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View ICR - OIRA Conclusion

OMB Control No: 0906-0068	ICR Reference No: 202601-0906-002
Status: Active	Previous ICR Reference No: 202305-0906-001
Agency/Subagency: HHS/HRSA	Agency Tracking No:
Title: COVID-19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Payment Reporting Activities
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: 04/13/2026
	Date Received in OIRA: 01/08/2026
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2029	36 Months From Approved	04/30/2026
Responses	100	0	308,029
Time Burden (Hours)	629	0	1,556,212
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	100	308,029	-307,929
Annual Time Burden (Hours)	629	1,556,212	-1,555,583
Annual Cost Burden (Dollars)	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: Miscellaneous Actions

Short Statement: The standard reporting time periods have ended, so only a limited number of providers are expected to submit these documents. Instead of recipients reporting once per reporting period, providers would only be providing documentation under limited circumstances, such as: • Providers who receive a Final Repayment Notice, based on a HRSA finding of reporting non-compliance, who submit a Decision Review request and are provided an Opportunity to Report. The Opportunity to Report allows providers another chance to submit a report to come into compliance. • Adjudicative orders that would require HRSA to allow a Provider an opportunity to report. • Providers who have prevailed in a dispute or have entered into a settlement with HRSA may need to submit a report.

Annual Cost to Federal Government: $1,310,000

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

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