62142 Federal Register / Vol. 79, No. 200 / Thursday, October 16, 2014 / Notices 

‘‘Notice–CECANF–2014–06’’, by either 

of the following methods: 

• Regulations.gov: http:// 

www.regulations.gov. 

Submit comments via the Federal 

eRulemaking portal by searching for 

‘‘Notice–CECANF–2014–06’’. Select the 

link ‘‘Comment Now’’ that corresponds 

with ‘‘Notice–CECANF–2014–06’’. 

Follow the instructions provided at 

screen. Please include your name, 

organization name (if any), and 

‘‘Notice–CECANF–2014–06’’ on your 

attached document. 

• Mail: Commission to Eliminate 

Child Abuse and Neglect Fatalities, c/o 

General Services Administration, 

Agency Liaison Division, 1800 F St. 

NW., Room 7003D, Washington, DC 

20006. 

Instructions: Please submit comments 

only and cite ‘‘Notice–CECANF–2014– 

06’’ in all correspondence related to this 

notice. All comments received will be 

posted without change to http:// 

www.regulations.gov, including any 

personal and/or business confidential 

information provided. 

FOR FURTHER INFORMATION CONTACT: Visit 

the CECANF Web site at https:// 

eliminatechildabuse

fatalities.sites.usa.gov/ or contact Ms. 

Patricia Brincefield, Communications 

Director, at 202–818–9596, 1800 F St. 

NW., Room 7003D, Washington, DC 

20006. 

SUPPLEMENTARY INFORMATION:

Background: CECANF was 

established to develop a national 

strategy and recommendations for 

reducing fatalities resulting from child 

abuse and neglect. 

Agenda: The purpose of the meeting 

being held on October 23, 2014 is for 

Commission members to gather national 

and state-specific information regarding 

child abuse and neglect fatalities. The 

Commission will hear from researchers 

and issue experts regarding child abuse 

and neglect fatalities among tribes, the 

state of the art of safety decision making 

in child welfare; how child safety is 

considered by law enforcement and in 

mental health, domestic violence and 

substance abuse treatment services; 

what is known about near fatalities; and, 

what a public health based child abuse 

and neglect fatality prevention 

infrastructure might look like. On 

October 24, 2014 the Commissioners 

will be discussing issues related to 

defining and counting child abuse and 

neglect fatalities and issues regarding 

confidentiality. 

Attendance at the Meeting: 

Individuals interested in attending the 

meeting in person or participating by 

webinar and teleconference line must 

register in advance. To register to attend 

in person or by webinar/phone, please 

go to https://attendee.gotowebinar.com/ 

register/4698443344955798018 and 

follow the prompts. You will receive a 

confirmation email once you register 

with the webinar login and 

teleconference number. Detailed 

meeting minutes will be posted within 

90 days of the meeting. Members of the 

public will not have the opportunity to 

ask questions or otherwise participate in 

the meeting. 

However, members of the public 

wishing to comment should follow the 

steps detailed under the heading 

ADDRESSES in this publication or contact 

us via the CECANF Web site at 

https://eliminatechildabusefatalities.

sites.usa.gov/contact-us/. 

Dated: October 6, 2014. 

Karen White, 

Executive Assistant. 

[FR Doc. 2014–24484 Filed 10–15–14; 8:45 am] 

BILLING CODE 6820–34–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Statement of Organization, Functions, 

and Delegations of Authority; 

Administration for Community Living 

AGENCY: Department of Health and 

Human Services. 

ACTION: Notice. 

SUMMARY: The Administration for 

Community Living (ACL) was created in 

order to achieve several important 

objectives: to reduce the fragmentation 

that currently exists in Federal programs 

addressing the community living service 

and support needs of both the aging and 

disability populations; to enhance 

access to quality health care and longterm services and supports for all 

individuals; to promote consistency in 

community living policy across other 

areas of the Federal government; and to 

complement the community 

infrastructure, as supported by both 

Medicaid and other Federal programs, 

in order to better respond to the full 

spectrum of needs of seniors and 

persons with disabilities. This 

reorganization will further advance 

these objectives by establishing a Center 

for Consumer Access and SelfDetermination to serve as the locus for 

programs that assist older Americans 

and people with disabilities to access 

both health care services and long-term 

services and supports, as well as 

initiatives to expand the use of selfdirected and person-center service 

models; and by establishing a Center for 

Policy and Evaluation to provide a 

strategic focal point for the development 

and implementation of policies to 

improve access to long-term services 

and supports and enhance opportunities 

for both populations to live in their 

communities. 

FOR FURTHER INFORMATION CONTACT: Dan 

Berger, Administration for Community 

Living, 1 Massachusetts Avenue NW., 

Washington, DC 20201, 202–357–3419. 

SUPPLEMENTARY INFORMATION: This 

notice amends Part B of the Statement 

of Organization, Functions, and 

Delegations of Authority of the 

Department of Health and Human 

Services (HHS), Administration for 

Community Living, as last amended at 

77 FR 23250–23260, dated April 18, 

2012, as follows: 

I. Delete Part B, ‘‘The Administration 

for Community Living’’; in its entirety 

and replace with the following: 

B.00 Mission 

B.10 Organization 

B.20 Functions 

B.00 Mission. The Administration 

for Community Living’s (ACL) mission 

is to maximize the independence, wellbeing, and health of older adults, people 

with disabilities across the lifespan, and 

their families and caregivers. ACL 

provides national leadership and 

direction to plan, manage, develop, and 

raise awareness of comprehensive and 

coordinated systems of long-term 

services and supports that enable older 

Americans and individuals with 

disabilities, including intellectual, 

developmental, and physical 

disabilities, to maintain their health and 

independence in their homes and 

communities. ACL programs support 

strong State, Tribal, and local 

community networks designed to 

respond to the needs of persons with 

disabilities, older Americans, and their 

families through advocacy, systems 

change and capacity building to ensure 

access to needed community services, 

individualized supports, and other 

forms of assistance that promote selfdetermination, independence, 

productivity, and integration and 

inclusion in all facets of community life. 

ACL advises the Secretary, 

Departmental components and other 

Federal departments and agencies on 

the development and implementation of 

policies to improve access to 

community living services and supports 

and enhance opportunities for persons 

with disabilities and older Americans, 

while retaining discrete policy and 

programmatic operations that respond 

to the unique needs of these 

populations. ACL’s visibility within the 

Department of Health and Human 


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Services and with other Federal 

agencies helps ensure that Federal 

policies and programs allow all 

individuals across the lifespan to live 

with respect and dignity as full 

members of their communities. 

B.10 Organization. ACL is an 

Operating Division of the Department of 

Health and Human Services. ACL is 

headed by an Administrator, who 

reports directly to the Secretary. The 

Administrator is also the Assistant 

Secretary for Aging. In addition to the 

Administrator, the ACL consists of the 

Principal Deputy Administrator, who 

also serves as the senior advisor to the 

Secretary on HHS activities relating to 

disabilities, and Staff and Program 

Offices. ACL is organized as follows: 

Office of the Administrator (BA) 

Administration on Aging (BB) 

Administration on Intellectual and 

Developmental Disabilities (BC) 

Center for Consumer Access and SelfDetermination (BD) 

Center for Management and Budget (BE) 

Center for Policy and Evaluation (BF) 

B.20 Functions. ACL is the principal 

agency designated to lead aging and 

disability programs. More specifically, 

the provisions of the Older Americans 

Act (OAA) of 1965 are carried out by its 

subcomponent, the Administration on 

Aging; and the provisions of the 

Developmental Disabilities Assistance 

and Bill of Rights Act (DD Act) of 2000 

are carried out by its subcomponent, the 

Administration on Intellectual and 

Developmental Disabilities. ACL also 

administers programs authorized under 

Title III, Title XVII and Title XXIX of the 

Public Health Service Act (PHSA), 

Section 262 and 292 of the Help 

America Vote Act (HAVA), section 119 

of the Medicare Improvements for 

Patients and Providers Act (MIPPA) of 

2008, Section 6021(d) of the Deficit 

Reduction Act (DRA) of 2005, section 

4360 of the Omnibus Budget 

Reconciliation Act (OBRA) of 1990, and 

the Elder Justice Act (EJA) of 2010 

(Subtitle B of Title XX of the Social 

Security Act); and provides continuing 

support for the administration of the 

President’s Committee for People with 

Intellectual Disabilities. 

