Supporting Statement A
Corps Community Day Event Form
OMB Control No. 0915-XXXX
A. Justification
Circumstances Making the Collection of Information Necessary
The National Health Service Corps (NHSC) is a program administered by the Bureau of Clinician Recruitment and Service (BCRS) within HRSA. The NHSC is mandated by Congress to recruit and retain primary care clinicians to work in underserved communities across the Nation. The FY 2010 Affordable Care Act allocated an additional $1.5 billion over five years to the NHSC. The following is a list of statutory authorities that are used to implement NHSC recruitment activities.
Section 254d.(b) (1) authorizes the Secretary to conduct "recruiting programs for the Corps, the Scholarship Program and the Loan Repayment Program. Such recruiting programs shall include efforts to recruit individuals who will serve in the Corps other than pursuant to obligated service under the Scholarship or Loan Repayment Programs"
Section 254e.(h) authorizes the Secretary to "conduct such information programs in areas, among populations groups and in medical facilities and other public facilities designed under this section as health professional shortage areas as may be necessary to inform public and nonprofit private entities which are located or have a demonstrated interest in such areas of the assistance available" from the NHSC.”
Section 254l(c)(3)(A) "The Secretary shall distribute to health professions schools materials providing information on the Scholarship Program and shall encourage the schools to disseminate the materials to the students of the schools."
Section 254l-1(c)(4)(a) "The Secretary shall distribute to health professions schools materials providing information on the Loan Repayment Program and shall encourage the schools to disseminate the materials to the students of the schools."
Corps Community Day was created in 2011 and celebrates the National Health Service Corps (NHSC) every October during National Primary Care Week through community-based activities which are held by NHSC program participants, alumni, and partners. BCRS needs to collect details on the events that are planned so they can be added to the state-by-state map of events in order to coordinate and promote these activities,
Purpose and Use of Information Collection
The goals of Corps Community Day encompass the following: increase awareness of the NHSC to potential applicants and the greater primary health community; create a sense of community and connectedness among NHSC program participants, alumni, partners and staff; and underscore the NHSC’s role in bringing primary health care services to the nation’s neediest communities. Current program participants, alumni, NHSC Ambassadors, sites, primary care organizations, and professional associations plan events and report the details of their events to BCRS so that they can be added to the state-by-state map of events. In order to avoid duplication of effort, eliminate confusion regarding allowable event dates, avoid data entry errors, and implement a brief post-event satisfaction survey, BCRS would like to implement a standard form that event planners will use to report to BCRS. The fillable form will be available online and will have less than 20 fields for event planners to populate to submit for inclusion on the map. There will also be approximately 5 fields to populate following the event to measure satisfaction. Both the pre-event and post-event data fields will be held in one form.
Use of Improved Information Technology and Burden Reduction
The form will employ information technology by collecting the information online through the HHS/ASPA-approved online tool called “Voice of the Consumer” (VOC) (http://comment-app.hhs.gov/). See attachment 1, for a rough design of the form.
Efforts to Identify Duplication and Use of Similar Information
The
proposed form is unique to this activity and the information
collected is not found elsewhere. The form has been designed to
collect only necessary information and has been reviewed carefully to
avoid potential duplication.
Impact on Small Businesses or Other Small Entities
The form will not have a significant impact on small businesses or other small entities. It is estimated around half of the respondents will be small entities.
Consequences of Collecting the Information Less Frequently
There are no legal obstacles to reduce the burden.
Special Circumstances Relating to the Guidelines of 5 CFR 1320.5
The form will be implemented in a manner fully consistent with 5 CFR 1320.5(d)(2).
Comments in Response to the Federal Register Notice/Outside Consultation
Section 8A:
A 60-day Federal Register Notice was published in the Federal Register on February 11, 2013, vol. 78, No. 28; pp.9704-05 (see attachment 2). There were no public comments.
