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OMB Control No: 0915-0384	ICR Reference No: 202604-0915-002
Status: Received in OIRA	Previous ICR Reference No: 202506-0915-002
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: Rural Health Network Development Planning Program Performance Improvement and Measurement System (PIMS)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 04/20/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	04/30/2026
Responses	25	23
Time Burden (Hours)	281	23
Cost Burden (Dollars)	0	0

Abstract: Performance measures for the Rural Health Network Development Planning Program (Network Planning Program) serve the purpose of quantifying awardee-level data that conveys the successes and challenges associated with the grant award. These measures and aggregate data substantiate and inform the focus and objectives of the grant program. The approved measures encompass the following principal topic areas: network infrastructure, network collaboration, sustainability, and network assessment. The respondents for these measures are Rural Health Network Development Planning Program award recipients.

Authorizing Statute(s): US Code: 42 USC 330A(f) Name of Law: Public Health Service Act, Title III
US Code: 42 USC 254(c)(g) Name of Law: Public Health Service Act, Title III

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:
	91 FR 5773	02/09/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 21005	04/20/2026
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Rural Health Network Development Planning Program Performance Improvement and Measurement System (PIMS) Form	1

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	25	23	2
Annual Time Burden (Hours)	281	23	258
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: There are several contributing factors to the increase in estimated total burden. The increase in burden is to account for a new set of awardees who will be new to this data collection. The new set of awardees represent a group of organizations who are funded in the 1-year Network Planning Program. These organizations vary in data collection and reporting capacity as well as vary in the number of member organizations it must coordinate with to report this data to HRSA. The amount of time it takes to build processes to coordinate and collect data from network partners will vary. Larger networks with multiple partners across different organizations are expected to report higher burdens due to the wait time in between requests. Networks who already have established working relationships with its member organizations may already have existing processes in place to effectively collect data for this program.

Annual Cost to Federal Government: $96,212

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

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