Develops, recommends and issues 

regulations, policies, procedures, 

standards and guidelines to provide 

direction for the programs it 

administers. Approves or disapproves 

plans and funding applications for 

national programs providing 

community-based long-term services 

and supports. Administers programs for 

training, research, demonstration, 

evaluation and information 

dissemination. Administers programs 

related to advocacy, systems change and 

capacity building. Administers national 

centers for service development and 

provides technical assistance to States, 

Tribal Organizations, local communities 

and service providers. Serves as the lead 

Federal agency for adult protection 

services. 

Assists the Secretary in all matters 

pertaining to opportunities and 

challenges of persons with disabilities, 

older Americans, and Americans of all 

ages about their current and potential 

future need for information and access 

to long-term services and supports. 

Advocates for the needs of these 

constituencies in program planning and 

policy development within the 

Department and in other Federal 

agencies. Advises the Secretary, 

Departmental components and other 

Federal departments and agencies on 

the characteristics, circumstances and 

needs of these populations and develops 

policies, plans and programs designed 

to promote their welfare. 

The functions of the organizational 

units of ACL are described in detail in 

the succeeding Chapters. 

A. Office of the Administrator (BA): 

BA.00 Mission 

BA.10 Organization 

BA.20 Functions 

BA.00 Mission. The Office of the 

Administrator provides executive 

direction, leadership, and guidance for 

ACL programs, and serves as the focal 

point for the development, coordination 

and administration of those programs 

nationwide. The Office advises the 

Secretary on issues affecting seniors and 

persons with disabilities. 

BA.10 Organization. The Office of 

the Administrator is headed by the 

Administrator, who reports directly to 

the Secretary. The Office of the 

Administrator includes the Principal 

Deputy Administrator, who also serves 

as an advisor to the Secretary on HHS 

activities relating to disabilities, and the 

following components: 

Immediate Office of the Administrator 

(BAA) 

Office of External Affairs (BAB) 

Office of Regional Operations (BAC1– 

BACX) 

BA.20 Functions. 

1. Immediate Office of the 

Administrator (BAA). The Immediate 

Office of the Administrator (IOA) is 

responsible to the Secretary for carrying 

out ACL’s mission and provides 

executive supervision to the major 

components of ACL. The Administrator 

and Principal Deputy both serve as 

members of the Secretary’s senior 

leadership team, ensuring that Federal 

policies and programs support the goal 

of enabling all individuals to live with 

respect and dignity as fully participating 

members of their communities. 

Sets national policies, establishes 

national priorities, ensures policy 

consistency, and directs plans and 

programs conducted by ACL. Advises 

the Secretary, HHS Operating Divisions, 

and other Federal agencies on the 

characteristics, circumstances, and 

needs of persons with disabilities, older 

Americans, and their families and on 

policies, plans and programs designed 

to promote their welfare. 

Coordinates the development of 

legislative proposals, testimony, 

background statements, and other policy 

documents in activities related to 

legislation. In coordination with the 

HHS Office of the Assistant Secretary 

for Legislation, analyzes proposed and 

enacted legislation related directly or 

indirectly to older people and persons 

with disabilities, including legislation 

directly affecting ACL programs. 

In collaboration with other Federal 

agencies, develops and implements 

interagency agreements to advance the 

concerns and interests of persons with 

disabilities, older adults, and families of 

such individuals. Provides liaison to 

Federal advisory committees. Works 

with national organizations, 

professional societies, and academic 

organizations to identify mutual 

interests and plan voluntary and funded 

approaches to enhance opportunities for 

community living. 

Receives, assesses, and controls 

incoming correspondence and makes 

assignments to the appropriate ACL 

component(s) for response and action; 

provides assistance and advice to ACL 

staff on the development of responses to 

correspondence; and tracks 

development of periodic reports and 

facilitates departmental clearance. 

Maintains official copies of all policy 

and information issuances, ensuring 

adherence to requirements for records 

management and disposition and 

Freedom of Information Act. 

2. Office of External Affairs (BAB). 

The Office of External Affairs (OEA) 

supports the Immediate Office of the 

Administrator in the effective 

communication of ACL policies, goals, 

and objectives. In coordination with the 

Department, manages ACL’s media 

relations and external outreach 

activities. 

Coordinates with the HHS Office of 

the Assistant Secretary for Public 

Affairs, including planning and 

implementing strategy for relations with 

the news and other information media. 

Initiates media outreach activities; 

responds to all media inquiries 


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concerning ACL programs and related 

issues; develops news releases, feature 

articles for magazines and other 

publications on ACL programs and 

initiatives; and manages preparation 

and clearance of speeches and official 

statements on ACL programs. 

Implements public education 

activities to support the achievement of 

program objectives; develops and 

distributes publications and audiovisual 

materials about older people and 

persons with disabilities and prepares 

and issues brochures, fact sheets, and 

exhibits on their needs and concerns 

and measures to improve the 

circumstances, available services, and 

environment for the older population. 

Develops special information campaigns 

to inform the general public about 

issues, problems and benefits important 

to persons with disabilities and older 

people. Fosters, plans and coordinates 

ceremonies and celebrations. Manages 

the content of ACL Web sites and 

oversees the development of other social 

media tools used to inform the public 

about ACL policies, programs and 

services. Implements the National 

Clearinghouse for Long-Term Care 

Information authorized under Section 

6021(d) of the DRA of 2005. 

3. Office of Regional Operations 

(BAC1–BACX). The Office of Regional 

Operations (ORO) includes a 

coordinating central office liaison and 

ten Regional Support Centers. The 

central office regional liaison 

coordinates the operations of the 

Regional Support Centers, each of 

which is headed by a Regional 

Administrator (RA). 

The Regional Support Centers serve as 

the focal point for the development and 

coordination of ACL programs within 

the designated HHS region. Represent 

the Administrator within the region, 

providing information for, and 

contributing to the development of, 

national programs serving with the 

elderly and persons with disabilities. 

Serve as the effective and visible 

advocate to other Federal agencies in 

their geographic jurisdiction; advise, 

consult and cooperate with each Federal 

agency proposing or administering 

programs or services; coordinate and 

assist in the planning and development 

by public (including Federal, State, 

Tribal and local agencies) and private 

organizations of comprehensive and 

coordinated services and opportunities 

in each community of the nation; and 

conduct active public education of 

government officials and the public to 

ensure broad understanding of the need 

for community-based services and 

supports. 

Monitor, assist and evaluate State 

Agencies and Tribal Organizations 

administering programs supported 

under the OAA and other authorizing 

legislation as directed. Participates in 

the review of State Plans and 

recommend approval or disapproval, as 

appropriate. Participates in the review 

of applications for Tribal Programs and 

recommend approval or disapproval 

applications. Review grantee financial 

and program reports and provide 

technical assistance to recipients on 

fiscal operations. Oversees disaster 

assistance and reimbursement activities 

pursuant to Section 310 of the OAA. 

Advise the Administrator on 

problems and progress of programs; 

evaluate the effectiveness of programs 

and services in the Regions and 

recommend changes that would 

improve program operations and 

enhance effectiveness; and provide 

guidance to agencies and grantees in 

applications of policy to specific 

operational issues requiring resolution. 

Facilitate interagency cooperation at the 

Federal, Regional, State and Tribal 

levels to enhance resources and 

assistance available to the elderly and 

persons with disabilities. Disseminate 

and provide technical assistance 

regarding program guidelines and 

developments to States Agencies, Tribal 

Organizations, and local community 

service providers. 

B. Administration on Aging (BB) 

BB.00 Mission 

BB.10 Organization 

BB.20 Functions 

BB.00 Mission. The Administration 

on Aging (AoA) carries out programs 

operated under the OAA, Section 398 

and Title XVII of the PHSA, and the EJA 

(Subtitle B of Title XX of the Social 

Security), including, but not limited to, 

those concerning the Elder Justice 

Coordinating Council and Adult 

Protective Services. The Administration 

on Aging helps elderly individuals 

maintain their dignity and 

independence in their homes and 

communities through comprehensive, 

coordinated, and cost effective systems 

of long-term care, and livable 

communities across the United States. 

BB.10 Organization. The 

Administration on Aging is headed by 

the Assistant Secretary, who is also the 

Administrator. The Deputy Assistant 

Secretary for Aging supports the 

Assistant Secretary in overseeing the 

Administration on Aging. The 

Administration on Aging includes the 

following components: 

Office of the Assistant Secretary on 

Aging (BBA) 

Office of Supportive and Caregiver 

Services (BBB) 

Office of Nutrition and Health 

Promotion Programs (BBC) 

Office of Elder Justice and Adult 

Protective Services (BBD) 

Office of American Indian, Alaskan 

Native, and Native Hawaiian 

Programs (BBE) 

Office of Long-Term Care Ombudsman 

Programs (BBF) 

BF.20 Functions 

1. Office of the Assistant Secretary on 

Aging (BBA). The Office of the Assistant 

Secretary on Aging (OASA) advises and 

supports the Administrator, the 

Secretary, and other elements of the 

Department in serving as the visible and 

effective advocate for older people 

within the Federal Government. 

