26204 Federal Register / Vol. 87, No. 85 / Tuesday, May 3, 2022 / Notices 

503(h)(1)(A); and 42 U.S.C. 

653A(g)(2)(B). 

Mary B. Jones, 

ACF/OPRE Certifying Officer. 

[FR Doc. 2022–09461 Filed 5–2–22; 8:45 am] 

BILLING CODE 4184–41–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Community Living 

Agency Information Collection 

Activities; Submission for OMB 

Review; Public Comment Request; of 

the One Protection and Advocacy 

Annual Program Performance Report 

OMB #0985–0063 

AGENCY: Administration for Community 

Living, Department of Health and 

Human Services. 

ACTION: Notice. 

SUMMARY: The Administration for 

Community Living is announcing that 

the proposed collection of information 

listed above has been submitted to the 

Office of Management and Budget 

(OMB) for review and clearance under 

the Paperwork Reduction Act of 1995. 

This 30-Day notice collects comments 

on the information collection 

requirements related to the information 

collection requirements of the One 

Protection and Advocacy Annual 

Program Performance Report. 

DATES: Submit written comments on the 

collection of information by June 2, 

2022. 

ADDRESSES: Submit written comments 

and recommendations for the proposed 

information collection within 30 days of 

publication of this notice to 

www.reginfo.gov/public/do/PRAMain 

Find the information collection by 

selecting ‘‘Currently under 30-day 

Review—Open for Public Comments’’ or 

by using the search function. By mail to 

the Office of Information and Regulatory 

Affairs, OMB, New Executive Office 

Bldg., 725 17th St. NW, Rm. 10235, 

Washington, DC 20503, Attn: OMB Desk 

Officer for ACL. 

FOR FURTHER INFORMATION CONTACT: 

Ophelia McLain, (202) 795–7401 or 

Email ophelia.mclain@acl.hhs.gov. 

SUPPLEMENTARY INFORMATION: This is a 

revision to a currently approved 

information collection (IC) the 

Protection and Advocacy One Program 

Performance Report (PPR). The One PRR 

is comprised of four required annual 

reports as follows: (1) Developmental 

Disabilities Protection and Advocacy 

Systems Program Performance Report, 

(2) Protection and Advocacy for 

Assistive Technology (PAAT) Program 

Performance Report; (3) Protection and 

Advocacy Voting Access Annual Report 

(Help America Vote Act) (HAVA); and 

(4) Protection and Advocacy for 

Traumatic Brain Injury (PATBI) Program 

Performance Report. 

Each P&A submits using the One-PPR 

one report for each of the four funding 

sources administered by ACL. As with 

each funding source, there is a reporting 

requirement. The revision under this 

clearance includes information 

collection based on funding from the 

Centers for Disease Control and 

Prevention to increase access to COVID– 

19 vaccines (ACCESS) and funding 

under Section 2501 of the American 

Rescue Plan Act of 2021 (Pub. L. 117– 

2) to expand the Public Health 

Workforce (PHWF) provided under). In 

an effort to reduce the burden on the 

P&As, each will continue to submit one 

report for all funding sources; however, 

as of FY2022, the report will incorporate 

the activities undertaken for the 

ACCESS and PHWF funding by creating 

a new goal or priority in Part 2C and 

adding the narrative in Part 2.C.4 

(Rationale for Adding/Changing Goal) or 

2.C.5 (Rationale for Adding/Changing 

Priority). The guidance document 

provides a description of the data 

elements to be included in this section 

of the One-PPR template. 

State Protection and Advocacy (P&A) 

Systems in each State and Territory 

provide individual legal advocacy, 

systemic advocacy, monitoring, and 

investigations to protect and advance 

the rights of people with developmental 

disabilities, using funding administered 

by the Administration on Disabilities 

(AoD), Administration for Community 

Living, HHS. To meet statutory 

reporting requirements, P&As use these 

forms for submitting annual reports. 

The PPRs are reviewed by federal staff 

for compliance and outcomes. 

Information in the reports is analyzed to 

create a national profile of 

programmatic compliance, outcomes, 

and goals and priorities for P&A 

Systems for tracking accomplishments 

against goals and to formulate areas of 

technical assistance related to 

compliance with Federal requirements. 

Information collected informs AoD of 

trends in P&A advocacy, facilitate 

collaboration with other federally 

funded entities, and identify best 

practices for the efficient use of federal 

funds. 