Section 8B:
Eight participants from Corps Community Day 2012 were emailed the link of the new tool and asked to enter their event information. Four of them responded. They were asked to time how long it took them to complete the form as well as any confusion they encountered or recommendations they had to improve the form. Apart from a few corrections regarding typos, there were no substantial recommendations to the form.
In this section of the supporting statement, provide:
The consultations via email took place in March 2013.
Respondent 1: Regina J Knox, MPH, CHES
Special Projects Coordinator, Texas AHEC East
University of Texas Medical Branch
301 University Blvd.
Galveston, TX 77555-1056
(409) 772-7884
Respondent 2: Rashad A. Collins
Director of Workforce Development
Community Health Center Association of Connecticut
100 Great Meadow Road, Suite 400
Wethersfield, CT 06109
(860) 667-7820 ext. 314
Respondent 3: Britney Crawford, MPH
Rural Health Retention Coordinator
Office of Primary Care and Rural Health
The RSA Tower/Suite 1040
201 Monroe Street
Montgomery, AL 36104
(334) 206-3378
Respondent 4: Aileen Edwards Harris
AEH Advising Health Professions, LLC
PO Box 78
Richmond, VA 23218
(804) 859-2808
There were no problems encountered during the consultation.
A 60-day Federal Register Notice was published in the Federal Register on February 11, 2013, vol. 78, No. 28; pp.9704-05. There were no public comments.
Explanation of any Payment/Gift to Respondents
Not applicable
Assurance of Confidentiality Provided to Respondents
There is no assurance of confidentiality in the form, because by using the form, the respondents are agreeing to have their information displayed on a public website.
Justification for Sensitive Questions
The form does not contain questions of a sensitive nature.
Estimates of Annualized Hour and Cost Burden
Respondents will include current NHSC program participants, alumni, NHSC Ambassadors, sites, primary care organizations, and professional associations who are voluntarily planning Corps Community Day events.
12A. Estimated Annualized Burden Hours
Type of Respondent
|
Form Name
|
No. of Respondents |
No. Responses per Respondent |
Average Burden per Response (in hours) |
Total Burden Hours |
Various event planners |
Corps Community Day Event Planning Form |
300 |
1 |
4/60 |
20 hours |
Various event planners |
Corps Community Day Event Satisfaction Form |
300 |
1 |
2/60 |
10 hours
|
Total |
|
300 |
1 |
3 |
30 hours
|
12B. Estimated Annualized Burden Costs
Type of Respondent
|
Total Burden Hours
|
Hourly Wage Rate
|
Total Respondent Costs
|
Administrative Services Managers |
15 |
$38.24 |
$573.60 |
Medical and Health Services Managers |
15 |
$41.54 |
$621.75 |
Total |
|
|
$1,195.35 |
Estimates of other Total Annual Cost Burden to Respondents or Recordkeepers/Capital Costs
The only associated cost to respondents is their time to provide the requested information.
Annualized Cost to Federal Government
The online no-cost form was developed by the HRSA DEA team. The estimated one-time cost to the government for development and data analysis is $125, which includes .0014% from GS13 ($89,033).
Explanation for Program Changes or Adjustments
This is a new data collection.
Plans for Tabulation, Publication, and Project Time Schedule
The event data will be collected from the online form until the beginning of October 2013 on a daily basis as they come in. The event data will be analyzed using non-statistical frequencies to under which types of event, types of event planning organizations, and in which regions of the country were most common for future outreach for subsequent. The summary of the event data will only be shared internally.
The post-event satisfaction portion of the form will be distributed a week after Corps Community Day. The responses from this form will be tabulated at the beginning of November and reviewed internally. The summary will be used to improve future Corps Community Day events and to increase events in the future.
Reason(s) Display of OMB Expiration Date is Inappropriate
No exemption is being requested. The expiration date will be displayed.
Exceptions to Certification for Paperwork Reduction Act Submissions
There are no exceptions to the certification.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | Instructions for writing Supporting Statement A |
| Author | Jodi.Duckhorn |
| File Modified | 0000-00-00 |
| File Created | 2021-01-29 |