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View ICR - OIRA Conclusion

OMB Control No: 0915-0374	ICR Reference No: 201910-0915-003
Status: Historical Active	Previous ICR Reference No: 201701-0915-004
Agency/Subagency: HHS/HSA	Agency Tracking No: 20938
Title: Nurse Anesthetist Traineeship (NAT) Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/02/2019
	Date Received in OIRA: 10/29/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2022	36 Months From Approved	03/31/2020
Responses	100	0	100
Time Burden (Hours)	630	0	620
Cost Burden (Dollars)	0	0	0

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

IC Title	Form No.	Form Name
NAT Forms	1, 2	,

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	100	100	0
Annual Time Burden (Hours)	630	620	10
Annual Cost Burden (Dollars)	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 is for 630 hours with the increase being due to a program change that increases the length of the NAT award from 1 year to 3 years. The increase in time was to accommodate for the extra time spent collecting the additional 2 years of data.

Annual Cost to Federal Government: $105,877

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. 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

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