Additionally, the information is used 

to provide a national perspective on 

where the program is going (prospective 

view), and to provide a gage for program 

accomplishments against program 

objectives for purposes of identifying 

continuing challenges and formulating 

technical assistance and management 

support provided to P&A systems. 

Comments in Response to the 60-Day 

Federal Register Notice 

The 60-day notice Federal Register, 

Vol. 87, No. 26 7182 FRN was published 

on February 8, 2022. ACL received 32 

comments from 7 entities in response to 

the 60-day notice. Comments included 

concerns relating to demographic 

information, burden of effort, estimate 

of the developmental disabilities’ 

population, and clarification needed in 

the guidance document. ACL’s 

responses to these comments are 

included below. 

Organization Section Comment Response 

Disability Rights Maine ............. 1C ............ Noted demographic information collected could be improved to better reflect diversity 

and cultural competency. The current choices are male and female. Recommended 

including a broad range of gender identify options. In addition, there is limited information on racial and ethnic diversity of individuals served. Recommended including 

whether a person is part of an immigrant community.

ACL intends to update this 

element to reflect appropriate options. 

Disability Rights Maine ............. Part 3 ....... Recommended including additional demographic information about the board, staff, and 

advisory council, similar to recommendations for 1C.

Upon review of the current 

PPRs, no changes will 

be made at this time. 

Disability Rights Maine ............. None ........ Burden of hours of 140 to compile the One-PPR is correct; however, this estimate does 

not include the amount of time spent by staff to collect and input required information 

in its case management system.

As a result of the required 

information, no changes 

will be made at this 

time. 


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Federal Register / Vol. 87, No. 85 / Tuesday, May 3, 2022 / Notices 26205 

Organization Section Comment Response 

Disability Rights Michigan ......... None ........ The amount of time spent for this report is cumbersome, unnecessarily duplicative, and 

feels unconnected to the overall ‘‘why’’. The team of four spent 203 hours over 3 

months to complete the report. The time and resources required to complete this report would be better spent serving clients. Additionally, the data reporting requirements also interact with this P&A’s timekeeping and accounting systems, creating additional reporting complexity for grant projects. Recommended requesting information 

similarly to the PAIR report.

As a result of the required 

information, no changes 

will be made at this 

time. 

Disability Rights Michigan ......... 1A ............. This comment relates to 1A–I, 1J–P, 2A, 3A, 3B, 3C–J. The number of people served, 

cases closed, cases opened, people impacted, and other categories are reported in 

six sections of the report. The data reporting is duplicative and confusing.

Upon review of the current 

PPRs, no changes will 

be made at this time. 

Disability Rights Michigan ......... 1C ............ Gender reporting is currently limited to male and female. Recommended expanding the 

choice to create a truer description of the gender identities of the people served.

ACL intends to update this 

element to reflect appropriate options. 

Disability Rights New York ....... 1C ............ This section requires reporting on the gender of individuals serviced. The current 

choices are male and female. P&As across the nation proudly support LGBTQ people 

with disabilities. Recommended permitting a broader array of responses, which would 

result in a negligible increase in the reporting burden on the P&As. However, it would 

make a marked difference in the ability of P&As to collect and report accurate and affirming gender demographic information.

ACL intends to update this 

element to reflect appropriate options. 

Disability Rights Pennsylvania .. .................. Commend ACL and NDRN for the important work and vital support and guidance provided. Would like One-PPR streamlined so as not to divert time to reporting that could 

be spent on substantive work and to provide information that is more understandable, 

straightforward, and useful to the government and the public.

Upon review of the current 

PPRs, no changes will 

be made at this time. 

Disability Rights Pennsylvania .. 1L ............. Most group cases are not focused on specific living arrangements or ages, creating confusion as to whether multiple living arrangements or ages should be chosen.Upon review of the current 

PPRs, no changes will 

be made at this time. 

Disability Rights Pennsylvania .. 1O ............ Most group cases are not focused on specific living arrangements or ages, creating confusion as to whether multiple living arrangements or ages should be chosen.Upon review of the current 

PPRs, no changes will 

be made at this time. 

Disability Rights Pennsylvania .. 1P ............. Seeks information about ‘‘race/ethnicity of groups served’’ but noted that the information 

is included in IJ6.

The guide has been updated. 

Disability Rights Pennsylvania .. 2A ............. This reflects goals and priorities for the completed fiscal year; unfortunately, the result is 

not a reader-friendly report. The result narratives are effectively limited to activities 

that have quantifiable outcomes based on the performance measurements, which are 

not sufficiently comprehensive. Additionally, ‘‘end outcomes’’ and ‘‘performance measures’’ are viewed as the same.

