BHPr Performance Report for Grants and Cooperative Agreements

Forms and Documents

Document Name	Status
Form B BHPr Performance Measures Forms Form and Instruction	Unchanged
HRSA TRIP User Guide_v4.docx Supplementary Document	2018-04-06
CHGME EHB-apr-2016-2017-reporting-manual.pdf Supplementary Document	2018-04-06
PIA Childrens Hospitals Graduate Medical Education Portal 8182017.pdf Supplementary Document	2018-04-06
SORN FRN 2018-05062.pdf Supplementary Document	2018-04-06
OMB Request for Non-Substantive Change_PRGCA OMB0915-0061 revised.docx Justification for No Material/Nonsubstantive Change	2018-04-06
AttachD60dayFRN.docx Supplementary Document	2016-03-24
AttachmentAProgramType.docx Supplementary Document	2016-03-24
Supporting Statement_Final Draft.docx Supporting Statement A	2016-03-24

IC Document Collections

IC ID	Document Title	Status
206385	BHPr Performance Measures Forms Form and Instruction	Unchanged

ICR Details

OMB Control No: 0915-0061	ICR Reference No: 201804-0915-001
Status: Historical Active	Previous ICR Reference No: 201603-0915-007
Agency/Subagency: HHS/HSA	Agency Tracking No: 19184
Title: BHPr Performance Report for Grants and Cooperative Agreements
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/06/2018
	Date Received in OIRA: 04/06/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2019	06/30/2019	06/30/2019
Responses	1,557	0	1,557
Time Burden (Hours)	5,992	0	5,992
Cost Burden (Dollars)	0	0	0

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Abstract: The BHW Performance Report for Grants and Cooperative Agreements (PRGCA) is an annual performance and progress report required from each health professions and nursing education grantee that has an approved, funded project with a project period of one year or more. The report is required to determine the extent to which objectives of the project have been met so that a decision regarding continuation funding can be made.

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Authorizing Statute(s): US Code: 42 USC 292 Name of Law: Health Research and Training Facilities and Training of Professional Health Personnel
   US Code: 42 USC 201 Name of Law: Health Professions Education and Partnership Act of 1998
   US Code: 42 USC 296 Name of Law: Nurse Education
   PL: Pub.L. 105 - 392 101 Name of Law: Health Professions Education and Financial Assistance Program
  

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:
	80 FR 242	12/17/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 49	03/14/2016
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
BHPr Performance Measures Forms	B, C	Progress Report ,   PRGCA

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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	1,557	1,557	0	0	0	0
Annual Time Burden (Hours)	5,992	5,992	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The decrease in burden is due to 1) the transition to annual reporting; and 2) an increase in efficiency of the electronic reporting system.

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Annual Cost to Federal Government: $184,290

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

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: 04/06/2018

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