Federal Tort Claims Act (FTCA) Program Deeming Applications for Health Centers (Deeming)

ICR 201902-0906-002

OMB: 0906-0035

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2019-03-04
Justification for No Material/Nonsubstantive Change
2019-02-22
Supplementary Document
2018-03-06
Supporting Statement A
2018-03-06
ICR Details
0906-0035 201902-0906-002
Active 201803-0906-001
HHS/HRSA
Federal Tort Claims Act (FTCA) Program Deeming Applications for Health Centers (Deeming)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved with change 03/04/2019
Retrieve Notice of Action (NOA) 02/26/2019
Previous terms of clearance continue: Approved consistent with the understanding that the burden statement will be included on both instruments as they appear in the EHB system and that the OMB number and expiration date will be displayed on every page of every form/instrument (per the supporting statement).
  Inventory as of this Action Requested Previously Approved
04/30/2021 04/30/2021 04/30/2021
1,160 0 1,160
2,900 0 2,900
0 0 0

Deemed status for FTCA medical malpractice coverage requires HRSA approval of an application for deeming of certain eligible health centers. The FTCA Program Deeming Application for Health Centers is an electronic application submitted to HRSA through the Electronic Handbooks as part of the process of deeming qualified health centers.

US Code: 42 USC 233(g)-(n) Name of Law: Public Health and Welfare
  
None

Not associated with rulemaking

  82 FR 28668 06/23/2017
83 FR 9525 03/06/2018
No

  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 1,160 1,160 0 0 0 0
Annual Time Burden (Hours) 2,900 2,900 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$189,138
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.
02/26/2019


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