Upon review of the current 

PPRs, no changes will 

be made at this time. 

Disability Rights Pennsylvania .. Part 3 ....... The term ‘‘performance measurements’’ is confusing when it appears to mean ‘‘end outcomes’’. Eleven end outcomes/performance measures are in some ways repetitive 

and in many ways not comprehensive.

Upon review of the current 

PPRs, no changes will 

be made at this time. 

Disability Rights Pennsylvania .. 3A ............. Reporting on end outcomes for systemic litigation, educating policy makers, and other 

systemic activities is challenging because it does not really allow P&A to avoid duplication.

Upon review of the current 

PPRs, no changes will 

be made at this time. 

Disability Rights Pennsylvania .. 3B ............. One-PPR asks for the number of people whose rights were advanced through class or 

system-impact litigation and for people whose rights were enforced, protected, or restored by non-litigation group activities. There is a potential for duplication due to data 

requested in 3A.

Upon review of the current 

PPRs, no changes will 

be made at this time. 

Disability Rights Pennsylvania .. 2D ............ Information in this section is the same from year-to-year so it is unclear why it needs to 

be repeated annually.

Upon review of the current 

PPRs, no changes will 

be made at this time. 

Disability Rights Pennsylvania .. Part 5 ....... This section requires the P&A to identify collaboration partners, but it is unclear what 

constitutes a collaboration partner.

Upon review of the current 

PPRs, no changes will 

be made at this time. 

Disability Rights Pennsylvania .. 6C ............ This section asks for information on the number of Board members who are primary or 

secondary PADD, PATBI, PAIMI, PAIR, or PABSS consumers and who are AT users. 

Some board members may fall into more than one category but the P&A can only 

choose to put them in one category. This information is not an accurate reflection of 

consumer involvement in the Board.

Upon review of the current 

PPRs, no changes will 

be made at this time. 

Disability Rights Pennsylvania .. .................. On page 20 of Guide, the number of clients for PADD can never exceed 1.58% of a 

state’s population, yet the DD population almost certainly exceed 1.58%. Recommended updating this figure or allowing each P&A to calculate based on their jurisdiction.

While the 1.58% has not 

been changed, a clarifying sentence was 

added to the guide. 

Disability Rights Pennsylvania .. None ........ Recommended reconsidering the definition of ‘‘individual advocacy’’ ................................ Upon review of the current 

PPRs, no changes will 

be made at this time. 

Disability Rights Wisconsin ....... 1B ............. Recommended removing problems and subproblems used infrequently ........................... Upon review of the current 

PPRs, no changes will 

be made at this time. 

Disability Rights Wisconsin ....... 1E ............. Noted #1 and #2 are not mutually exclusive. Concerned about the way in which fully 

and partially met goals are categorized. Recommended combining #8 and #9.

Upon review of the current 

PPRs, no changes will 

be made at this time. 

Disability Rights Wisconsin ....... 1P ............. Recommended revising instructions relating to how group projects should be counted, to 

provide clarity.

Upon review of the current 

PPRs, no changes will 

be made at this time. 

Disability Rights Wisconsin ....... Part 2 ....... Noted it is time-consuming to provide narrative for each example. Recommended allowing for more broad discussion on goals and priorities and eliminate quantitative measures.As a result of the required 

information, no changes 

will be made at this 

time. 

Disability Rights Wisconsin ....... Part 3 ....... Noted small differences in performance measures. Recommended changing performance measures in Part 3D; 3F; 3G; and 3H. Additional instructions are needed in 

Guide.

Upon review of the current 

PPRs, no changes will 

be made at this time. 

Disability Rights Wisconsin ....... Part 3.C .... Considered #3 duplicative of Part 1E .................................................................................. Upon review of the current 

PPRs, no changes will 

be made at this time. 


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26206 Federal Register / Vol. 87, No. 85 / Tuesday, May 3, 2022 / Notices 

Organization Section Comment Response 

Disability Rights Wisconsin ....... None ........ Noted that report is extremely time consuming since data and narratives are requested 

in different ways. One-PPR attempts to quantify result of P&A work, but it does not do 

enough to ensure that numbers reported have an understandable meaning. Additionally, there is little guidance on what numbers should be used for various types of activities. However, even if this guidance was thorough, there is too much to report on.

