Hospital Preparedness Program Data Collection

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
0990-0326 MEMO for Justification for an Expedited Change Request 9.17.2009.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2009-09-22	Available
0990-0326 omb fy08 EOY report justification for changes mini SS September 2009.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2009-09-22	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
184074	End of Year Report	Instruction	Modified
184073	Mid-Year Report	Instruction	Modified

ICR Details

OMB Control No: 0990-0326	ICR Reference No: 200909-0990-003
Status: Historical Active	Previous ICR Reference No: 200803-0990-001
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Hospital Preparedness Program Data Collection
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/31/2009
	Date Received in OIRA: 09/22/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2011	08/31/2011	08/31/2011
Responses	124	0	124
Time Burden (Hours)	1,984	0	1,984
Cost Burden (Dollars)	0	0	0

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Abstract: The Hospital Preparedness Program(HPP), part of the Department of Health and Human Services Assistant Secretary for Preparedness and Response Office of Preparedness and Emergency Operations Division of National Healthcare Preparedness Programs, is seeking an Office of Management and Budget clearance to conduct a data collection effort as part of their assessment of state cooperatative agreements. Data will be gathered from Mid-Year Progress Reports and End-of-Year Report.

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Authorizing Statute(s): PL: Pub.L. 109 - 417 2802(b) Name of Law: Pandemic and All-Hazards Preparedness Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
End of Year Report	1	Revised EOY for FY 08
Mid-Year Report

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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	124	124	0	0	0	0
Annual Time Burden (Hours)	1,984	1,984	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $517,875

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 09/22/2009

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