**REHA BILITA** **TION SERVICES A DMINISTRA** **TION AL**  **TERNA TIVE FINANCING PROGRA**  **MS/TITLE III of the AS**  **SISTIVE TECHNOLOGY A CT OF 1998**  **An nual Progress Report**  **for the Title III A lternative Financing Program under the**  **As sistive Technology**  **Ac t of 1998**  **REQUEST FOR OMB A PPR**  **OV AL**  **SUPPORTING STA**

**TEMENT REQUIRED UNDER THE PA**  **PERWORK REDUCTION A CT** 

**A. Justification**  1. Explain the circumstances that make the collection of information necessary. Identify any legal or administrative requirements that necessitate the collection. Attach a copy of the appropriate section of each statute and regulation mandating or authorizing the collection of information. The Rehabilitation Services Administration (RSA) of the U.S. Department of Education (ED) requ ests clearance for the renewal of a data collection instrument, Office of Management and Budget (OMB) Control Number 1820

- 0662, to be completed by grantees under title III of the Assistive Technology Act of 1998 as in effect prior to the amendments of 2004 (Public Law 105

- 394) (AT Act of 1998). Title III of the AT Act of 1998 authorized grants to public agencies to support the establishment and maintenance of alternative financing programs (AFPs) that feature one or more alternative financing mechanisms 1 to enable individuals with disabi lities and their family members, guardians, advocates, and authorized representatives to purchase assistive technology (AT). AFPs must operate and provide progress reports in perpetuity. Since 2000, grants have been awarded to 33 states to operate AFPs. The information collected through this data collection instrument is necessary for these grantees to comply with the reporting requirements of title III of the AT Act of 1998 and to satisfy 34 CFR 75.720, which requires them to submit an annual performanc e report. In addition, section 307 of the AT Act of 1998 requires that RSA submit to Congress an annual report on the activities conducted under title III. In order to make these possible, states must provide annual progress reports to RSA that fulfill t he section 307 reporting requirements. This data collection instrument has been developed to ensure that states report data in a consistent manner in alignment with these requirements.

1 See Appendix A for a description of the alternative financing mechanisms.2. Indicate how, by whom, and for 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. RSA will use the information collected via this instrument to: 1) Complete the annual report to Congress required by the AT Act of 1998; 2) Meet the Education Department Administrative Regulations (EDGAR) requirements; and 3) Comply with reporting requirements under the Government Performance and Results Act (GPRA) of 1993 (Public Law 103

- 62). Data collected from the grantee s will provide a national description of activities funded under title III of the AT Act of 1998 to increase the acquisition of AT devices and services through alternative financing mechanisms for individuals with disabilities. In addition, RSA will use t his data to inform its program management, monitoring, and technical assistance efforts. States will be able to use the data for internal management and program improvement.
3. Describe whether, and to what extent, the collection of information involve s the use of automated, electronic, mechanical, or other 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 any consideration given to using technology to reduce burden. A web

- based data collection system is currently in place and th e proposed renewal to the system will be implemented based upon the instrument submitted for review. The paper version o f the in strument translate s directly into a web

- based format; throughout the document there are numerous references to how certain sections and items are used in the electronic system. Upon OMB a pproval of the paper version, the web

based application for use by the states will be implemented by staff through the RSA Management Informat ion System (MIS). Once updated , the system will meet or exceed requirements for accessibility of Section 508 of the Rehabilitation Act of 1973, as amended (Rehab ilitation Act), the Federal Information Security Management Act (FISMA), and other applicable statutes and regulat ions, and industry standards. This web

- based s ystem allows the title III AFPs to enter and submit their data electronically at their convenience on an on going basis. Where appropriate, the system automatically generates totals and does other automatic calculations, saving time and reducing the chance of mathematical errors. RSA will have immediate access to the information submitted, allowing RSA to iden tify which grantees have submitted their data. This access will allow RSA to generate reports, even on partial data, as requested by Congress or others. States will have similar access to their data for management purposes.4. Describe efforts to iden tify duplication. Show specifically why any similar information

already available cannot be used or modified for use for the purposes described in Item 2 above. Data collected on state financing activities in OMB Control Number 1820

- 0572 is duplicative i n some cases, because the state financing activities under section 4 of the AT Act of 1998, as amended in 2004 (Public Law 108

- 364) (AT Act of 2004) may include AFPs. Howe ver, this proposed renewal of OMB 1820

- 0662 align s closely with the data collection system for section 4 of the AT Act of 2004, which is OMB 1820

- 0572. Many states have incorporated their existing title III AFP into their section 4 programs. However, a single data collection instrument cannot capture the entire universe of data, or enti ties that need to report that data, for both title III and section 4. The data collection requirements of section 4 and title III are similar but not the same, 2 therefore it is not possible to use one as a proxy for the other because:

