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:
202005-0915-002
Status:
Historical Active
Previous ICR Reference No:
201704-0915-004
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 with change
Conclusion Date:
08/04/2020
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/12/2020
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
08/31/2023
36 Months From Approved
08/31/2020
Responses
350
0
260
Time Burden (Hours)
2,280
0
1,560
Cost Burden (Dollars)
0
0
0
Abstract:
This clearance request is for approval of both the Nurse Faculty Loan Program (NFLP) Program Specific Data Form and the Annual Performance Report (APR) Financial Data Form under the OMB Approval No. 0915-0314. The Program Specific Data Form is currently approved under OMB Approval No.: 0915-0378 with an expiration date of 7/31/2020 and the APR Financial Data Form is currently approved under OMB Approval No: 0915-0314 with an expiration date of 7/31/2020. The APR Form was previously titled as the Nurse Faculty Loan Program, Annual Operating Report.
Authorizing Statute(s):
US Code:
42 USC 297n-1, Section 846A
Name of Law: Title VIII, PHSA
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:
85 FR 7315
02/07/2020
30-day Notice:
Federal Register Citation:
Citation Date:
85 FR 28017
05/12/2020
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
2
IC Title
Form No.
Form Name
Nurse Faculty Loan Program- Annual Performance Report Financial Data Form
2
NFLP APR Financial Data Form_7-30-2020 CLEAN.pdf
Nurse Faculty Loan Program- Program Specific Data Form
1
NFLP Program Specific Data Form_7-30-2020 CLEAN.docx
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
350
260
0
90
0
0
Annual Time Burden (Hours)
2,280
1,560
0
720
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
Burden increase is due to the inclusion of a form previously in 0915-0378, which will be discontinued upon approval of this ICR to avoid redundancy. Burden decrease is due to the decrease in respondents for the Specific Data Form, from 260 to 90 respondents.
Annual Cost to Federal Government:
$8,888
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.
Yes
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.
Yes
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?
No
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:
05/12/2020
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