View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0915-0193
ICR Reference No:
200901-0915-001
Status:
Historical Active
Previous ICR Reference No:
200708-0915-005
Agency/Subagency:
HHS/HSA
Agency Tracking No:
Title:
Uniform Data System
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
01/12/2009
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/05/2009
Terms of Clearance:
This change request is approved. Further, we understand that HRSA intends to carry this revised race/ethnicity data collection template through to the rest of the UDS wherever race/ethnicity data is collected: this is also approved. Previous terms of clearance remain in effect.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2011
01/31/2011
01/31/2011
Responses
1,076
0
1,076
Time Burden (Hours)
67,988
0
66,912
Cost Burden (Dollars)
97,300
0
97,300
Abstract:
The Uniform Data System (UDS) is the Bureau of Primary Health Care's annual reporting system for grantees. The UDS includes reporting requirements for grantees of the following programs: the Community Health Center program, the Migrant Health Center program, the Health Care for the Homeless program, and other 330 funded grantees. The UDS is the tool that is used for monitoring and evaluating health center performance, and for ensuring compliance with legislative mandates.
Authorizing Statute(s):
PL:
Pub.L. 107 - 251 1533
Name of Law: Health Care Safety Net Amendments
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
72 FR 18661
04/13/2007
30-day Notice:
Federal Register Citation:
Citation Date:
72 FR 41759
07/27/2007
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Uniform Data System
Table 3B
Race Ethnicity Collection
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
1,076
1,076
0
0
0
0
Annual Time Burden (Hours)
67,988
66,912
0
1,076
0
0
Annual Cost Burden (Dollars)
97,300
97,300
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 request for a nonsubstantive change includes a nominal increase in burden based on reporting using a revised race/ethnicity UDS table.
Annual Cost to Federal Government:
$559,350
Does this IC contain surveys, censuses, or employ statistical methods?
No
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]?
Uncollected
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Uncollected
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
Uncollected
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Susan Queen 3014431129
Common Form ICR:
No
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:
01/05/2009
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