Work Force Recruitment in BPHC-Funded Health Centers

Forms and Documents

Document Name	Status
Form 1 Work Force Recruitment in BPHC-Funded Health Centers Survey Form and Instruction	Modified
Results Summary 8 31 12 - Workforce Recruitment Survey of BPHC HCs.docx Supplementary Document	2013-02-08
Supporting_Statement-BPHC_Workforce_Survey_2012-11-19.docx Supporting Statement A	2012-11-21

IC Document Collections

IC ID	Document Title	Status
203614	Work Force Recruitment in BPHC-Funded Health Centers Survey Form and Instruction	Modified

ICR Details

OMB Control No: 0915-0353	ICR Reference No: 201212-0915-001
Status: Historical Active	Previous ICR Reference No: 201208-0915-001
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: Work Force Recruitment in BPHC-Funded Health Centers
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/22/2013
	Date Received in OIRA: 12/05/2012
Terms of Clearance: OMB notes that this collection is actually a revision, not an extension without change.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2016	36 Months From Approved	02/28/2013
Responses	2,400	0	1,200
Time Burden (Hours)	2,400	0	600
Cost Burden (Dollars)	0	0	0

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Abstract: This data collection is designed to collect information from HRSA-funded health centers regarding their current workforce. This 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 collection 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.

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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
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 57096	09/17/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 71425	11/29/2012
Did the Agency receive public comments on this ICR? No

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

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

	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	2,400	1,200	0	1,200	0	0
Annual Time Burden (Hours)	2,400	600	0	1,800	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: The only change in burden from the previously approved survey is that this request is for semi-annual collections. Each respondent will therefore be asked to respond to the collection twice per year, whereas the previously approved collection was for a one-time emergency data collection effort.

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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: 12/05/2012

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