Provides leadership and expertise on 

program development, advocacy and 

initiatives affecting seniors and their 

caregivers. Plans and directs grant 

programs designed to provide planning, 

coordination and services to older 

Americans as authorized under the 

OAA and other legislation. 

Performs functions under Title II of 

the OAA related to consultation with 

other Federal agencies and the provision 

of information about aging services, 

programs and policies in order to 

enhance coordination and delivery. 

Supports the Administrator in 

implementing Section 203(1) of the 

OAA by coordinating, advising, 

consulting with and cooperating with 

the head of each department, agency 

and instrumentality of the Federal 

Government proposing or administering 

programs or services substantially 

related to the objectives of the OAA. 

Oversees the consultation process by 

which agency heads must consult with 

AoA before establishing programs or 

services related to the OAA. Plans and 

implements the process for the 

collaboration of all Federal agencies 

with AoA in the execution by those 

agencies of programs and services 

related to the OAA. 

Consults with and provides technical 

assistance to and education for State 

and Area Agencies on Aging, Tribal 

grantees, and local community service 

providers in the development of plans, 

goals, and system development 

activities. Ensures that statutory 

requirements, regulations, policies, and 

instructions are implemented for 

mandatory grant programs under Titles 

III, VI and VII of the OAA, and for the 

discretionary grant programs under Title 

II and Title IV of the OAA, as well as 

Section 398 and Title XVII of the PHSA 

and the EJA. 

Provides oversight and leadership to 

the Nutrition Officer established in Title 


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II of the OAA who provides technical 

assistance and guidance to Regional 

Support Centers, States, Area Agencies 

on Aging and community service 

providers. Provides technical guidance 

to the Regional Support Centers as they 

implement the national programs of the 

OAA and ensures that clear and 

consistent guidance is given on program 

and policy directives. Issues substantive 

operating procedures to guide Central 

Office and Regional staff in the conduct 

of their programmatic responsibilities. 

At all levels, from national to the local 

service delivery level, develops methods 

and collaborations to articulate the 

problems and concerns of the elderly to 

organizations beyond the traditional 

network of agencies and works with 

these organizations to be more sensitive 

and responsive to age-related needs and 

issues. Oversees the international 

liaison functions of AoA, coordinating 

AoA international activities with 

Departmental as well as other Federal 

agencies, States and national 

organizations concerned with 

international aging matters. 

2. Office of Supportive and Caregiver 

Services (BBB). The Office of 

Supportive and Caregiver Services 

(OSCS) serves as the focal point for the 

operation, administration, and 

assessment of the programs authorized 

under Titles III–B and III–E of the OAA 

and Section 398 of the PHSA, as well as 

activities under Titles II and IV of the 

OAA that are designed to provide 

information and referral services to 

seniors and caregivers, and to support 

technical assistance, outreach, and 

information dissemination that are 

culturally and linguistically appropriate 

in order to meet the needs of diverse 

populations of older individuals. In 

addition, the Office performs the 

functions under Title II of the OAA 

related to consultation with other 

Federal agencies and the provision of 

information about supportive and 

caregiver services in order to enhance 

service coordination and delivery. 

Implements Titles III–B and III–E of 

the OAA through the development of 

regulations, policies and guidance 

governing the development and 

enhancement by State and Area 

Agencies on Aging of comprehensive 

and coordinated systems of home and 

community-based supportive and 

caregiver services. This includes 

implementing and enhancing systems 

for home and community-based 

supportive services, the operation of 

multi-purpose senior centers, and 

caregiver support and assistance 

services. 

In coordination with the Office of 

Nutrition and Health Promotion 

Programs, provides guidance regarding 

State Plan processing and approval, the 

process and criteria for approval of 

States’ Intrastate Funding Formulas for 

the allocation and targeting of resources 

within States, and implementation of 

the Interstate Funding Formula for 

distribution of Title III–B and III–E 

funds among States. Through the 

analysis of State Plans, evaluation 

findings and other relevant material, 

identifies potential program and 

management issues and develops 

recommendations on possible solutions. 

Fosters, oversees, and ensures 

accountability for the implementation of 

programs by States and Area Agencies 

through guidance and direction to 

Regional staff regarding program 

reviews and system development and 

enhancements. Designs and provides 

training and technical assistance for 

program compliance, effectiveness, and 

enhancement. Provides technical and 

subject matter expertise targeted at 

enhancing the capabilities of State and 

Area Agencies and local communities to 

improve service delivery to older 

people. 

Directs and assesses the development 

of State-administered home and 

community-based long-term care 

systems providing supportive services 

for the elderly and caregivers. Initiates 

and encourages expansion of the 

capacities of home and communitybased supportive and caregiver services 

to deliver comprehensive services to the 

elderly. 

Implements programs under Section 

398 of the PHSA, as well as activities 

under Titles II and IV of the OAA, 

through the development of 

demonstrations designed to test the 

efficacy of new and innovative models 

in improving the delivery and 

effectiveness of community-based 

supportive services for seniors and 

caregivers. Prepares the planning 

documents for and develops 

discretionary grant program 

announcements. Evaluates 

demonstration grant and contract 

proposals; and recommends approval/

disapproval. Monitors progress, gives 

technical guidance to, and evaluates the 

performance of grantees and contractors. 

Promotes the coordination of 

innovation and demonstration activities 

with other national, field and local 

programs related to aging. Develops 

standards and identifies successful 

service and systems development 

strategies and best practice models for 

use by the Aging Network. Provides 

technical assistance to Aging Network 

partners in utilizing the findings from 

program demonstrations to inform 

policy and program development and 

enhance service delivery and 

coordination at the Federal, State and 

local level. 

3. Office of Nutrition and Health 

Promotion Programs (BBC). The Office 

of Nutrition and Health Promotion 

Programs (ONHPP) serves as the focal 

point for the operation, administration, 

and assessment of the programs 

authorized under Titles III–C and III–D 

of the OAA and Title XVII of the PHSA, 

as well as activities under Titles II and 

IV of the OAA designed to promote 

healthy behaviors and improved health 

status for older people. In addition, the 

Office performs the functions under 

Title II of the OAA related to 

consultation with other Federal agencies 

and the provision of information about 

nutrition and preventive health services 

in order to enhance service coordination 

and delivery. 

Implements Titles III–C and III–D of 

the OAA through the development of 

regulations, policies and guidance 

governing the development and 

enhancement by State and Area 

Agencies on Aging of comprehensive 

and coordinated systems of home and 

community-based nutrition and 

preventive health services. Carries out 

the functions of the designated 

Nutrition Officer, who coordinates 

nutritional services under the OAA, 

develops the regulations and guidelines, 

and provides technical assistance 

regarding nutrition to State and Area 

Agencies, nutrition service providers, 

and other organizations. Serves as the 

liaison to the Department of Agriculture 

and other Federal agencies and 

organizations related to nutrition policy 

and program issues. 

In coordination with the Office of 

Supportive and Caregiver Services, 

provides guidance regarding State Plan 

processing and approval, the process 

and criteria for approval of States’ 

Intrastate Funding Formulas for the 

allocation and targeting of resources 

within States, and implementation of 

the Interstate Funding Formula for 

distribution of Title III–C and III–D 

funds among States. Through the 

analysis of State Plans, evaluation 

findings and other relevant material, 

identifies potential program and 

management issues and develops 

recommendations on possible solutions. 

Fosters, oversees, and ensures 

accountability for the implementation of 

programs by States and Area Agencies 

through guidance and direction to 

Regional staff regarding program 

reviews and system development and 

enhancements. Designs and provides 

training and technical assistance for 

program compliance, effectiveness, and 

enhancement. Provides technical and 


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subject matter expertise targeted at 

enhancing the capabilities of State and 

Area Agencies and local communities to 

improve service delivery to older 

people. 

Directs and assesses the development 

of State-administered home and 

community-based long-term care 

systems providing nutrition and 

preventive health services for the 

elderly and caregivers. Initiates and 

encourages expansion of the capacities 

of home and community-based nutrition 

and preventive health services to deliver 

comprehensive services to the elderly. 

