HRSA Uniform Data System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1R Uniform Data System	Form and Instruction	Modified	Available
0193 2019 UDS Tables (redline) 12.19.18.docx	Supplementary Document	Uploaded 2019-02-19	Available
UDS Excel Tool.xls	Supplementary Document	Uploaded 2019-01-28	Available
UDS HTML Tool (Screenshots).pdf	Supplementary Document	Uploaded 2019-01-28	Available
0193 Supporting Statement 12.21.18.doc	Supporting Statement A	Uploaded 2019-01-28	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
6420	Uniform Data System	Form and Instruction	Modified

ICR Details

OMB Control No: 0915-0193	ICR Reference No: 201901-0915-001
Status: Historical Active	Previous ICR Reference No: 201709-0915-004
Agency/Subagency: HHS/HSA	Agency Tracking No: 21120
Title: HRSA Uniform Data System
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/14/2019
	Date Received in OIRA: 01/31/2019
Terms of Clearance: OMB is approving this information collection request for a period of three years during which time the agency will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2022	36 Months From Approved	12/31/2020
Responses	2,043	0	1,975
Time Burden (Hours)	344,807	0	257,712
Cost Burden (Dollars)	0	0	0

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Abstract: UDS is the HRSA Health Center Program’s annual reporting system for HRSA-supported health centers. The UDS includes reporting requirements for Health Center Program look-alikes and grantees of the following programs: Community Health Center program, Migrant Health Center program, Health Care for the Homeless program, and Public Housing Primary Care program. A subset of recipients of the Bureau of Health Workforce’s (BHW) Nurse Education, Practice, Quality and Retention (NEPQR) program, specifically those recipients that are funded under the practice priority areas listed under PHS Sec. 831(b), are also required to complete UDS annual reporting.

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Authorizing Statute(s): US Code: 42 USC 254B Name of Law: PHSA
  

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 29800	06/26/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 754	01/31/2019
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
Uniform Data System	1R, 1C	0193 2019 UDS Tables (redline).docx ,   0193 2019 UDS Tables (clean).docx

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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	2,043	1,975	0	68	0	0
Annual Time Burden (Hours)	344,807	257,712	0	87,095	0	0
Annual Cost Burden (Dollars)	0	0	0	0	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: The estimated increase of 87,095 total burden hours from 257,712 to 344,807 is largely the result of the overall expansion of the Health Center Program. This expansion includes an increase in the number of patients served from 25,860,296 in 2016 to 27,174,372 in 2017, an additional 1.3 million patients to be accounted for in UDS reporting. Additionally, in 2017 the number of grant report respondents, in this case those health centers receiving funding for special populations, increased by 70 health centers resulting in 2,100 additional overall burden hours.

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Annual Cost to Federal Government: $1,348,485

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.     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: 01/31/2019

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