiring the use of a statistical data classification that has not been reviewed and approved by OMB;

 that includes a pledge of confidentiality that is not supported by

authority established in statute or regulation, that is not supported by disclosure and data security policies that are consistent with the pledge, or which unnecessarily impedes sharing of data with other agencies for compatible confidential use; or3

 requiring respondents to submit proprietary trade secrets, or other confidential information unless the agency

can demonstrate that it ha s instituted procedures to protect the information's confidentiality to the extent permitted by law. There are no special circumstances that require this information collection to be conducted in any manner listed above. 8. If applicable, provide a cop y and identify the date and page number of publication in the Federal Register of the agency ’s notice, required by 5 CFR 1320.8(d), soliciting comments on the information collection prior to submission to OMB. Summarize public comments received in respons e to that notice and describe actions taken by the agency

in response to these comments. Specificall y address comments received on cost and hour burden.

 Describe efforts to consult with persons outside the agency t o obtain their views on the availability of data, frequency o f collection, the clarity o f instruction and record keeping, disclosure, or reporting format (if an y), and on the data elements to be recorded, disclosed, or reported.

 Consultation with representatives of those from whom information i s to be obtained or those who must compile records should occur at least once every 3 years - even if the collection of information activity is the same as in prior periods. There may be circumstances that may

preclude consultation in a specific situation . These circumstances should be explained. Form RSA

- 509 was shared with the National Disability Rights Network (NDRN), formerly known as the National Association of Protection and Advocacy S ys tems (NAPAS), an organization representing the respondents (St ate PAIR sy stems), and the respondents themselves. In addition, a 60

- day and 30

- day

notice was published in the Fede ral Register for public comment. 9. Explain any

decision to provide any

pay ment or gift to respondents, other than remuneration of contrac tors or grantees. There is no pay

ment or gift to respondents. 10. Describe an y assurance of confidentiality provided to respondents and the basis for the assurance in statute, regulation, or agency policy

. There is no assurance of confidentiality , th e collection instrument does not collect individual, personal or sensitive data. 11. Provide additional justification for any questions of a sensitive nature, such as sexual behavior and attitudes, religious beliefs, and other matters that are commonly co nsidered private. The justification should include the reasons wh y the agency considers the questions necessary; the4

specific uses to be made of the information, the explanation to be given to persons from whom the information is requested, and an y steps t o be taken to obtain their consent. This report contains no questions of a sensitive nature. 12. Provide estimates of the hour burden of the collection of information. The statement should;

 Indicate the number of respondents, frequency of response, annual hour burden, and an explanation of how the burden was estimated. Unless directed to do so, agencies should not conduct special survey s to obtain information on which to base hour burden estimates. Consultation with a sample (fewer than 10) of potenti al respondents is desirable. If the hour burden on respondents is expected to vary widel y because of differences in activity , size, or complexity , show the range of estimated hour burden, and explain the reasons for the variance. Generall y, estimates shoul d not include burden hours for customary and usual business practices.

 If this request for approval covers more than one form, provide separate hour burden estimates for each form and aggregate the hour burdens in item.

 Provide estimates of annualized cost to respondents of the hour burdens for collections of information, identifying and using appropriate wage rate categories. The cost of contracting out or paying outside parties for information collection activities should not be included here. Instea d, this cost should be included in item 14.
Annual Burden Number of respondents 57 Frequency

of response 1 Total annual responses 57 Hours per response 16.0 Total hours 912 Cost per hour $33 Total cost $30,096 RSA has estimated the time required for each respondent to complete the form; RSA conducted a field test of nine respondents to the Annual PAAT Performance Report during its development and found that on average respondents completed the form within 16 hours. RSA believes that the form c an be completed b y PAIR grantees in an equal amount of time. 13. Provide an estimate of the total annual cost burden to respondents or record keepers resulting from the collection of information. (Do not include the cost of any hour burden shown in Items 12 and 14.)

 The cost estimate should be split into two components: (a) a total capital and start

- up cost component (annualized over its expected useful life); and (b) a total operation and maintenance and purchase of services component. The estimates sho uld take into account5

costs associated with generating, maintaining, and disclosing or providing the information. In clude descriptions of methods used to estimate major cost factors including s ys tem and technology

acquisition, expected useful life of capit al equipment, the discount rate(s), and the time period over which costs will be incurred. Capital and start

- up costs include, among other items, preparations for collecting information such as purchasing computers and software; monitoring, sampling, drill ing and testing equipment; and record storage facilities.

 If cost estimates are expected to vary widel y, agencies should present ranges of cost burdens and explain the reasons for the variance. The cost of contracting out information collection services should be a part of this cost burden estimate. In developing cost burden estimates, agencies may

consult with a sample of respondents (fewer than 10), utilize the 60

- day pre - OMB submission public comment process and use existing economic or regulatory

impa ct anal ys is associated with the rulemaking containing the information collection, as appropriate.

 Generally , estimates should not include purchases of equipment or services, or portions thereof, made: (1) prior to October 1, 1995, (2) to achieve regulato ry compliance with requirements not associated with the information collection, (3) for reasons other than to provide information or keep records for the government, or (4) as part of customary and usual business or private practices. States and territories incur no cost burden in addition to that stated in item 12 above. 14. Provide estimates of annualized cost to the federal government. Also, provide a description of the method used to estimate cost, which should include quantification of hours, operational expenses (such as equipment, overhead, printing, and support staff), and any other expense that would not have been incurred without this collection of information. Annual cost to fede ral government 85 hours x $44 /hour $3, 740 .00 Annual federal computer costs $ 500.00 Total cost to federal government $ 4,240 .00
15. Explain the reasons for an y program changes or adjustments. This submission requires no changes to the burden for hours and costs in cluded in current OMB i nventory ; there are no program changes or adjustments. 16. For collections of information whose results will be published, outline plans for tabulation and publication. Address an y complex analy tical techniques that will be used. Provide the time schedul e for the entire project, including beginning and ending dates of the collection of information, completion of report, publication dates, and other actions.6

Reports are due to RSA within 90 day s following the end of the fiscal year (approximately Decemb er 30 of each ye ar). Data reported are evaluated and transmitted to the President and Congress in the Annual Report prepared b y the Commissioner. 17. If seeking approval to not display the expiration date for OMB approval of the information collection, e xplain the reasons that display would be inappropriate. We are not seeking approval to not display the expiration date. 18. Explain each exception to the certification statement identified in "Certification for Paperwork Reduction Act Submissions," of new OMB Form 83

- I. There are no exceptions to the certification statement. **B. Collection of Information Employing Statistical Methods** This collection of information does not employ any statistical methods.