Implements programs under Title 

XVII of the PHSA, as well as other 

activities under Titles II and IV of the 

OAA, through the development of 

demonstrations designed to test the 

efficacy of new and innovative models 

in improving the delivery and 

effectiveness of community-based 

nutrition, health promotion, and 

evidenced-based disease prevention. 

Prepares the planning documents for 

and develops discretionary grant 

program announcements. Evaluates 

demonstration grant and contract 

proposals; and recommends approval/

disapproval. Monitors progress, gives 

technical guidance to, and evaluates the 

performance of grantees and contractors. 

Promotes the coordination of 

innovation and demonstration activities 

with other national, field and local 

programs related to aging. Develops 

standards and identifies successful 

service and systems development 

strategies and best practice models for 

use by the Aging Network. Provides 

technical assistance to Aging Network 

partners in utilizing the findings from 

program demonstrations to inform 

policy and program development and 

enhance service delivery and 

coordination at the Federal, State and 

local level. 

4. Office of Elder Justice and Adult 

Protective Services (BBD). The Office of 

Elder Justice and Adult Protective 

Services (OEJAPS) serves as the focal 

point for the operation, administration, 

and assessment of the elder abuse 

prevention, legal assistance 

development, and pension counseling 

programs under Titles II and VII of the 

OAA, and for Adult Protective Services 

and related activities carried out under 

the EJA. The Office also coordinates 

with the Office of the National LongTerm Care Ombudsman which oversees 

the Long-Term Care Ombudsman 

Program and the National Ombudsman 

Resource Center. 

Reviews State Plans to determine 

eligibility for funding under the OAA 

and recommends approval or 

disapproval. Implements Title VII in the 

field, in coordination with the National 

Long-Term Care Ombudsman, through 

the provision to Regional Support 

Centers of guidance and information, 

and the development and interpretation 

of Title VII program regulations and 

policy. Ensures the implementation of 

guidance and instructions concerning 

prevention of elder abuse, elder rights 

and legal assistance development 

programs. Provides guidance and 

leadership in the development of the 

pension counseling program and 

effective models for nationwide 

replication. 

Fosters, coordinates, and ensures 

accountability for the implementation of 

Title VII by States through guidance and 

direction to Regional staff regarding 

program reviews, and program and 

system development and enhancements. 

Designs and provides training and 

technical assistance for program 

compliance, effectiveness, and 

enhancement. Develops program plans 

and instructions for Regional Support 

Centers and State and Area Agencies to 

improve the Title VII protection and 

representational programs funded under 

the OAA. 

Implements demonstration activities 

under Titles II and IV of the OAA and 

the EJA designed to test the efficacy of 

new and innovative models in 

improving the delivery and 

effectiveness of elder rights activities. 

Prepares the planning documents for 

and develops discretionary grant 

program announcements. Evaluates 

demonstration grant and contract 

proposals; and recommends approval/

disapproval. Monitors progress, gives 

technical guidance to, and evaluates the 

performance of grantees and contractors. 

Promotes the coordination of 

innovation and demonstration activities 

with other national, field and local 

programs related to aging. Develops 

standards and identifies successful 

service and systems development 

strategies and best practice models for 

use by the Aging Network. Provides 

technical assistance to Aging Network 

partners in utilizing the findings from 

program demonstrations to inform 

policy and program development and 

enhance service delivery and 

coordination at the Federal, State and 

local level. 

Provides Federal leadership for the 

development and implementation of 

comprehensive Adult Protective 

Services systems in order to provide a 

coordinated and seamless response for 

helping adult victims of abuse and to 

prevent abuse before it happens. 

Develops national Adult Protective 

Services data systems and standards, 

and provides technical assistance to 

states on using and interfacing with the 

system. Develops model Adult 

Protective Services program standards 

that help states improve the quality and 

consistency of programs. Advances a 

coordinated Federal research strategy to 

fill the gaps in knowledge and develop 

evidence-based interventions to prevent, 

identify and report, and respond to 

elder abuse, neglect and exploitation. 

Provides support for the Elder Justice 

Coordinating Council. 

5. Office for American Indian, 

Alaskan Native, and Native Hawaiian 

Programs (BBE). The Office for 

American Indian, Alaskan Native, and 

Native Hawaiian Programs 

(OAIANNHP) serves as the effective and 

visible advocate within the Department 

of Health and Human Services and with 

other departments and agencies of the 

Federal Government regarding all 

Federal policies affecting older 

individuals who are Native Americans. 

Works with State, local and Tribal 

governments providing leadership and 

coordination of activities, services and 

policies affecting American Indians, 

Alaskan Natives and Native Hawaiian 

elders. Promotes linkages among 

national Indian organizations, national 

aging organizations, and national 

provider organizations with the goal of 

enhancing the interests of and services 

to Native American elders. 

Recommends policies and priorities 

with respect to the development and 

operation of programs and activities 

relating to individuals who are older 

Native Americans. The Office 

coordinates activities among other 

Federal departments and agencies to 

ensure a continuum of improved 

services through memoranda of 

agreements or through other appropriate 

means of coordination. 

Evaluates outreach under Title III and 

Title VI of the OAA and recommends 

necessary action to improve service 

delivery, outreach, and coordination 

between Title III and Title VI services. 

Encourages and assists with the 

provision of information to older Native 

Americans to assure a continuum of 

services. Develops research plans, 

conducts and arranges for research in 

the field of Native American aging; 

collects, analyzes, and disseminates 

information related to problems 

experienced by older Native Americans, 

including information on health status 

of older individuals who are Native 

Americans, elder abuse, in-home care, 

and other problems unique to Native 

Americans. Develops, implements, and 

oversees the uniform data collection 

procedures for Tribal and Native 

Hawaiian Organizations; and 

implements and oversees the 


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consultation requirements of Title II as 

they apply to Native American issues. 

Serves as the AoA focal point for the 

administration of the programs 

authorized under Title VI and the 

Native American Organization 

provisions of Title VII–B of the OAA, 

including administering grants, 

cooperative agreements and contracts. 

Coordinates with the Regional Support 

Centers to provide program guidance, 

policy direction, training, technical 

assistance, and monitoring of Title VI 

grantees. Oversees the development and 

operation of Resource Centers on Native 

American Elders under Title IV of the 

OAA, which gather information, 

perform research, provide for 

dissemination of results, and provide 

technical assistance and training to 

those who provide services to Native 

American elders. Arranges for and 

manages ongoing training and technical 

assistance for Title VI grantees. 

Coordinates additional training and 

technical assistance related to diversity 

and national minority aging 

organizations and coalitions with other 

projects managed by other components 

of the agency. 

6. Office of Long-Term Care 

Ombudsman Programs (BBF). The 

Office of the Long-Term Care 

Ombudsman Programs (OLTCOP) 

carries out the functions established in 

Section 201(d)(1) of the OAA, serving as 

the effective and visible advocate 

regarding Federal policies and laws that 

may adversely affect the health, safety, 

welfare, or rights of residents of longterm care facilities. 

Reviews Federal legislation, 

regulations, and policies regarding longterm care ombudsman programs and 

makes recommendations to the 

Assistant Secretary for Aging. 

Coordinates the activities of ACL with 

other Federal, State and local entities 

relating to long-term care ombudsman 

programs; prepares an annual report to 

Congress on the effectiveness of services 

provided by State long-term care 

ombudsman programs; and establishes 

standards for the training of State longterm care ombudsman staff. 

Coordinates with the Office of Elder 

Justice and Adult Protective Services on 

the administration of the Long-Term 

Care Ombudsman Program and the 

National Ombudsman Resource Center 

to ensure alignment with agency 

initiatives related to elder rights and 

adult protective services. Makes 

recommendations to the Administrator 

regarding the operation of the National 

Ombudsman Resource Center, and the 

review and approval of the provisions in 

State plans submitted under section 

307(a) of the OAA that relate to State 

Long-Term Care Ombudsman programs. 

C. Administration on Intellectual and 

Developmental Disabilities (BC) 

BC.00 Mission 

BC.10 Organization 

BC.20 Functions 

BC.00 Mission. The Administration 

on Intellectual and Developmental 

Disabilities (AIDD) advises the 

Secretary, through the Administrator on 

Community Living, on matters relating 

to individuals with intellectual and 

developmental disabilities and serves as 

the focal point in the Department to 

support and encourage the provision of 

quality services to individuals with 

developmental disabilities and their 

families. The Administration on 

Intellectual and Developmental 

Disabilities supports States and 

communities in increasing the 

independence, productivity and 

community inclusion of individuals 

with intellectual and developmental 

disabilities and ensuring that the rights 

of all individuals with intellectual and 

developmental disabilities are 

protected. Carries out programs 

operated under the DD Act, Section 262 

and 292 of the HAVA, and Title III of 

the PHSA. 

