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:
0906-0083
ICR Reference No:
202505-0906-003
Status:
Active
Previous ICR Reference No:
202408-0906-002
Agency/Subagency:
HHS/HRSA
Agency Tracking No:
Title:
COVID–19 Provider Relief Programs Single and Commercial Audits and Delinquent Audit Reporting Submission Activities
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
05/29/2025
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/14/2025
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
11/30/2027
11/30/2027
11/30/2027
Responses
385,500
0
385,500
Time Burden (Hours)
439,375
0
439,375
Cost Burden (Dollars)
0
0
0
Abstract:
HRSA will use the information for the purpose of ensuring that providers who received over $750,000 in funding from any of the Provider Relief Program combined to 1) submit an audit per 45 CFR 75 Subpart F, 2) any documentation and attestation needed to resolve any audit findings, and 3) an attestation or documentation to prove an audit is not required. If the information is not collected, HRSA will not be in compliance with 45 CFR 75 Subpart F and will limit HRSA’s ability to monitor the Federal programs. In addition, HRSA’s ability to conduct delinquent audit follow-up on appropriate entities will be jeopardized if we cannot verify who has submitted their audit. There would be a harm to the public if this collection is not approved because HRSA would be delayed in following 45 CFR 75 Subpart F and recovering federal funds not utilized in accordance with the Provider Relief Program Terms and Conditions.
Authorizing Statute(s):
PL:
Pub.L. 116 - 260 0
Name of Law: Coronavirus Response and Relief Supplemental Appropriations
PL:
Pub.L. 116 - 136 0
Name of Law: Coronavirus Aid, Relief, and Economic Security (CARES) Act
PL:
Pub.L. 116 - 127 0
Name of Law: Families First Coronavirus Response Act
PL:
Pub.L. 117 - 2 0
Name of Law: American Rescue Plan Act of 2021
PL:
Pub.L. 116 - 139 0
Name of Law: Paycheck Protection Program (PPP) and Health Care Enhancement 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:
89 FR 35842
05/02/2024
30-day Notice:
Federal Register Citation:
Citation Date:
89 FR 65637
08/12/2024
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
5
IC Title
Form No.
Form Name
Commercial Audit Compliance Email
Delinquent Audit Follow-up Email and Attestation
2
Delinquent Audit Follow-Up Attestation Form.
Delinquent Audit Follow-up General Email Blast
PRF Commercial Audit Form
1
PRF Commercial Audit Reporting Portal
Provider Relief Fund (PRF) Questioned Cost Attestation Form
3
Questioned Cost Attestation Form
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
385,500
385,500
0
0
0
0
Annual Time Burden (Hours)
439,375
439,375
0
0
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:
No
Burden Reduction Due to:
Short Statement:
The Delinquent Audit Follow-up General Email Blast that was included in the Emergency Clearance Package has been adjusted to provide additional clarification to providers about the audit requirements and include the attestation form, the average burden hours per response increased from 0.05 hours to 0.25 hours. As a result, the estimated burden for the Delinquent Audit Follow-up General Email Blast increased from 12,600 to 63,000, an increase of 50,400 respondents. The estimated burden for the entire collection increased from 388,975 to 439,375.
Annual Cost to Federal Government:
$5,598,937
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?
No
Agency Contact:
Laura Cooper 301 443-2126 lcooper@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:
05/14/2025
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