Autism Spectrum Disorders (ASD): State of the States in Services and Supports for People with ASD

Forms and Documents

Document Name	Status
CMS-10362 Supporting Statement Part B [rev 07-21-11].doc Supporting Statement B	2011-07-21
2011 IACC Strategic Plan for ASD Research.pdf Supplementary Document	2011-07-21
IACC_2010_Strategic_Plan_Attachment B11-10.pdf Supplementary Document	2011-07-21
CMS-10362 Supporting Statement [rev 06-13-11].doc Supporting Statement A	2011-07-21

IC Document Collections

IC ID	Document Title	Status
198119	State of the States in Services and Supports for ASD: Data Collection and Verification Tool Other-Data Collection Tool	Modified

ICR Details

OMB Control No: 0938-1142	ICR Reference No: 201107-0938-011
Status: Historical Active	Previous ICR Reference No: 201106-0938-012
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Autism Spectrum Disorders (ASD): State of the States in Services and Supports for People with ASD
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/05/2011
	Date Received in OIRA: 07/25/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2014	36 Months From Approved
Responses	153	0	0
Time Burden (Hours)	268	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Centers for Medicare & Medicaid Services (CMS) requests clearance for its primary contractor, L&M Policy Research (L&M) and partners, Thomson Reuters, and the National Association of State Directors of Developmental Disabilities Services (NASDDDS) to address the growing need among Federal and State policymakers and stakeholders for accurate and comprehensive information regarding available services and supports for people with ASD. The approach to gather this information in all 50 states and the District of Columbia will be to use a semi-structured interview guide that focuses on current services for people with ASD, policies for people with ASD and funding and utilization of public supports for people with ASD.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 16790	03/25/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 34075	06/10/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
State of the States in Services and Supports for ASD: Data Collection and Verification Tool

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	153	0	0	153	0	0
Annual Time Burden (Hours)	268	0	0	268	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection.

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Annual Cost to Federal Government: $349,927

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/25/2011

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