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OMB Control No: 0906-0009	ICR Reference No: 202607-0906-002
Status: Received in OIRA	Previous ICR Reference No: 202505-0906-004
Agency/Subagency: HHS/HRSA	Agency Tracking No:
Title: Rural Health Care Services Outreach Performance Improvement and Measurement Systems (PIMS) Measures
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 07/09/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2028
Responses	58	61
Time Burden (Hours)	508	488
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	58	61	-3
Annual Time Burden (Hours)	508	488	20
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 is an increase in the number of burden hours from 488 hours to 507.50 hours (rounded up to 508). This is due to an increase in the average burden per response from 8 hours to 8.75 hours. This was done based off consultation with four current awardees, described in Sections 8B and 12. The burden has increased due to personnel changes and resulting in training needs of new hires common among rural healthcare workforce in the Outreach Program.

Annual Cost to Federal Government: $83,050

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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