Federal Tort Claims Act (FTCA) Program Deeming Applications for Health Center Volunteer Health Professionals (CURES)

ICR 201708-0906-001

OMB: 0906-0032

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
0906-0032 201708-0906-001
Historical Active
HHS/HRSA
Federal Tort Claims Act (FTCA) Program Deeming Applications for Health Center Volunteer Health Professionals (CURES)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/10/2017
Retrieve Notice of Action (NOA) 08/24/2017
Approved consistent with the understanding that HHS/HRSA will clarify the applicability of its privacy responsibilities, described in OMB circular A-130 and 5 USC §552a(e)(3), to this information collection. HRSA will document the reasons it has determined that a Privacy Act system records notice, Privacy Act statement, and privacy impact assessment are or are not required, and submit such documentation as deemed necessary to OMB as a change request within 6 months of the date of approval for the current ICR.
  Inventory as of this Action Requested Previously Approved
10/31/2020 36 Months From Approved
4,125 0 0
8,250 0 0
0 0 0

Deemed status for FTCA medical malpractice coverage requires HRSA approval of an application for deeming of certain eligible individuals from a sponsoring health center. The FTCA Program Deeming Application for Health Center Volunteer Health Professionals is an electronic application submitted to HRSA through the Electronic Handbooks as part of the process of deeming qualified volunteers of health centers.

US Code: 42 USC 233(q0 Name of Law: PHSA
  
None

Not associated with rulemaking

  82 FR 28669 06/23/2017
82 FR 40161 08/24/2017
No

1
IC Title Form No. Form Name
FTCA Health Center Volunteer Health Professional Program Application 1 FTCA VHP Application

  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 4,125 0 0 4,125 0 0
Annual Time Burden (Hours) 8,250 0 0 8,250 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR, therefore the burden will increase from zero (0).

$126,117
No
    No
    No
No
No
No
Uncollected
Elyana Bowman 301 443-3983 [email protected]

  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.
08/24/2017


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