BC.10 Organization. The 

Administration on Intellectual and 

Developmental Disabilities is headed by 

a Commissioner, who reports directly to 

the Administrator. The Administration 

on Intellectual and Developmental 

Disabilities includes the following 

components: 

Office of the Commissioner on 

Intellectual and Developmental 

Disabilities (BCA) 

President’s Committee for People with 

Intellectual Disabilities (BCA1) 

Office of Program Support (BCB) 

Office of Innovation (BCC) 

BC.20 Functions 

1. Office of the Commissioner on 

Intellectual and Developmental 

Disabilities (BCA). The Office of the 

Commissioner on Intellectual and 

Developmental Disabilities (OCIDD) 

provides executive leadership and 

management strategies for all 

components of the Administration on 

Intellectual and Developmental 

Disabilities, and serves as the principal 

advisor to the Administrator, the 

Secretary, and other elements of the 

Department for individuals with 

intellectual and developmental 

disabilities and their families. Plans, 

coordinates and controls AIDD policy, 

planning and management activities 

which include the development of 

legislative proposals, regulations and 

policy issuances for AIDD. 

Provides executive direction to 

AIDD’s components and establishes 

goals and objectives for AIDD programs. 

Assists states, through the design and 

implementation of a comprehensive and 

continuing state plan, in making 

optimal use of existing Federal and state 

resources for the provision of services 

and supports to individuals with 

intellectual and developmental 

disabilities and their families to achieve 

these outcomes. 

In concert with other components of 

ACL as well as other public, private, 

and voluntary sector partners, develops 

and implements research, 

demonstration and evaluation strategies 

for discretionary funding of activities 

designed to improve and enrich the 

lives of individuals with intellectual 

and developmental disabilities. Serves 

as a resource in the development of 

policies and programs to reduce or 

eliminate barriers experienced by 

individuals with intellectual and 

developmental disabilities through the 

identification of promising practices 

and dissemination of information. 

Supports and encourages programs or 

services and manages initiatives, 

involving the private and voluntary 

sectors, that benefit individuals with 

intellectual, developmental, and other 

disabilities and their families. 

Initiates, executes and supports the 

development of interagency, 

intergovernmental and public-private 

sector agreements, committees, task 

forces, commissions or joint-funding 

efforts as appropriate. In coordination 

with the Office of External Affairs, 

develops strategies for increasing public 

awareness of the needs of individuals 

with intellectual and developmental 

disabilities, their families, and programs 

designed to address them. 

Provides general staff support for the 

President’s Committee for People with 

Intellectual Disabilities (PCPID) a 

Presidential-level advisory body. 

Coordinates all meetings and 

Congressional hearing arrangements; 

provides such advice and assistance in 

the areas of intellectual disabilities as 

the President or the Secretary may 

request; and prepares and issues an 

annual report to the President 

concerning intellectual disabilities and 

such additional reports or 

recommendations as the President may 

require or as PCPID may deem 

appropriate. 

2. Office of Program Support (BCB). 

The Office of Program Support (OPS) is 

responsible for the coordination, 

oversight, management and evaluation 

of the State Councils on Developmental 


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Disabilities, the Protection and 

Advocacy Systems, and the University 

Centers for Excellence in Developmental 

Disabilities grant programs as 

authorized by the DD Act. The Office is 

responsible for the development of 

procedures and performance standards 

that ensure compliance with the DD Act 

and that improve the outcomes of the 

programs in increasing the 

independence, productivity and 

community inclusion of persons with 

developmental disabilities as well as 

program outreach activities. 

Conducts routine and special analyses 

of state plans of State Councils on 

Developmental Disabilities, statement of 

goals and objectives of State Protection 

and Advocacy Systems, and five-year 

plans of the University Centers for 

Excellence in Developmental 

Disabilities, to assure consistent 

application of AIDD program goals and 

objectives. Provides program 

development services, develops and 

initiates guidelines, policy issuances 

and actions with team participation by 

other components of AIDD, ACL, HHS 

and other government agencies to fulfill 

the mission and goals of the DD Act, as 

amended. 

Ensures the dissemination of grantee 

results, including project results and 

information produced by AIDD grantees, 

by coordinating with the Office of 

Innovation and the Office of the 

Commissioner on Intellectual and 

Developmental Disabilities for 

information sharing. Manages crosscutting initiatives with other 

components of AIDD, ACL, HHS and 

other government agencies to promote 

and integrate the grant programs into 

cross-agency and cross-disability efforts. 

3. Office of Innovation (BCC). The 

Office of Innovation is responsible for 

the coordination, oversight, 

management and evaluation of the 

Projects of National Significance, 

Family Support, and the Direct Support 

Workers grant programs as authorized 

by the DD Act. The Office is responsible 

for the development of procedures that 

ensure compliance with the DD Act and 

that improve the outcomes of the 

programs, grants and contracts in 

increasing the independence, 

productivity and community inclusion 

of persons with intellectual and 

developmental disabilities. Ensures the 

dissemination of project results and 

information produced by AIDD grantees. 

Administers programs under the 

HAVA that improve accessibility for 

individuals with the full range of 

disabilities, including the blind and 

visually impaired, to polling places, 

including the path of travel, entrances, 

exits and voting facilities. Administers a 

training and technical assistance grant 

program under the HAVA that provides 

technical assistance to Protection and 

Advocacy Systems in their mission to 

promote the full participation in the 

electoral process for individuals with 

the full range of disabilities, including 

registering to vote, casting vote, and 

accessing polling places. Also carries 

out activities under Title III of the PHSA 

that promote the health and well-being 

of people living with paralysis and 

supports their families and caregivers by 

providing comprehensive information 

and referral services. 

Originates and manages cross-cutting 

research, demonstration and evaluation 

initiatives with other components of 

AIDD, ACL, HHS and other government 

agencies. Coordinates information 

sharing and other activities related to 

national program trends with other ACL 

programs and HHS agencies and 

studies, reviews and analyzes other 

federal programs providing services 

applicable to persons with 

developmental disabilities for the 

purpose of integrating and coordinating 

program efforts. 

D. Center for Consumer Access and SelfDetermination (BD): 

BD.00 Mission 

BD.10 Organization 

BD.20 Functions 

BD.00 Mission. The Center for 

Consumer Access and SelfDetermination serves as the locus 

within ACL for the administration of 

consumer access and protection 

programs, as well as programs and 

initiatives that promote the use of selfdirected and person-centered service 

models, for all individuals, caregivers, 

and families. The Center carries out 

programs authorized under Titles II and 

IV of the OAA, Title XXIX of the PHSA, 

section 119 of the MIPPA, and section 

4360 of the OBRA of 1990 that focus on 

helping states make their health care 

and long-term service and support 

systems more person-centered and 

consistent with the values of selfdetermination, full participation in 

community, integration and 

independence. 

BD.10 Organization. The Center for 

Consumer Access and SelfDetermination is headed by a Deputy 

Administrator, who reports directly to 

the Administrator. The Center for 

Consumer Access and SelfDetermination includes the following 

components: 

Office of the Deputy Administrator for 

Consumer Access and SelfDetermination (BDA) 

Office of Healthcare Information and 

Counseling (BDB) 

Office of Managed Care Consumer 

Information and Assistance (BDC) 

Office of Integrated Programs (BDD) 

BD.20 Functions. 

1. Office of the Deputy Administrator 

for Consumer Access and SelfDetermination (BDA). The Office of the 

Deputy Administrator for Consumer 

Access and Self-Determination 

(ODACASD) supports the Administrator 

and the Principal Deputy Administrator 

in advancing systemic changes to make 

state health and long-term services and 

supports systems more person-centered 

and responsive to the needs and 

preferences of older Americans, people 

with disabilities, their families, and 

caregivers. Works with Federal partners 

and key external stakeholder groups to 

engage the multiple state agencies 

involved in long-term services and 

supports in developing high performing, 

consumer-oriented, and responsive 

systems of care for all populations. 

Provides leadership and strategic 

direction to guide the administration of 

ACL programs that assist consumers in 

understanding their health care and 

long-term services and supports options, 

improve access, and prevent fraud and 

abuse. Consults with, provides technical 

assistance to, and supports the 

education of States and local 

community service providers in the 

development of plans, goals, and system 

development activities. Supports the 

coordination of programs within HHS 

and with Federal, state, community and 

private sector partners. 

