Retention of Behavior Health Providers Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Changes for Retention Study August 2010.doc	Supplementary Document	Uploaded 2010-08-12	Available
Survey Former Providers OMB only (new survey).docx	Supplementary Document	Uploaded 2010-08-12	Available
RBHP Supporting Statement.docx	Supporting Statement B	Uploaded 2010-04-07	Available
RBHP Supporting Statement.docx	Supporting Statement A	Uploaded 2010-04-07	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
192473	Retention of Behavior Health Providers Survey	Other-Supplemental Information	New

ICR Details

OMB Control No: 0720-0043	ICR Reference No: 201004-0720-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOD/DODOASHA	Agency Tracking No:
Title: Retention of Behavior Health Providers Survey
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: 08/18/2010
	Date Received in OIRA: 04/07/2010
Terms of Clearance: *

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2013	36 Months From Approved
Responses	164	0	0
Time Burden (Hours)	41	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The survey is being conducted in response to the 2007 DoD Mental Health Task Force report, which found that “the military system does not have enough fiscal or personnel resources to adequately support the psychological health of service members and their families in peace and during conflict.” The proposed survey was designed in response to those findings; its twin goals are to determine the key factors in military mental health providers’ decisions to join as well their decisions to leave military service, and to identify incentives that might have encouraged them to extend their service. These findings will inform the development of policy recommendations by FHP&R that would improve the retention of active duty psychologists and psychiatrists.

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Authorizing Statute(s): US Code: 10 USC 1071 Name of Law: null
  

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
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 56184	10/30/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 56184	10/30/2009
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Retention of Behavior Health Providers Survey

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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	164	0	0	164	0	0
Annual Time Burden (Hours)	41	0	0	41	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: New Collection.

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Annual Cost to Federal Government: $334,522

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]? No

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: 04/07/2010

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