Information Collection Request

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

ICR 202004-0906-002 · OMB 0906-0054 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form B2 Bureau of Health Workforce Substance Use Disorder Evaluation Form and Instruction New Available
Attachment A - 60 day FRN.pdf Supplementary Document Uploaded 2020-05-01 Repair queued
Attachment C14 - Grantee Follow-up Phone Script_FINAL 04.08.20.docx Supplementary Document Uploaded 2020-04-29 Repair queued
Attachment C13 - SMS Reminder_FINAL 04.08.20.docx Supplementary Document Uploaded 2020-04-29 Available
Attachment C12 - Reminder Letter - All Surveys_FINAL 04.08.20.docx Supplementary Document Uploaded 2020-04-29 Available
Attachment C11 - Reminder Email to Grantees about Contact Information_FINAL 04.08.20.docx Supplementary Document Uploaded 2020-04-29 Repair queued
Attachment C10 - Survey Advertisement Text_FINAL 04.08.20.docx Supplementary Document Uploaded 2020-04-29 Available
Attachment C9 - Reminder Email from HRSA to NHSC Participants and Sites_FINAL 04.08.20.docx Supplementary Document Uploaded 2020-04-29 Available
Attachment C8 - Reminder Email from HRSA to Grantees_FINAL 04.08.20.docx Supplementary Document Uploaded 2020-04-29 Available
Attachment C7 - Reminder Email from Grantees_FINAL 04.08.20.docx Supplementary Document Uploaded 2020-04-29 Repair queued
Attachment C6 - Reminder Email - All Surveys_FINAL 04.08.20.docx Supplementary Document Uploaded 2020-04-29 Available
Attachment C5 - Introductory Email Template_All Surveys_FINAL 04.08.20.docx Supplementary Document Uploaded 2020-04-29 Available
Attachment C4 - Contact Information Request Template_FINAL 04.08.20.xlsx Supplementary Document Uploaded 2020-04-29 Available
Attachment C3 - Introductory Email from Grantees_FINAL 04.08.20.docx Supplementary Document Uploaded 2020-04-29 Available
Attachment C2 - Contact Information Request Email_FINAL 04.08.20.docx Supplementary Document Uploaded 2020-04-29 Available
Attachment C1 - Advance Introduction to Grantees_FINAL 04.08.20.docx Supplementary Document Uploaded 2020-04-29 Available
BHW SUD Supporting Statement B -- NORC response CLEAN.docx Supporting Statement B Uploaded 2020-06-30 Available
BHW SUD Supporting Statement A --NORC_response CLEAN.docx Supporting Statement A Uploaded 2020-06-30 Available
IC Document Collections
IC IDCollectionTypeStatusForm
241617 Bureau of Health Workforce Substance Use Disorder Evaluation Form and Instruction 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