Works closely with AoA and AIDD to 

facilitate the coordination across ACL of 

multiple consumer protection and 

family support programs to fully 

optimize the potential synergies of these 

investments which, viewed as a whole, 

represent two of ACL’s signature assets. 

Provides guidance to the Regional 

Support Centers to ensure clear and 

consistent direction in program 

implementation. 

2. Office of Healthcare Information 

and Counseling (BDB). The Office of 

Healthcare Information and Counseling 

(OHIC) oversees the operation and 

administration of the State Health 

Insurance Assistance Program, 

authorized under the section 4360 of the 

OBRA of 1990, and the Senior Medicare 

Patrol Program, authorized under Title 

IV of the OAA, that help Medicare and 

Medicaid beneficiaries as well as 

coming-of-agers navigate the 

complexities of health and long-term 

care systems and educate them on how 

to prevent fraud, waste, and abuse. The 

office also manages related activities 


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funded under section 119 of the MIPPA 

that focus on outreach to help 

beneficiaries understand and apply for 

their Medicare benefits including the 

Low Income Subsidy program (LIS), 

Medicare Savings Program (MSP), and 

Medicare Prescription Drug Coverage 

(Part D). 

Coordinates, implements, monitors, 

and promotes efforts to provide 

consumer information and education 

designed to increase access to, and 

detect, prevent and report error, fraud 

and abuse in, the Medicare and 

Medicaid programs. Works with the 

ACL Regional Support Centers to 

provides in-depth expertise, 

information, leadership and technical 

assistance to assist the State Health 

Insurance Assistance Program and 

Senior Medicare Patrol networks, and 

serves as a reliable clearinghouse of 

information for older persons, people 

with disabilities, and their families and 

caregivers. 

Develops funding opportunities and 

monitors grants to ensure all necessary 

activities are completed. Manages the 

full spectrum of contract requirements 

including identifying contractual needs, 

developing statements of work and 

necessary planning documents, and 

ensuring that contractors are completing 

assigned tasks. Ensures that grantees 

and their volunteers have the necessary 

information and training to carry out 

program functions. Develops and refines 

the performance management systems 

and provides specialized guidance and 

technical assistance to help grantees 

improve their performance. Coordinates 

with the Centers for Medicare & 

Medicaid Services and other national 

partnerships to advance program 

objectives. 

3. Office of Managed Care Consumer 

Information and Assistance (BDC). The 

Office of Managed Care Consumer 

Information and Assistance (OMCCIA) 

oversees the management and execution 

of technical assistance activities, 

including the identification and 

dissemination of best practices and 

program models, for the Duals 

Demonstration Ombudsman Program, 

which supports grantees serving 

beneficiaries of state demonstrations to 

integrate care for Medicare-Medicaid 

enrollees associated with the Centers for 

Medicare & Medicaid Services Financial 

Alignment Initiative. Works with 

grantees to ensure that the beneficiaries 

participating in these demonstrations, as 

well as their caregivers and authorized 

representatives, have access to personcentered assistance in resolving 

problems related to their health plans 

and providers. 

Coordinates with CMS in the 

development of funding opportunities 

for the Dual Demonstration Ombudsman 

grants program and in tracking the 

progress of the state programs. Ensures 

that grantees and their volunteers have 

the necessary information and training 

to carry out program functions. 

Coordinates with CMS and the state 

grantees in developing and refining 

performance management systems and 

provides specialized guidance and 

technical assistance to help grantees 

improve their performance. Analyzes 

program reports, including consumer 

feedback and complaints, and makes 

recommendations to CMS for improving 

the Ombudsman Program and the 

Financial Alignment Initiative. 

4. Office of Integrated Programs 

(BDD). The Office of Integrated 

Programs (OIP) plans and directs the 

implementation of programs designed to 

enhance access to integrated services 

and person-centered programs and 

systems that support community living. 

Serves as the focal point for the 

administration the Lifespan Respite 

Care Program authorized under Title 

XXIX of the PHSA, Aging and Disability 

Resource Center program authorized 

under Title II of the OAA, the Veteran’sDirected Home and Community-Based 

Services program, and other activities as 

deemed appropriate. 

OIP provides leadership and a central 

strategic focus for ACL’s efforts to 

develop single entry point/no wrong 

door systems of access to long-term 

services and supports for both seniors, 

persons with disabilities, and their 

families and caregivers, in coordination 

with CMS and other Federal agencies. 

Promotes initiatives to expand access to 

services and the development of more 

responsive service systems, including 

person-centered planning and selfdirected service models. Implements 

partnerships with external stakeholder 

organizations to enhance access to 

integrated systems of services that 

support both older Americans and 

persons of all ages with disabilities. 

Coordinates with the Veteran’s 

Administration on the development and 

implementation of their long term 

services and support programs, 

including the Veteran’s-Directed Home 

and Community-Based Services 

program and caregiver supports. 

Administers grants, cooperative 

agreements and contracts and provides 

technical assistance and training in 

support of these activities. Coordinates 

with the Regional Support Centers to 

provide program guidance, policy 

direction, training, technical assistance, 

and monitoring of grantees. Prepares the 

planning documents for and develops 

discretionary grant program 

announcements. Evaluates 

demonstration grant and contract 

proposals; and recommends approval/

disapproval. Monitors progress, gives 

technical guidance to, and evaluates the 

performance of grantees and contractors. 

E. Center for Management and Budget 

(BE): 

BE.00 Mission 

BE.10 Organization 

BE.20 Functions 

BE.00 Mission. The Center for 

Management and Budget advises the 

Administrator on the budget, financial, 

grants, information resources, 

procurement, administrative and human 

resources management activities of ACL. 

BE.10 Organization. The Center for 

Management and Budget is headed by a 

Deputy Administrator, who reports 

directly to the Administrator. The 

Center for Management and Budget 

includes the following components: 

Office of the Deputy Administrator for 

Management and Budget (BEA) 

Office of Budget and Finance (BEB) 

Office of Administration and Personnel 

(BEC) 

Office of Grants Management (BED) 

Office of Information Resources 

Management (BEE) 

BE.20 Functions. 

1. Office of the Deputy Administrator 

for Management and Budget (BEA). The 

Office of the Deputy Administrator for 

Management and Budget (ODAMB) 

directs and coordinates all 

administrative and resource 

management activities for ACL. The 

Deputy Administrator for Management 

and Budget serves as the Executive 

Officer and Chief Financial Officer 

(CFO) and is the principal advisor and 

counselor to the Administrator on all 

aspects of the internal administration of 

ACL. 

Serves as the ACL liaison with the 

Office of the Assistant Secretary for 

Administration (ASA), the Office of the 

Assistant Secretary for Financial 

Resources (ASFR), the Office of General 

Counsel (OGC), the Office of the 

Inspector General (OIG), and the Office 

of Management and Budget (OMB) for 

all budget and administrative 

management issues. Develops, 

administers, and coordinates financial, 

operational, and budgetary policies, 

processes, and controls necessary to 

administer ACL programs and financial 

resources; directs discretionary and 

mandatory grants activities; oversees the 

utilization of information resources, 

information technology systems and 

telecommunications; provides 

leadership for human capital 


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development; and coordinates ACL’s 

internal control activities. 

Coordinates with other components to 

carry out reviews of program activities 

and management practices required 

under the Chief Financial Officers Act, 

the Federal Managers Financial Integrity 

Act, the Improper Payments Information 

Act, the Federal Information Security 

Management Act, and other legislation. 

Monitors legislation related to 

administrative management and 

provides analysis of the impact on ACL 

programs and resources. Conducts 

annual reviews and assessments of 

internal controls required under the 

Federal Managers Financial Integrity 

Act and ensures compliance with the 

GAO and OMB standards. Plans, 

organizes and conducts studies of 

organizational structures, functional 

statements, job structures, staffing 

patterns, and management and 

administrative information systems; and 

identifies and resolves problems of 

organization and administrative 

management. Prepares and maintains 

organizational and functional 

statements and delegations and 

designations of authority for ACL. 

2. Office of Budget and Finance (BEB). 

The Office of Budget and Finance (OBF) 

supports the Deputy Administrator for 

Management and Budget in fulfilling 

ACL’s Chief Financial Officer 

responsibilities. The OBF Director 

serves as the Deputy Chief Financial 

Officer, Budget Officer, and Senior 

Travel Official and oversees and 

coordinates ACL’s budget formulation, 

budget execution, and financial 

management activities. OBF serves as 

the primary liaison with the Program 

Support Center’s Division of Financial 

Management Services, which provides 

accounting, audit, and financial 

management services to AoA. 

