National Health Service Corps Uniform Data System

ICR 199811-0915-003

OMB: 0915-0232

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
6471
Migrated
ICR Details
0915-0232 199811-0915-003
Historical Active
HHS/HSA
National Health Service Corps Uniform Data System
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 02/01/1999
Retrieve Notice of Action (NOA) 11/27/1998
This collection is approved as amended by HRSA's memorandum to OMB.
  Inventory as of this Action Requested Previously Approved
04/30/2002 04/30/2002
620 0 0
8,060 0 0
0 0 0

A uniform data collection system will establish continuity for Bureau-supported grant/non-grant health care delivery sites. The collection of client and services data from non-grant supported sites will facilitate mandated reporting for NHSC activities.

None
None


No

1
IC Title Form No. Form Name
National Health Service Corps Uniform Data System

  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 620 0 0 620 0 0
Annual Time Burden (Hours) 8,060 0 0 8,060 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
11/27/1998


© 2024 OMB.report | Privacy Policy