 Title III AFPs are funded under a separate authority;
 Title III has its own data collection requirements that differ from those of section 4; and
 Not all states have both title III and section 4 grants, and both grants do not always go to the same agency when a state does ha ve both. Appendix B contains a side

- by

- side comparison of the similarities and differences between the portions of OMB 1820

- 0662 and OMB 1820

- 0572 that apply to alternative financing mechanisms. Otherwise, the activities, and data collected about those a ctivities, are unique to title III of the AT Act of 1998 and do not duplicate other data collection efforts.
5. If the collection of information impacts small businesses or other small entities (Item 8b of IC Data Part 2), describe any methods used to m inimize burden. This information collection does not involve small businesses and will not have a significant impact on substantial numbers of small entities.
6. Describe the consequences to Federal program or policy activities if the collection is not conducted or is conducted less frequently, as well as any technical or legal obstacles to reducing burden. If this information is not collected, neither RSA nor states can fulfill their reporting obligations under title III of the AT Act of 1998. Those obligations are annual, so the data collection cannot occur less frequently than annually.

2 See Appendix B for a side

-by

- side comparison of the title III and section 4 requirements related to AFPs.7. Explain any special circumstances that would cause an information collection to be

conducted in a manner:

 requiring respondents to report information to the a gency more often than quarterly;

 requiring respondents to prepare a written response to a collection of information in fewer than 30 days after receipt of it;

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

 requirin g 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, tha t is not supported by disclosure and data security policies that are consistent with the pledge, or that unnecessarily impedes sharing of data with other agencies for compatible confidential use; or

 requiring respondents to submit proprietary trade secret s, or other confidential information unless the agency can demonstrate that it has instituted procedures to protect the information’s confidentiality to the extent permitted by law. The proposed data collection is consistent with guidelines set forth in 5 CFR 1320.5, and requires no special circumstances.

8. If applicable, provide a copy and ident if y 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 co llection prior to submission to OMB. Summarize public comments received in response to that notice and describe actions taken by the agency in response to these comments. Specifically address comments received on cost and hour burden. Describe efforts to consult with persons outside the agency to obtain their views on the availability of data, frequency of collection, the clarity of instruction and record keeping, disclosure, or reporting format (if any), and on the data elements to be recorded, disclose d, or reported.Consultation with representatives of those from whom information is 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. A 60

- day not ice was published Month Day, 2014 on pages

- in the Federal Register, Vol __ , No. __ . The public is invited to sub mit comments on the renewal of the Annual Progress Report for the Title III Alternative Financing Program under the Assistive Technology Act of 1998. Interested persons are invited to submit comm ents on or before Month Day, 2014 . A 30

- day response to com ments notice will follow the initial 60

- day Federal Register notice. The process for developing the current title III data collection instrument began in January 2007. The National Information System for Assistive Technology (NISAT), the project responsi ble for AT Act data collection reporting at the time , established a workgroup comprised of representatives from AFPs of various types. NISAT was also responsible for the development of the instrument for data collection and reporting on state financing activities in OMB Number 1820

- 0572 through a cooperative agreement with RSA, as required under section 6(b)(5) of the AT Act of 2004. NISAT facilitated several teleconference meetings of the workgroup through December 2007. During these meetings, AFPs prov ided suggestions for the general principles and features of a data collection system. RSA staff participated in all meetings. The current OMB 1820

- 0662 instrument takes the suggestions of the workgroup into account, as well as the lessons learned from th e development of OMB 1820

- 0572. The instrument submitted for review is a renewal of the current instrument. The RESNA Catalyst Project, the technical assistance grant funded under section 6 o f the AT Act of 2004 conducted several workgroup conference cal ls throughout fiscal year 2013 to discuss potential updates or changes to the 1820

- 0662 IC with AFP representatives

. AFPs, RESNA, and RSA agreed that the current instrument captures the data reporting requirements of the states funded under t itle III of t he AT Act of 1998 for those AFPs that do not report state financing data in the 1820

- 0572 IC. However, the group recommended the use of the anecdotes section in the current instrument to provide additional information about the programs, such as leveraged funding or other relevant activities, to better des cribe the individual state stories of the AFPs.

