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OMB Control No: 0915-0295	ICR Reference No: 201311-0915-001
Status: Historical Active	Previous ICR Reference No: 201103-0915-003
Agency/Subagency: HHS/HSA	Agency Tracking No: 20871
Title: Grant Reviewer Recruitment Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/24/2013
	Date Received in OIRA: 11/08/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2016	36 Months From Approved	08/31/2014
Responses	5,250	0	5,635
Time Burden (Hours)	1,707	0	3,163
Cost Burden (Dollars)	0	0	0

Abstract: This web based grant reviewer form is used to recruit reviewers for HRSA grant and cooperative agreement programs. The form collects reviewer information that is used to select and assign grant reviewers to objective review committees.

Authorizing Statute(s): US Code: 42 USC 799 Name of Law: Public Health Service Act

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:
	78 FR 41407	07/10/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 65673	11/01/2013
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Grant Reviewer Recruitment Form	1

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	5,250	5,635	-385
Annual Time Burden (Hours)	1,707	3,163	-1,456
Annual Cost Burden (Dollars)	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Approval is requested for a decreased burden level. Original OMB approval for the Grant Reviewer Database form was for a total of 2,750 hours where the new reviewer file creation would take 0.75 hours, and the update 0.5 hours. This current request is for the Reviewer Recruitment Module (RRM) form for 1,707 total burden hours, where a new file creation is 0.33 hours and the file update is 0.16 hours. This is a decrease of 1,043 hours based on the unique simplicity and search power of the RRM system. The 2008 submission anticipated 3,700 reviewers registering in the new database, and we estimate the same number of active reviewers in the future. Now that existing reviewers must annually re-verify or re-register with fresh information, we anticipate a decrease in the estimated number of mid-year file updates (250).

Annual Cost to Federal Government: $4,250

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]? 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

Agency Contact: Jodi Duckhorn 301 443-1984

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