As a result of the required 

information, no changes 

will be made at this 

time. 

Family & Friends of Care Facility Residents.None ........ Reporting of use of public funds to the administering agency by federal grantees is necessary. Accurate, non-partisan reporting by the protection and advocacy systems 

must be foundational for ACL. As the administering agency, ACL must assure accountability for the proper use of federal funds from the programs for which it is responsible. ACL’s responsibilities include oversight of the activities of four programs 

created under the Developmental Disabilities Assistance and Bill of Rights Act of 2000 

(DD Act): (1) Protection and Advocacy System for Persons with Developmental Disabilities (PADD), (2) State Councils on Developmental Disabilities (CDD), (3) University Centers for Excellence in Developmental Disabilities (UCEDD) and (4) Projects of 

National Significance (PNS).

No changes were recommended. 

Family & Friends of Care Facility Residents................... DD Act programs operate in every state. Accurate reporting to ACL by the four DD Act 

programs, including protection and advocacy systems for persons with developmental 

disabilities (PADD) is fundamental in meeting accountability requirements for programs receiving federal funds. It is necessary that the administering agency (ACL) understand PADDs’ goals, activities and outcomes for the nation’s diverse populations 

with developmental disabilities, the situations of their families and the range of services offered by states. The impact of PADD’s activities on families of persons with disabilities and the states’ human service systems have not been accurately reported. 

The report forms used by PADD do not transmit the information of vulnerable people 

living with lifelong disabilities and of federal grant programs which use litigation as a 

tool to eliminate long-term care facilities for citizens unable to care for themselves 

(PADD’s ‘‘systems change’’ goals). Further, it is not a requirement of PADD to submit 

data in their reports to ACL on mortality and sentinel events (911 calls or ER visits) of 

citizens with cognitive and developmental disabilities. See for example the deaths of 

vulnerable residents in GA and VA following their forced transitions from long-term 

care facilities.

Upon review of the current 

PPRs, no changes will 

be made at this time. 

Family & Friends of Care Facility Residents.None ........ Persons who are impacted by ACL policies and DD Act program activities, including 

P&As have been excluded from policymaking by the agency. ACL last held public 

hearings (‘‘Listening Sessions’’) in 2010. The nearest ACL Listening Session to Arkansas families was in Dallas, Texas and three of our family members attended. Our experience was that families of persons with high-needs-care and who receive services 

in a long-term care facility were excluded from Day Two of the listening session. Despite our request (submitted in writing to ACL) to come to DC to participate in the 

agency’s strategic planning sessions, we were not notified or invited. Later, we found 

the published reports of the listening sessions to be inaccurate and highly partisan.

No changes were recommended. 

Family & Friends of Care Facility Residents.None ........ Simple forms with boxes to check are insufficient to accurately and fully report the diverse and complex realities of the population with developmental disabilities to ACL. 

Health and safety of persons unable to care for themselves who are nonverbal and for 

whom there is no cure, their aging primary caregivers, the lack of specialized, licensed long-term care facilities for persons with cognitive and developmental disabilities, and the use of jails and hospitals as emergency placements for high-needs persons are but some of the information which ACL should be receiving.

Upon review of the current 

PPRs, no changes will 

be made at this time. 

National Disability Rights Network.1C ............ The choices for the gender demographic question, nor the two answers appropriately reflect the time in which we live. It is not uncommon for P&A staff to feel constrained by 

the traditional definitions of female and male. Recommended broadening the choices 

to: Male, Female, Not Listed, Choose Not to Answer.

ACL intends to update this 

element to reflect appropriate gender identity 

options. 

Estimated Program Burden: The 

following table summarizes the burden 

hour estimate for this information 

collection: 

Number of states Number of responses per state Average burden hours per state Total hours 

57 1 128 7,296 

The estimates of annual burden to the 

States vary in accordance with the size, 

program complexity, and technological 

capacity of the States. The annual 

burden on this form is estimated to be 

128 hours. 

PPR 

Annual hours 

estimate 

(based on 

previous OMB 

burden estimates 

PADD ............................ 90 

PAAT ............................ 16 

PATBI ........................... 16 

HAVA ............................ 20 

ONE PPR ..................... 128 

Dated: April 26, 2022. 

Alison Barkoff, 

Acting Administrator and Assistant Secretary 

for Aging. 

[FR Doc. 2022–09422 Filed 5–2–22; 8:45 am] 

BILLING CODE 4154–01–P 


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