Section 3013 State Health Information Exchange Cooperative Agreement Program: Full Application

ICR 200908-0990-007

OMB: 0990-0342

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
0990-0342 200908-0990-007
Historical Active
HHS/HHSDM
Section 3013 State Health Information Exchange Cooperative Agreement Program: Full Application
New collection (Request for a new OMB Control Number)   No
Emergency 08/28/2009
Approved without change 08/31/2009
Retrieve Notice of Action (NOA) 08/26/2009
This information collection request is approved for 6 months, as requested. Should HHS decide to amend or supplement this application in any way, it will seek OMB approval of such changes prior to implementing.
  Inventory as of this Action Requested Previously Approved
02/28/2010 6 Months From Approved
50 0 0
14,000 0 0
0 0 0

The purpose of this program, as authorized by Section 3013 of the American Recovery and Reinvestment Act is to provide grants to States and Qualified State Designated Entities for planning and implementation of interoperable health information technology. The applications assist ONC in determining which States and State Designated Entities meet the requirements for award. Applicants are required to submit the information in attachment 1 that are associated with the application process so that ONC may make a determination about whether to award a cooperative agreement.
The Office of National Coordinator for Health Information Technology (ONC) is requesting emergency action for this clearance by the Office of Management and Budget no later than 8/28/09. ONC is requesting emergency processing procedures for this application because this information is needed immediately to assure that ARRA funds are used timely and effectively to support electronic health record adoption which will improve the health care and quality.

US Code: 42 USC 3013 Name of Law: US Public Health Service Act
  
None

Not associated with rulemaking

No

1
IC Title Form No. Form Name
Full Application Required Data Elements 1 Attachment 1

  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 50 0 0 50 0 0
Annual Time Burden (Hours) 14,000 0 0 14,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new emergency data collection request.

$15,162
No
No
Uncollected
Uncollected
Yes
Uncollected
Saleda Perryman

  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.
08/26/2009


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