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:
0915-0314
ICR Reference No:
201704-0915-004
Status:
Historical Active
Previous ICR Reference No:
201402-0915-001
Agency/Subagency:
HHS/HSA
Agency Tracking No:
21370
Title:
Nurse Faculty Loan Program (NFLP) Annual Performance Report Financial Data 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:
07/19/2017
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/26/2017
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2020
36 Months From Approved
07/31/2017
Responses
260
0
250
Time Burden (Hours)
1,560
0
2,000
Cost Burden (Dollars)
0
0
0
Abstract:
The school of nursing must keep records of all NFLP loan fund transactions. The NFLP-Annual Performance Report (APR) Financial Data Form is used to monitor grantee performance by collecting information relating to the NFLP loan fund operations and financial activities for a specified reporting period (July 1 through June 30 of the academic year). Participating schools are required to complete and submit the NFLP-APR financial data form semi-annually. The data provided in the form are essential for HRSA to effectively monitor the school’s use of NFLP funds in accordance with program guidelines. Approval of the revised NFLP-APR financial data form will facilitate our current effort to determine future awards to the school. The electronic data collection capability will streamline the report submission process, enable an efficient annual performance review process and serve as a data repository to facilitate reporting on the use of funds and analysis of program outcomes.
Authorizing Statute(s):
US Code:
42 USC 297n-1, Section 846A
Name of Law: Title VIII, PHSA
PL:
Pub.L. 111 - 148 846A, Section 5311
Name of Law: Patient Protection and Affordable Care 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:
82 FR 11228
02/21/2017
30-day Notice:
Federal Register Citation:
Citation Date:
82 FR 19068
04/25/2017
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
Nurse Faculty Loan Program (NFLP) Annual Performance Report Financial Data Form
1
Blank NFLP Performance Report Financial Data Form 0314.doc
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
260
250
0
10
0
0
Annual Time Burden (Hours)
1,560
2,000
0
-440
0
0
Annual Cost Burden (Dollars)
0
0
0
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:
Using Information Technology
Short Statement:
Burden decreased because the data form will collect less data that is limited to financial data, and will not include nursing degree program data and student enrollee data. Additionally, electronic submission of the NFLP-Annual Performance Report Financial Data Form reduces the burden for participating NFLP schools required to complete the report.
Annual Cost to Federal Government:
$6,149
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]?
Yes
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:
Elyana Bowman 301 443-3983 enadjem@hrsa.gov
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:
04/26/2017
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