Core Competencies for Amputee Rehabilitation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Supporting Statement Part A - 0702-AAIX 08.07.2017.docx	Supporting Statement A	Uploaded 2017-08-07	Available
OPA-DMDC-recommendation-letter-Core-Competencies-Amputation-Rehab-4-6-2017.pdf	Supplementary Document	Uploaded 2017-04-19	Available
Supporting Statement Part B - 0702-AAIX.doc	Supporting Statement B	Uploaded 2017-04-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
226468	Core Competencies for Amputation Rehabilitation Surveys	Other-Invitation Email for Civilian Rehab Providers	New

ICR Details

OMB Control No: 0702-0141	ICR Reference No: 201704-0702-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOW/DOA	Agency Tracking No: 0702-AAIX
Title: Core Competencies for Amputee Rehabilitation
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: 08/07/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/20/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2020	36 Months From Approved
Responses	400	0	0
Time Burden (Hours)	400	0	0
Cost Burden (Dollars)	47,600	0	0

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Abstract: At the onset of OEF/OIF/OND, few military rehabilitation personnel were prepared to provide the complex care required for service members with amputation(s). Since then, providers have developed extensive skill sets to meet the multifaceted needs of these patients. In identifying core competencies required, DoA can sustain and grow the highest-quality delivery and clinical skills needed to inform the way care is delivered, foster rapid skill attainment, maintain mastery of amputee treatment technologies, and influence ongoing institutional training.

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Authorizing Statute(s): PL: Pub.L. 110 - 417 723, part c(1) Name of Law: Center of Excellence in the Mitigation, Treatment, and Rehabilitation of Traumatic Extremity ...
  

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:
	81 FR 9458	02/25/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 18615	04/20/2017
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
Core Competencies for Amputation Rehabilitation Surveys

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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	400	0	0	400	0	0
Annual Time Burden (Hours)	400	0	0	400	0	0
Annual Cost Burden (Dollars)	47,600	0	0	47,600	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 collection with a new associated burden.

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Annual Cost to Federal Government: $60,300

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]? 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: 04/20/2017

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