Standardized Work Plan (SWP) Form

ICR 202012-0906-001

OMB: 0906-0049

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
0906-0049 202012-0906-001
Received in OIRA 201911-0906-002
HHS/HRSA
Standardized Work Plan (SWP) Form
Revision of a currently approved collection   No
Regular 12/14/2020
  Requested Previously Approved
36 Months From Approved 02/28/2023
5,000 1,000
1,400 1,000
0 0

BHW requires applicants for awards to submit a work plan that describes the timeframes and deliverables via the Standardized Work Plan (SWP) form. Applicants submit SWP forms and award recipients and Project officers use the SWP to assist in monitoring progress once HRSA makes the awards. BHW proposes a revision to include a Quarterly Progress Update (QPU) for award recipients to provide information to BHW on a quarterly basis on each activity listed in the SWP.

US Code: 42 USC 254q-1, 295n-1(a)-(b), 296a(a) Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  85 FR 57221 09/15/2020
85 FR 80121 12/11/2020
No

  Total Request 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 5,000 1,000 0 4,000 0 0
Annual Time Burden (Hours) 1,400 1,000 0 400 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
A form has been added to this revised ICR, increasing the burden by 400 hours.

$9,124
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.
12/14/2020


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