Evaluation of the IT Professionals in Health Care Workforce Program: University-Based Training

ICR 201208-0955-004

OMB: 0955-0004

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement B
2011-05-05
Supporting Statement A
2011-05-05
ICR Details
0955-0004 201208-0955-004
Historical Active
HHS/ONC
Evaluation of the IT Professionals in Health Care Workforce Program: University-Based Training
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 08/27/2012
Retrieve Notice of Action (NOA) 08/27/2012
  Inventory as of this Action Requested Previously Approved
08/31/2014 36 Months From Approved
1,268 0 0
422 0 0
0 0 0

This OMB package is for approval of the baseline and follow-up surveys of university students. The baseline and follow-up community college student surveys, course evaluation forms, focus group protocols, and faculty survey received approval as part of a previously submitted OMB package.

US Code: 33 USC A Name of Law: American Recovery Act
  
None

Not associated with rulemaking

  76 FR 4906 01/27/2011
76 FR 20987 04/14/2011
No

  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 1,268 0 0 1,268 0 0
Annual Time Burden (Hours) 422 0 0 422 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
New collection

$310,100
Yes Part B of Supporting Statement
No
No
No
Yes
Uncollected
Sherrette Funn-Coleman 2026905683

  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.
05/05/2011


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