View Information Collection Request (ICR) Package

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: 0915-0061	ICR Reference No: 202401-0915-003
Status: Historical Active	Previous ICR Reference No: 202112-0915-001
Agency/Subagency: HHS/HSA	Agency Tracking No: 19184
Title: BHW Performance Report for Grants and Cooperative Agreements
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: 03/08/2024
	Date Received in OIRA: 01/09/2024
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2027	36 Months From Approved	01/31/2025
Responses	1,882	0	1,630
Time Burden (Hours)	5,929	0	5,402
Cost Burden (Dollars)	0	0	0

Authorizing Statute(s): US Code: 42 USC 201 Name of Law: Health Professions Education and Partnership Act of 1998
   PL: Pub.L. 115 - 435 132 Stat. 5529 Name of Law: Foundations for Evidence-Based Policymaking Act of 2018.
   US Code: 42 USC 292 Name of Law: Health Research and Training Facilities and Training of Professional Health Personnel
   US Code: 42 USC 296 Name of Law: Nurse Education
   PL: Pub.L. 105 - 392 101 Name of Law: Health Professions Education and Financial Assistance Program
   PL: Pub.L. 109 - 307 2 Name of Law: CHGME Support Reauthorization Act of 2006
   PL: Pub.L. 103 - 62 107 Stat. 285 Name of Law: Govt. Performance Results Act (GPRA)
   PL: Pub.L. 111 - 352 124 Stat. 3866 Name of Law: GPRA Modernization Act of 2010

Citations for New Statutory Requirements: None

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	1,882	1,630	252
Annual Time Burden (Hours)	5,929	5,402	527
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: The increase in burden is due to the growth in the number of awardees.

Annual Cost to Federal Government: $336,045

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]? 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? Yes

Agency Contact: Laura Cooper 301 443-2126 lcooper@hrsa.gov

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.