The Hospital Preparedness Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
App A - National_Preparedness_Goal_2nd_Edition.pdf	Supplementary Document	Uploaded 2018-07-31	Available
App C - HPP BP EOY Template Sample for Awardees.pdf	Supplementary Document	Uploaded 2018-07-31	Available
App A - PAHPA Reauthorization.pdf	Supplementary Document	Uploaded 2018-07-31	Repair queued
App B - HPP TP17-1701 Revised FOA.pdf	Supplementary Document	Uploaded 2018-07-31	Available
App B - HPP Sharper Annual Reporting Sample.pdf	Supplementary Document	Uploaded 2018-07-31	Available
30-dayFederal Register, Volume 83 Issue 137 (Tuesday, July 17, 2018).html	Supplementary Document	Uploaded 2018-07-31	Available
0990-0391 60 day Federal Register, Volume 83 Issue 71 (Thursday, April 12, 2018).html	Supplementary Document	Uploaded 2018-07-31	Available
Supporting Statement B 10_26.docx	Supporting Statement B	Uploaded 2018-11-01	Available
0990-0391HPP_Clean_OMB_Updates10_26_round2_10_30.docx	Supporting Statement A	Uploaded 2018-11-01	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
234995	HPP Partner Community Survey	Other-Survey Questions and Instructions	New
234994	HPP Weekly Update Survey	Other-Survey and Instructions	New

ICR Details

OMB Control No: 0990-0391	ICR Reference No: 201807-0990-004
Status: Active	Previous ICR Reference No: 201504-0990-001
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: The Hospital Preparedness Program
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 with change	Conclusion Date: 11/02/2018
	Date Received in OIRA: 08/03/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2021	36 Months From Approved	11/30/2018
Responses	186	0	186
Time Burden (Hours)	14,973	0	14,973
Cost Burden (Dollars)	0	0	0

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Abstract: GenIC approved under this generic clearance will be used to monitor awardees' compliance with program requirements and for the development of selected healthcare preparedness capabilities.

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Authorizing Statute(s): PL: Pub.L. 109 - 417 2802 (b) Name of Law: Public Health Services Act
  

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:
	83 FR 15852	04/12/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 33226	07/17/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
HPP Weekly Update Survey
HPP Partner Community Survey

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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	186	186	0	0	0	0
Annual Time Burden (Hours)	14,973	14,973	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:

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Annual Cost to Federal Government: $258,937

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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.     No

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.     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: 08/03/2018

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