In coordination with the program 

offices, formulates and presents budget 

estimates; executes apportionment 

documents; and plans, directs, and 

coordinates financial and budgetary 

programs of ACL. Provides guidance to 

program offices in preparing budgets, 

justifications, and other supporting 

budgetary materials. Solicits, obtains 

and consolidates information and data 

from other offices, and prepares budget 

documents on behalf of the 

Administrator for presentation to the 

Department, OMB, and the Congress. 

Analyzes the budget as approved by 

the Congress and apportioned by OMB, 

obtains input from program offices and 

recommends for the Administrator’s 

approval a financial plan for its 

execution. Makes allowances to ACL 

offices within the guidelines of the 

approved financial plan. Develops and 

maintains an overall system of 

budgetary controls to ensure observance 

of established ceilings on both 

program—including all mandatory and 

discretionary grant accounts—and 

Salaries and Expense funds; maintains 

administrative control of funds against 

allotments and allowances; certifies 

funds availability for all accounts; and 

coordinates the management of 

interagency agreement activities. 

Prepares requests for apportionment of 

appropriated funds; and prepares 

spending plans and status-of-funds 

reports for the Administrator. 

Develops financial operating 

procedures and manuals; coordinates 

financial audits; and provides analysis 

on financial issues. Ensures that internal 

controls are in place for administrative 

and programmatic activities that 

provide reasonable assurance of the 

effectiveness and efficiency of 

operations and compliance with 

applicable laws and regulations. Serves 

as the liaison with the Office of the 

Secretary and OMB on all budgetary and 

financial matters. 

Coordinates all travel management 

activities. Provides technical assistance 

and oversight on the use of the GovTrip 

system; manages employee participation 

in the Travel Charge Card program, and 

coordinates the provision of Travel 

Management Center services. 

3. Office of Administration and 

Personnel (BEC). The Office of 

Administration and Personnel (OAP) 

provides support to ACL in the areas of 

human capital development, personnel, 

facilities, acquisitions, and other 

administrative services. The OAP 

Director serves as the Chief Human 

Capital Officer and provides leadership 

for the strategic planning and 

operational management of human 

capital resources. OAP serves as the 

primary liaison to the Program Support 

Center’s Division of Acquisition 

Management Services, which provides 

procurement services to ACL; and the 

National Capital Region Human 

Resources Center, which provides 

personnel support services. 

Develops and implements human 

capital strategies and strategic workforce 

plans; directs the development and 

creation of strategies to attract diverse 

talent and develop a highly skilled 

workforce; and provides leadership in 

the development of plans for achieving 

short- and long-range human capital 

goals. Provides leadership and guidance 

to meet the human resource 

management needs and coordinates 

internal and external resources to 

provide staff with personnel services 

including position management, 

performance management, employee 

recognition, staffing, recruitment, 

employee and labor relations, employee 

assistance, payroll liaison, staff 

development and training, and special 

hiring and placement programs. 

Provides oversight and direction to 

meet the administrative needs of ACL 

components. Prepares, coordinates and 

disseminates information, policy and 

procedural guidance on human resource 

and administrative management issues 

on an agency-wide basis. Serves as 

liaison with the Program Support 

Center’s Division of Real Property 

Management Services and the General 

Services Administration (GSA) to plan, 

develop and coordinate space and 

facilities services. Serves as the lead for 

coordination and liaison with 

Departmental, GSA, Federal Protective 

Service, and other Federal agencies for 

planning and executing the agency’s 

environmental health, safety and 

physical security programs. Provides 

coordination and direction for 

Continuity-of-Operations activities. 

Assists other ACL components in 

securing contractor assistance by 

advising on appropriate acquisition 

vehicles, developing statements of work 

and independent cost estimates, and 

managing the technical aspects of 

contracts. Coordinates with the Office of 

Information Resources Management to 

develop and implement procurement 

strategies for information technology 

support services and review all 

information technology acquisition 

documentation for compliance with 

applicable laws and regulations. 

Monitors the use of credit cards for 

small purchases and establishes and 

manages contracts and/or blanket 

purchase agreements for administrative 

support and facilities management 

services. 

4. Office of Grants Management 

(BED). The Office of Grants Management 

(OGM) serves as ACL’s focal point for 

the management, leadership and 

administration of grants, and 

cooperative agreements. The OGM 

Director serves as the Chief Grants 

Management Officer and provides 

national policy oversight and 

development for grants management 

and administration matters. The Office 

ensures that all grant awards conform to 

applicable statutory, regulatory, and 

administrative policy requirements, 

both before and following award. 

Maintains liaison and coordination with 

appropriate ACL and HHS organizations 

to ensure consistency between 

discretionary and mandatory grant 

award activities, including the Program 

Support Center’s Division of Payment 

Management Services, which provides 

payment system services for grants. 


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Ensures that the administrative, 

business and financial management 

aspects of grants administration are 

carried out and grantee performance is 

monitored. Performs cost analysis/

budget analysis for all discretionary 

grant award documents and negotiates 

grant budgets, executing all awards. 

Advises management and program 

officials in developing, implementing 

and evaluating program plans, 

strategies, regulations, announcements, 

guidelines and procedures. Only the 

Office of Grants Management has the 

authority to obligate the Government to 

the expenditure of funds for grants and 

cooperative agreements. Serves as 

liaison with other Departmental offices 

for grants policy and administration. 

Issues grant awards pursuant to 

requirement established in authorizing 

legislation, and makes adjustments to 

previously issued mandatory grant 

awards. In coordination with all Central 

Office and Regional Support Centers, 

reviews and assesses grant award 

procedures; directs and/or coordinates 

management initiatives to improve grant 

programs in financial areas; develops 

proposals for improving the efficiency 

in awarding grants and coordinating 

financial operations among grant 

programs; establishes priorities and 

develops procedures for grantee 

financial monitoring; and reviews 

activities at the field level for all grant 

programs. 

For grant activities, develops financial 

management standards and provides 

guidance on and interpretation of 

applicable Federal regulations. Based on 

grants management policies and 

procedures approved by the 

Department, reprograms grant funds as 

required under authoring legislation. 

Following consultation with all Central 

Office and Regional Support Centers 

having grant administrative 

responsibilities, and with the approval 

of the Administrator, develops 

instructions and procedures for the 

administration of the business aspects of 

all grants. 

Provides training, technical 

assistance, overall guidance, monitoring 

and assistance to ACL staff in all areas 

of administrative and financial 

management of grants. Has primary 

responsibility for developing grants 

management policy issuances, and 

ensuring consistent policy 

interpretation within ACL concerning 

grants management. Serves as the 

liaison with the GAO and the HHS OIG 

on grant matters. Assists at grant 

hearings, before the Departmental 

Appeals Board, in response to 

disallowances and other financial 

claims. Responds to Departmental and 

OIG audit reviews, ensuring proper 

analysis and resolution of audit findings 

by Regional Support Centers for final 

action by the Administrator. 

Coordinates receipt and processing of 

all grants and related materials. 

5. Office of Information Resources 

Management (BEE). The Office of 

Information Resources Management 

(OIRM) oversees and coordinates the 

provision of information technology 

services for ACL. The OIRM Director 

serves as the Chief Information Officer 

and Privacy Officer and prepares, 

coordinates and disseminates 

information, policies, standards, 

guidelines, and procedures on 

information technology management 

issues. OIRM serves as the primary 

liaison to the HHS Office of Information 

Technology Infrastructure Operations, 

which provides for the management, 

maintenance and operation of ACL’s 

information technology systems 

infrastructure, including the LAN, 

personal computers, software, hosting, 

and support services. 

Manages the development of ACL 

custom applications, systems, and Web 

sites; oversees training and technical 

assistance for all systems, hardware and 

software; and coordinates the 

preparation of manuals and policy 

issuances required to meet the 

instructional and informational needs of 

users of the systems. Directs and 

coordinates ACL’s systems security and 

privacy responsibilities, including 

protection, security and integrity of 

data; and is responsible for establishing 

and maintaining a secure Inter- and 

intranet presence. Coordinates 

mandated OMB approvals required for 

data collection activities under the 

Paperwork Reduction Act of 1980, as 

amended. Represents ACL on the 

Department’s Chief Information 

Officer’s Council and other 

Departmental information technology 

policy and planning boards, teams, and 

workgroups. 

In coordination with the Office of 

Administration and Personnel, develops 

and implements procurement strategies 

for information technology support 

services. Reviews all information 

technology acquisition documentation 

for compliance with applicable laws 

and regulations and defines the 

specifications for procurement of all 

hardware and software. Identifies 

opportunities to share information 

technology services through intergovernmental, inter-departmental and 

inter-agency agreements. 

