BUREAU COMMON REPORTING REQUIREMENTS (BCRR)

ICR 198605-0915-002

OMB: 0915-0004

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
110036 Migrated
ICR Details
0915-0004 198605-0915-002
Historical Active 198507-0915-001
HHS/HSA
BUREAU COMMON REPORTING REQUIREMENTS (BCRR)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 08/01/1986
Retrieve Notice of Action (NOA) 05/15/1986
THIS DATA COLLECTION IS APPROVED PROVIDING THE FOLLOWING CHANGES ARE MADE: 1. TABLE 1 SHOULD BE REVISED BY ELIMINATING DATA ELEMENTS 1 THRU 8 AND 10 THRU 17. 2. TABLE 3 SHOULD BE REVISED BY CONSOLIDATING DATA ELEMENTS 13, 14 15, AND 16 INTO ONE ELEMENT...OTHER HEALTH SERVICES. IN ADDITIO DATA ELEMENTS 17, 18, 19, AND 20 SHOULD BE CONSOLIDATED INTO ON ELEMENT...SUPPORT SERVICES. 3. TABLE 5 SHOULD BE ELIMINATED.
  Inventory as of this Action Requested Previously Approved
05/31/1989 05/31/1989
900 0 0
41,940 0 0
0 0 0

THE BCRR FORMS ARE THE MECHANISM FOR COLLECTING PERFORMANCE INFORMATION FROM HEALTH CENTERS RECEIVING GRANT OR PERSONNEL SUPPORT FROM THE COMMUNITY HEALTH CENTER, MIGRANT HEALTH, NATIONAL HEALTH SERVICE CORPS OR TITLE X FAMILY PLANNING PROGRAMS TO ASSURE THAT RESOURCES ARE BEING USED EFFECTIVELY IN PROVIDING HEALTH CARE TO UNDERSERVED POPULATIONS.

None
None


No

1
IC Title Form No. Form Name
BUREAU COMMON REPORTING REQUIREMENTS (BCRR) HRSA 305

  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 900 0 0 0 900 0
Annual Time Burden (Hours) 41,940 0 0 0 41,940 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
05/15/1986


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