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Administration for Community Living

Agency prefix 0985 · ACL · Federal forms and information collections.

Forms

OMB Number	Title
0985-0082	ACL Generic Clearance for the Collection of Routine Customer Feedback
0985-0081	ACL Generic Clearance for the Collection of Qualitative Research and Assessment Data
0985-0080	ACL Generic Clearance for the Collection of Qualitative Research and Assessment
0985-0079	Administration on Disabilities Evaluation of Technical Assistance for Independent Living Grantees
0985-0078	Analysis of Senior Medicare Patrol Grantees’ Program Implementation
0985-0077	National Paralysis Resource Center (NPRC) Performance Management Support Evaluation
0985-0076	ACL Lifespan Respite Program Grantee Performance Measurement Reporting Tool
0985-0075	Office of Healthcare Information and Counseling (OHIC) Profiles at ACL
0985-0074	Process Evaluation of the Aging Network and its Return on Investment
0985-0073	Fidelity Evaluation of the Administration for Community Livings Evidence-Based Programs
0985-0072	State Performance Report for FY 2022-2025
0985-0071	The Inventory of State Adult Protective Services Practices and Service Innovations: APS Practice Survey
0985-0070	State Health Insurance Assistance Program Annual Sub-Recipients Report
0985-0069	Outcome Evaluation of the Long-Term Care Ombudsman Program (LTCOP)
0985-0068	Annual SMP/SHIP National Training Conference Survey
0985-0067	Study on the impact of COVID-19 on Adult Protective Service (APS) Programs
0985-0066	Traumatic Brain Injury (TBI) State Partnership Program
0985-0065	Adult Protective Services Outcomes Study
0985-0064	Application for Older Americans Act, Title VI Parts A/B and C Grants
0985-0063	One Protection and Advocacy Annual Program Performance Report
0985-0062	No Wrong Door System Management Tool
0985-0061	Centers for Independent Living (CIL) Program Performance Report (PPR)
0985-0060	National Center on Law and Elder Rights-Resource Support and User Satisfaction
0985-0059	Evaluation of Older Americans Act Title VI Programs
0985-0058	Protection and Advocacy for Traumatic Brain Injury (PATBI) Program Performance Report
0985-0057	SHIP-SMP Survey of One-on-One Assistance
0985-0056	SHIP-SMP Survey of Group Outreach and Education Events
0985-0055	Process Evaluation and Special Studies Related to the Long-Term Care Ombudsman Program
0985-0054	National Adult Maltreatment Reporting System
0985-0053	Application for Grants under Disability and Rehabilitation Research (1894-0001)
0985-0052	National Family Caregiver Support Program (NFCSP) Outcome Evaluation
0985-0051	Small Business Innovation Research (SBIR) Program -- Phase II -- Grant Application (1894-0001)
0985-0050	Annual Performance Reporting (APR) System for NIDRR Grantees (RERCs, RRTCS, FIPs, ARRTs, DBTAC, DRRPs)
0985-0049	Annual Progress Report for the Access to Telework Program under the Rehabilitation Act of 1973, as Amended
0985-0048	State Plan of Assistive Technology
0985-0047	Annual Progress Report for the Title III Alternative Financing Program Under the Assistive Technology Act of 1998
0985-0046	Annual Protection and Advocacy for Assistive Technology (PAAT) Program Performance Report, Form RSA 661
0985-0045	Assurances for the Protection and Advocacy for Assistive Technology (PAAT) Program
0985-0044	State Plan for Independent Living (SPIL) for the State Independent Living Services and Center for Independent Living programs
0985-0043	Section 704 Annual Performance Report (Parts I and II)
0985-0042	Annual Performance Report for the State Grant for Assistive Technology Program
0985-0041	Small Business Innovation Research (SBIR) Program-Phase I Grant Application (1894-0001)
0985-0040	State Health Insurance Assistance Program (SHIP) Client Contact Forms
0985-0039	Prevention and Public Health Funds Evidence-Based Falls Prevention Program Information Collection
0985-0038	The National Family Caregiver Support Program Process Evaluation
0985-0037	OAA Title III-C Evaluation of the Elderly Nutrition Services Program
0985-0036	Chronic Disease Self-Management Education Program
0985-0035	Evaluation of the Aging Disability Resource Center Program
0985-0034	Developmental Disabilities Protection and Advocacy Statement of Goals and Priorities
0985-0033	Developmental Disabilities Council Program Performance Report
0985-0032	Help America Vote Act (HAVA) Voting Access Annual Report and Application-States
0985-0031	Developmental Disabilities Program Independent Evaluation Project
0985-0030	Annual Report on Progress - University Centers for Excellence in Developmental Disabilities Education, Research, and Service
0985-0029	Developmental Disabilities State Plan
0985-0028	Protection and Advocacy Voting Access Annual Report
0985-0027	Developmental Disabilities Protection and Advocacy Program Performance Report
0985-0026	Financial Status Reporting Form for Program of State Council on Developmental Disabilities
0985-0025	2010 Study of the Older Americans Act Provider Network
0985-0024	Performance Data Collection for SMP Program Outcome
0985-0023	National Survey of Older Americans Act Participants
0985-0022	Alzheimer's Disease Supportive Services Program (ADSSP) Data Collection
0985-0021	2005 National Survey of Area Agencies on Aging
0985-0020	Third National Study of OAA Title III Service Recipients
0985-0019	AoA Nutrition and Physical Activity Campaign
0985-0018	AoA Uniform Project Description
0985-0017	2003 National Survey of Older American Act Participants
0985-0016	National Family Caregiver Support Program (NFCSP) 50-State Survey
0985-0015	National Family Caregiver Support Program Survey: Grandparents and Other Relatives Raising Children
0985-0014	National Survey of Older American Act Participants
0985-0013	Alzheimer's Disease Demonstration Grants to States Program Evaluation Data Collection
0985-0012	Alzheimer's Disease Demonstration Grants to States Program Semi-Annual Report and Instructions
0985-0011	Operation Restore Trust
0985-0010	AoA Y2K Day One Report
0985-0009	Certification of Maintenance of Effort
0985-0008	State Program Report for Titles III and VII of the Older Americans Act - Including ARRA Reporting
0985-0007	Title VI Program Performance Report
0985-0006	Performance Progress Reports for Title IV Grantees
0985-0005	State Annual Long-Term Care Ombudsman Report, FY 1995 (Interim)
0985-0004	Supplemental Form to the Financial Status Report for all AoA Title III Grantees
0985-0002	CERTIFICATION OF OMBUDSMAN REQUIRED FUNDING LEVEL, SUPPLEMENTAL FORM TO THE FINANCIAL STATUS REPORT, SF-269, TITLE VII OF THE OLDER AMERICANS ACT, ALLOTMENTS FOR....
0985-0001	ELDERLY NUTRITION PROGRAM EVALUATION