Bureau of Health Workforce (BHW) Substance Use Disorder (SUD) Evaluation

ICR 202004-0906-002

OMB: 0906-0054

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
 New
Supplementary Document
2020-05-01
Supplementary Document
2020-04-29
Supplementary Document
2020-04-29
Supplementary Document
2020-04-29
Supplementary Document
2020-04-29
Supplementary Document
2020-04-29
Supplementary Document
2020-04-29
Supplementary Document
2020-04-29
Supplementary Document
2020-04-29
Supplementary Document
2020-04-29
Supplementary Document
2020-04-29
Supplementary Document
2020-04-29
Supplementary Document
2020-04-29
Supplementary Document
2020-04-29
Supplementary Document
2020-04-29
Supporting Statement B
2020-06-30
Supporting Statement A
2020-06-30
IC Document Collections
IC ID
Document
Title
Status
241617 New
ICR Details
0906-0054 202004-0906-002
Active
HHS/HRSA
Bureau of Health Workforce (BHW) Substance Use Disorder (SUD) Evaluation
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 07/07/2020
Retrieve Notice of Action (NOA) 05/04/2020
  Inventory as of this Action Requested Previously Approved
07/31/2023 36 Months From Approved
41,300 0 0
13,289 0 0
0 0 0
The Bureau of Health Workforce is conducting a national evaluation of investments in the expansion of National Health Service Corps Loan Repayment Program sites and clinicians, and three educational and training grant programs including the grantees, grantee training sites and trainees. The surveys capture information that is not available through any administrative sources and are necessary to assess program impact and inform future strategic direction of program efforts.
US Code: 42 USC 254H Name of Law: National Health Service Corps Program
  
None
Not associated with rulemaking
  85 FR 4327 01/24/2020
85 FR 25453 05/01/2020
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 41,300 0 0 41,300 0 0
Annual Time Burden (Hours) 13,289 0 0 13,289 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR, so burden is increasing from zero (0).
$51,000
No
    No
    No
No
No
No
No
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.
05/04/2020
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