Health Center Controlled Networks Progress Reports

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Health Center Controlled Networks Progress Report	Form	New	Available
hit OMB.doc	Supplementary Document	Uploaded 2008-01-18	Available
HRSA-07-142 High Impact EHR impl FINAL1.doc	Supplementary Document	Uploaded 2007-11-09	Available
GuidanceFINAL EHR HRSA-07-125 .doc	Supplementary Document	Uploaded 2007-11-09	Available
Innovation Guidance 3-27-2007.doc	Supplementary Document	Uploaded 2007-11-09	Available
Guidance FINAL PLANNING HRSA-07-124 HIT.doc	Supplementary Document	Uploaded 2007-11-09	Available
FINALSummary of Health Center Controlled Networks Nov 5.doc	Supplementary Document	Uploaded 2007-11-09	Available
FINALInstructions Nov 5.doc	Supplementary Document	Uploaded 2007-11-09	Available
FINALSSLWS Nov 9.doc	Supporting Statement A	Uploaded 2007-11-13	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
182775	Health Center Controlled Networks Progress Report	Form	New

ICR Details

OMB Control No: 0915-0315	ICR Reference No: 200711-0915-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: Health Center Controlled Networks Progress Reports
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/24/2008
	Date Received in OIRA: 11/19/2007
Terms of Clearance: As per HRSA memo of 1-17-08, HRSA shall exercise caution when inferring a causal relatinship between the implementation of health IT and performance measures, particularly with regard to the use of these data for PART or reports to Congress. All data limitations shall be publicly disclosed along with the reporting of such inferences and disclaimers shall be used accordingly. In addition, since HRSA does not expect substantial changes to occur in between annual reports, HRSA shall assess the utility of asking grantees to provide semi-annual progress reports in addition to the annual reports upon next submission and seek appropriate ways whereby the reporting burden may be minimized.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2011	36 Months From Approved
Responses	92	0	0
Time Burden (Hours)	552	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The Health Resources and Services Administration's Office of Health Information Technology is requesting approval to collect progress reports from grantees for the following grants: Health Information Technology Planning Grant, Health Information Technology Innovations for Health Center Controlled Networks, Electronic Health Records Implementation for Health Center Controlled Networks, and High Impact Electronic Health Records Implementation for Health Center Controlled Networks and Large Multi Sites Health Centers.

---

Authorizing Statute(s): US Code: 42 USC 254(b) Name of Law: Public Health Service Act
  

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:
	72 FR 37247	07/09/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 60378	10/24/2007
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Health Center Controlled Networks Progress Report	1	Progress Report

---

ICR Summary of Burden

table that charts list of burden

	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	92	0	0	92	0	0
Annual Time Burden (Hours)	552	0	0	552	0	0
Annual Cost Burden (Dollars)	0	0	0	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: HRSA has awarded grants to help health centers prepare to adopt and implement health information technology innovations. HRSA has now drafted a progress report to collect information from Health Center Controlled Networks grantees. These progress reports would allow grantees to report on their updates, accomplishments, software and HIPAA compliance, evaluation of performance outcome measures, sustainability plans, and contingency plans.

---

Annual Cost to Federal Government: $400,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 11/19/2007

---