Serves as liaison with the Office of the 

Secretary, GSA, and outside vendors to 

plan, develop and coordinate guidelines 

and activities for telecommunications 

services. Provides telecommunications 

planning and management, including 

procurement, installation, and 

maintenance of telecommunications 

equipment and services such as 

telephones, cellular phone service, cable 

TV service, and audio and video 

conferencing equipment and services. 

F. Center for Policy and Evaluation (BF): 

BF.00 Mission 

BF.10 Organization 

BF.20 Functions 

BF.00 Mission. The Center for Policy 

and Evaluation advises and supports the 

Administrator and the Principal Deputy 

Administrator in developing effective 

Federal policies to address the needs of 

older individuals and individuals with 

disabilities. The Center collects and 

analyzes data on populations and 

services, develops strategic goals and 

objectives, evaluates the effectiveness of 

programs, and plans and coordinates the 

development of policies designed to 

overcome barriers that prevent older 

Americans and persons with disabilities 

from fully participating and 

contributing in an inclusive community 

life. 

BF.10 Organization. The Center for 

Policy and Evaluation is headed by a 

Director, who reports directly to the 

Administrator. The Center for Policy 

and Evaluation includes the following 

components: 

Office of the Director for Policy and 

Evaluation (BFA) 

Office of Policy Analysis and 

Development (BFB) 

Office of Performance and Evaluation 

(BFC) 

BF.20 Functions. 

1. Office of the Director for Policy and 

Evaluation (BFA). The Office of the 

Director for Policy and Evaluation 

(ODPE) advises the Administrator, the 

Principal Deputy Administrator, and the 

Secretary on matters relating to 

implementation and coordination of 

policies, regulations, and special 

initiatives within the Department and 

with other Federal agencies focused on 

disability and aging. Serves as the focal 

point within ACL and the Department 

for the analysis of, and development of 

recommendations related to, disability 

and aging issues, including policies, 

regulations, and special initiatives. 

Supports the coordination of policies 

within HHS and with Federal, state, 

community and private sector partners. 

Leads the agency’s strategic planning, 

policy analysis, and evaluation 

functions, including the formulation of 

short- and long-term strategies for 

advancing ACL policy and program 

priorities. Coordinates the development 


asabaliauskas on DSK5VPTVN1PROD with NOTICES
62152 Federal Register / Vol. 79, No. 200 / Thursday, October 16, 2014 / Notices 

and implementation of the agency’s 

strategic plan that establishes long and 

short-range goals, objectives, strategies 

and action plans for advancing the 

agency’s policy and program agenda. 

Reviews and coordinates all policy and 

program development documents, 

regulations and activities to ensure 

consistency with ACL’s strategic plan; 

and adjusts goals and strategies as 

appropriate. Coordinates the 

identification and analysis of emerging 

policy issues and trends and 

appropriate Federal responses. 

Formulates an agency-wide policy and 

program development strategy 

consistent with the priorities 

established by the Administrator and 

the Principal Deputy Administrator. 

Plans and directs the evaluation of 

ACL programs designed to provide 

planning, coordination and services to 

older Americans and people with 

disabilities. The Director serves as the 

Performance Improvement Officer and 

is the primary liaison with the Office of 

the Assistant Secretary for Planning and 

Evaluation (ASPE), the Office of the 

Assistant Secretary for Financial 

Resources (ASFR), and the Office of 

Management and Budget (OMB) for 

program performance and evaluation 

activities. 

2. Office of Policy Analysis and 

Development (BFB). The Office of 

Policy Analysis and Development 

(OPAD) analyzes trends in 

demographics, service needs, public 

policies and program development, and 

translates those trends into new policies 

and initiatives in long-term services and 

supports and health care that assist 

people with disabilities and older 

individuals to remain in their own 

homes and communities. 

Directs intergovernmental activities as 

they relate to the agency’s policy and 

program development agenda, and 

develops and maintains effective 

relationships with other governmental 

departments and agencies. Plans, 

negotiates, facilitates and updates, as 

appropriate, memoranda of 

understanding with other departments 

and agencies to promote agreements and 

cooperative relationships. Maintains 

information on, and pursues 

collaborative opportunities with, other 

Federal agencies, non-profit 

organizations and private corporations 

that have the potential to contribute to 

the agency’s policy and program 

development priorities. 

Provides technical, program and 

policy development input on legislative 

activities and the annual budget. 

Participates in Departmental and interdepartmental activities that concern 

health and long-term care; reviews and 

comments on Departmental regulations 

and policies regarding health programs, 

institutional and non-institutional longterm care services, and those designed 

to enhance community living. 

Conducts relevant policy research, 

carries out periodic reviews of needs 

and resources in the fields of aging and 

disability, and undertakes qualitative 

and quantitative analyses to develop 

policy options and recommendations for 

the Administrator and the Principal 

Deputy Administrator. Develops policy 

reports based on the needs and 

circumstances of older people, their 

family members and the aging 

population. Develops and coordinates 

initiatives with other Federal agencies, 

national aging organizations, national 

disability organizations, and 

universities to fill gaps in information in 

the field of aging and disability. 

3. Office of Performance and 

Evaluation (BDC). The Office of 

Performance and Evaluation (OPE), in 

collaboration with the respective ACL 

program offices, implements, oversees 

and manages ACL’s program 

performance responsibilities, data 

collection systems, and program 

evaluation activities. Develops plans 

and priorities for evaluation of ACL 

programs, with subject matter input 

from appropriate units. Manages 

contracts for mandated evaluation 

projects and performs intramural 

evaluation studies. Prepares reports of 

the results of program and impact 

evaluations conducted by and for ACL, 

with technical input from other ACL 

units. Provides technical guidance on 

evaluation activities conducted as part 

of ACL’s discretionary grants programs. 

Implements the requirements of the 

Government Performance and Results 

Act of 1993 (GPRA) and the GPRA 

Modernization Act of 2010. Interprets 

ACL goals, priorities, and strategies for 

consistency with ACL long-range GPRA 

goals and strategies, and adjusts GPRA 

goals and strategies accordingly. 

Provides guidance and technical 

assistance to ACL organizational units 

in developing operational plans, 

particularly in developing measurable 

objectives and indicators reflecting 

program and organizational 

performance. Prepares annual GPRA 

plans and reports and coordinates with 

the Office of Budget and Finance on the 

development of the ACL performance 

budget. 

Coordinates ACL activities related to 

the collection, analysis, and 

dissemination of national and program 

data on older individuals and 

individuals with disabilities. Develops 

and manages data requirements; designs 

the criteria for collecting, analyzing and 

disseminating program performance 

data; and prepares the data for reporting 

to Congress and the public. Designs, 

implements and provides guidance and 

technical assistance to funding 

recipients on data collection and 

analysis. Works with the Office of 

Information Resources Management to 

coordinate mandated Office of 

Management and Budget (OMB) 

approvals required under the Paperwork 

Reduction Act of 1980, as amended. 

Compiles, publishes, and 

disseminates information on 

demographic data and data from other 

Federal agencies on the health, social 

and economic status of older persons 

and persons with disabilities. Performs 

routine and special statistical analyses 

of data for ACL offices, other Federal 

and non-Federal organizations, and the 

general public. 

II. Delegations of Authority: All 

delegations and re-delegations of 

authority made to officials and 

employees of affected organizational 

components will continue in them or 

their successors pending further redelegations. 

III. Funds, Personnel and Equipment: 

Transfer of organizations and functions 

affected by this reorganization shall be 

accompanied in each instance by direct 

and support funds, positions, personnel, 

records, equipment, supplies and other 

resources. 

Dated: August 29, 2014. 

Sylvia M. Burwell, 

Secretary. 

[FR Doc. 2014–24639 Filed 10–15–14; 8:45 am] 

BILLING CODE P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Agency for Healthcare Research and 

Quality 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Agency for Healthcare Research 

and Quality, HHS. 

ACTION: Notice. 

SUMMARY: This notice announces the 

intention of the Agency for Healthcare 

Research and Quality (AHRQ) to request 

that the Office of Management and 

Budget (OMB) approve the proposed 

information collection project: ‘‘Care 

Coordination Quality Measure for 

Patients in the Primary Care Setting.’’ In 

accordance with the Paperwork 

Reduction Act, 44 U.S.C. 3501–3521, 

AHRQ invites the public to comment on 

this proposed information collection. 


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