9. Explain any decision to provide any payment or gift to respondents, other than remuneration of contractors or grantees. No payments or gifts are provi ded to respondents.
10. Describe any assurance of confidentiality provided to respondents and the basis for the assurance in statute, regulation, or agency policy.Confidentiality for individual consumers receiving services from a title III AFP is assured,

because the states will not report information that identifies individual consumers. States will provide anecdotes about the effect of their programs on individual consumers, but states are instructed to write anecdotes in a manner that ensures their anonymity. All other data provided is reported in the aggregate. The web

- based system to be developed will not allow public access to the reporting instrument for data entry, and states will have access to their data only, so they will not be able to se e or manipulate data of other states. Individual reports will be kept confidential until they have been finalized by the state and accepted by RSA. Once a report has been finalized by the state and accepted by RSA, access to the data will be available to the public via the Internet, though the public will be able to view and not alter the data. States will be advised that their data will be available to the public in this manner.

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 considered private. The justification should include the reasons why the agency considers the questions necessary, the specific uses to be made of the i nformation, the explanation to be given to persons from whom the information is requested, and any steps to be taken to obtain their consent. No questions included in the data collection instrument are considered sensitive.

12. Provide estimates of the hour burden of the collection of informa tion. 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 surveys to obtain information on which to base hour burden estimates. Consultation with a sample (fewer than 10) of potential respondents is desirable. If the hour burden on respondents is expected to vary widely because of differences in activi ty , size, or complexity, show the range of estimated hour burden, and explain the reasons for the variance. Generally, estimates should 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 16 of IC Data Part 1.

 Provide estimates of annualized cost to respondents of the hour burdens for collections of information, identifying and using appropri ate wage rate categories. The cost of contracting out or paying outside parties for information collectionactivities should not be included here. Instead, this cost should be included in

Item 14. Up to t hirty

- three grantees will have the ability to rep ort using the web

- based data collection system. It is estimated the average amount of time required to complete all responses is approximately 27 hours . This equals 891 total hours for the 33 AF Ps . The estimated response burden includes time to review t he instructions, gather existing data, and complete and review the data entry. This estimate is derived from knowing the burden of the previous version. Assuming an average hourly cost of $30 per hour for staff members who complete the instrument, the co st burden for individual grantees is estimated to be $810 , and the total cost for the 33 grante es is estimated to be $26,730 . The average hourly cost of $30 represents the average, fully

- loaded wage rate, i.e., includes pre

- tax cash wages, fringe benefits and overhead support, for several different classes of labor ranging from clerical to managerial labor, and accounts for the amount of time different types of grantee personnel (i.e., clerical, technical, professional, and managerial) are expected to expe nd. 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 should take into account costs associated with generating, maintaining, and disclosing or providing the information. Include descriptions of methods used to estimate major cost factors including system and technology acquisition, expected useful life of capital equipment, the discount rate(s), and the time perio d 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, drilling and testing equipment; and acquiring and maintain ing record storage facilities.

 If cost estimates are expected to vary widely, 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 co st 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 impact analysis associated wit h 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 regulatory compliance with requirem ents 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. Total Annualized Capital/Startup Cost : $ .00 Total Annual Costs (O&M) : .00

____________________ Total Annualized Costs Requested : $ .00 There are no capital costs, equipment purchases , or purchased services needed to collect this data.

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. Agencies also may aggregate cost estimates from Items 12, 13, and 14 in a single table. RSA also employs one management and program analyst at the GS

- 14 level and one program specialist at the GS

- 13 level with the responsibility for the administration of grants funded under the AT Act, including this data collection. These employees are housed in the Service Programs Unit, which is overseen by a Unit Chief a nd Director. RSA staff dedicates a small percentage of their time to this data collection, creating an additional cost. RSA also employs an information technology specialist in the Program Support Staff Unit, who built the current AFP data collection sys tem in the MIS and will update the system upon OMB approval of this instrument. The development and limited maintenance of this instrument in the MIS is an additional cost associated with the AFP data collection. The estimated annualized cost to the Fede ral government for RSA staff time is $20,400.

15. Explain the reasons for any program changes or adjustments to #16f of the IC Data Part 1 Form. The proposed AFP IC package is a renewal and is consistent with the IC Data Part 1 Form. The data collecti on instrument was substantially revised during the past two renewals and burden levels were significantly reduced. Webelieve the existing form achieves the correct burden balance and are not requesting any changes. RSA met several times in FY 2013 with an AFP work group to discuss potential revisions to the current OMB

- approved 1820

- 0662 and the consensus of the work group resulted in a decision to request a renewal of the IC without changes . Below is a summary of the changes and reductions in burden to the expiring 1820

- 0662 instruments during the past six years. Six years ago, t he renewal and revision of OMB 1820

- 0662 contained significant changes that result ed in a decrease in reporting burden. The es timated reportingburden for that expiring instru ment was 34.5 hours per grantee, for a total of 1,067

hours. 3 The estimat ed reporting burden for the previous OMB 1820

- 0662 reduced the reporting burden to approximately 29.5 hours per state for a total of 974 hours for the 33 states. Further, the estima ted re porting burden for the current , revised OMB 1820

