Work Force Recruitment in BPHC-Funded Health Centers Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Work Force Recruitment in BPHC-Funded Health Centers Survey	Form and Instruction	New	Available
signed_letter_to_OMB.pdf	Supplementary Document	Uploaded 2012-08-03	Available
Supporting Statement-BPHC Workforce Survey 2012-8-3 (Final) 8.8.12.docx	Supporting Statement A	Uploaded 2012-08-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
203614	Work Force Recruitment in BPHC-Funded Health Centers Survey	Form and Instruction	New

ICR Details

OMB Control No: 0915-0353	ICR Reference No: 201208-0915-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: Work Force Recruitment in BPHC-Funded Health Centers Survey
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 08/07/2012
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/08/2012
	Date Received in OIRA: 08/06/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2013	6 Months From Approved
Responses	1,200	0	0
Time Burden (Hours)	600	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This survey is designed to collect information from HRSA-funded health centers regarding their current workforce. This baseline data is essential in demonstrating the effectiveness of recruitment efforts over the next year for returning veterans, many of whom have trained as health care providers and/or administrators during their time in the service. The survey will help assess how health centers have filled recent vacancies, whether the availability of veterans to join the health center workforce is impacting their hiring efforts, and what additional efforts might improve health center recruitment at a critical time of expansion in the nation's health care safety net.

Emergency Justfication: The Health Resources and Services Administration (HRSA) requests an expedited review of the attached Work Force Recruitment in BPHC-Funded Health Centers survey. The data, especially on the number of veterans hired in health centers, was requested by the White House and the Department of Health and Human Services (HHS) two weeks ago with a delivery date of August 31. HRSA explored several options to respond to this request and determined that the data does not exist, and the only way to obtain accurate data within the given timeframe was through a new survey. Furthermore, the survey is time-sensitive and urgent due to the on-going implementation of the Affordable Care Act provisions (many starting August 1st) that will further increase the primary care workforce shortage. HRSA's mission and key legislative authority tasks its programs "to improve health and achieve health equity through access to quality services, a skilled health workforce and innovative programs." This survey will assist in leveraging existing and planned workforce programs and initiatives within HRSA and with our partners at the Department of Veterans Affairs, the Substance Abuse and Mental Health Services Administration (SAMHSA), and other federal agencies. The additional information gained by the survey will enhance efficiency and effectiveness of these collaborative workforce initiatives and potentially reduce the overall implementation costs. This survey is designed to collect information from HRSA-funded health centers regarding their current workforce. This baseline data is essential in demonstrating the effectiveness of recruitment efforts over the next year for returning veterans, many of whom have trained as health care providers and/or administrators during their time in the service. The survey will help assess how health centers have filled recent vacancies, whether the availability of veterans to join the health center workforce is impacting their hiring efforts, and what additional efforts might improve health center recruitment at a critical time of expansion in the nation's health care safety net. Health center participation in the survey is 100% voluntary. This information is not required to be collected by statute, and a health center's decision whether to respond to the survey will have no impact on their current or future funding from BPHC. HRSA aims to release the survey to health centers via the electronic collection tool SurveyMonkey on or around August 7. The survey will remain open for 2 weeks. Information provided by health centers through the survey will be compiled in a summary report, to include counts of the numbers of staff hired by position type and veteran status. Due to the urgent nature of this request, there is not time for a full public comment period. However, HRSA plans to submit a package for OMB review for future workforce-related data collection efforts, which will include an opportunity for public comment.

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Authorizing Statute(s): None

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: 1

table that charts list of burden

IC Title	Form No.	Form Name
Work Force Recruitment in BPHC-Funded Health Centers Survey	1	HC Workforce Recruitment

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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	1,200	0	0	1,200	0	0
Annual Time Burden (Hours)	600	0	0	600	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: This is a new information collection.

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Annual Cost to Federal Government: $1,209

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 08/06/2012

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