- 0662 is approximately 27 hours per state for a total of 891 hours for the 33 states, a net reduction of 83 reporting hours. The proposed version is a renewal of the current version. The OMB 1820

- 0662 version that expired June 30, 2008 was developed by the National Institute on Disability and Rehabilitation Research (NIDRR) using a participatory action research approach. NIDRR based estimates for the number of initial applicant surveys on FY 2003 data and prior rates of completion for the individual follow

- up surveys for approved and denied applicants. RSA used these previous estimates as a starting point because use of the system over the years proved them to be fairly accurate. Burden was deducted from this estimate based on the following: First, title III AFPs switch ed from reporting data on each individual loan application to reporting aggregate, year

- end data. A title III grantee no longer reports an initial applicant survey for each loan appli cant. The b urden estimate of the data collection instrument developed by NIDRR, which expired in 2008 , includes 0.50 hours to complete each initial applicant survey. The current instrument does not include this survey. Instead, grantees only enter the i nformation in aggregate at the conclusion of the reporting cycle, and most of this information applies only to those who receive loans as opposed to all who apply for loans. As a result, less information is required about fewer individuals. Second, the c urrent data collection instrument no longer require s follow

- up surveys. AFPs no longer submit either a follow

- up approval survey or a follow

- up denial survey for e ach loan applicant. The previous instrument estimates 0.50 hours to complete each survey fo r approved applicants and 0.33 hours to complete each survey for denied applicants. Instead, AFPs have the opportunity to submit an anecdote of an individual obtaining a loan to purchase needed AT for use at home, in the community, or at the workplace. Another significant reduction in reporting burden to the previous instrument was the elimination of an additional annual survey that AFP grantees submitted to the Rehabilitation Engineering and Assistive Technology Society of North America (RESNA ). Previo usly , AFP grantees were required to submit a separate data collection survey on top of the four surveys entered into the web

- based data collection system housed at the University of Illinois at Chicago (UIC) under a subcontract with RESNA. The current ins trument no longer requires g ran tees to submit a survey d irectly to RESNA in addition to the four surveys into the UIC web

- ba sed system. Grantees also update program changes directly into the revised data collection instrument in the MIS housed at RSA rath er than submitting them to RESNA as was past practice.

3 When 1820

- 0 662 was first approved, only 31 state grantees existed. There now are 33 states

.T he current instrument eliminated an entire section of optional information that is not

required for submis sion by the title III AFP grantees , further reducing the burden from approximately 29.5 hours to 27 hours per state. Section C. AFP Optional Data Elements, which are not title III annual reporting requ irements for the AFP grantees, was removal from the current instrument . The information collected in this optional data section includes : 1. Types of AFP (partnership loans or revolving loans), 2. Interest R ates (lowest and highest interest rates established by policy), 3. Loan Amounts (lowest and highest loan amounts established by policy), 4. Repayment Terms (shortest and longest repayment terms established by policy), and 5. Loan Guarantee Requirement, the percentage of the loans that must be repaid by the AFP to the lender in case of default as established by the agreement with the lender. T he data reported under C. AFP Optional Data Elements of t he current instrument is not required by title III of the AT Act of 1998, therefore grantees did not report this information uniformly across programs. If every grantee doesn’t report in this section, then the data can’t be reported in aggregate form. In fact, the data in this section is available in the annual report to Congress on the AT Act , as this optional section contains information about program features and descriptions that may or may not change on an annual basis. Since there is no utility to the annual reporting of this optional information, the decision was made to further reduce the burden to all grantees by eliminating this section from the current instrument in the MIS

.
16. For collections of information whose results will be published, outline plans for tabulation and publication. Address any complex analytical techniques that will be used. Provide the time schedule for the entire project, including beginning and ending dates of the collection of information, completion of report, pub lication dates, and other actions. Because states provided an assurance that the alternative financing program will continue on a permanent basis, there is no end date for the reporting requirements. States will remain on a set data collection reporting cycle, with the period beginning October 1 and ending September 30 each year. The due date for grantees to submit data to RSA is December 31 of each year. The aggregate, national data derived from this collection will be used to create an annual report t o Congress that is due December 31 in the year following the data collection reporting cycle.

17. If seeking approval to not display the expiration date for OMB approval of the information collection, explain the reasons that display would be inappropri ate. RSA will display the expiration date for OMB approval of the information collection. See the Paperwork Burden Statement document.18. Explain each exception to the certification statement identified in the Certification of

Paperwork Reduction Act

. There are no exceptions to the certification statement.