Rural Health Clinic COVID-19 (RHC COVID-19)Testing Program Data Collection

ICR 202102-0906-003

OMB: 0906-0056

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
0906-0056 202102-0906-003
Received in OIRA 202009-0906-002
HHS/HRSA
Rural Health Clinic COVID-19 (RHC COVID-19)Testing Program Data Collection
Extension without change of a currently approved collection   No
Regular 02/24/2021
  Requested Previously Approved
36 Months From Approved 04/30/2021
28,872 28,872
7,218 7,218
0 0

HRSA Federal Office of Rural Health Policy (FORHP) has requested approval to create a new monthly, aggregate data report to collect information on COVID-19 testing conducted by Rural Health Clinic (RHC) organizations. Respondents are RHC organizations who received funding for COVID-19 testing and related expenses. HRSA issued funding as one-time payments to 2,406 RHC organizations based on the number of certified clinic sites they operate, providing $49,461.42 per clinic site (4,549 RHC clinic sites total across the country). The organizations were identified by Tax ID number and an organization may operate one or more RHC sites which were identified by unique CMS Certification Numbers (CCN). Data report information is needed to comply with federal requirements to monitor funds distributed under The Paycheck Protection Program and Health Care Enhancement Act.

PL: Pub.L. 116 - 139 Division B, Title I Name of Law: Paycheck Protection Program and Health Care Enhancement Act, Public Health and Social Services Emerg
  
None

Not associated with rulemaking

  85 FR 79492 12/10/2020
86 FR 11304 02/24/2021
No

1
IC Title Form No. Form Name
Rural Health Clinic COVID-19 (RHC COVID-19) Testing Program Data Collection 1 HRSA FORHP COVID-19 Data Report 12.18.2020.docx

  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 28,872 28,872 0 0 0 0
Annual Time Burden (Hours) 7,218 7,218 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$55,840
No
    No
    No
No
No
No
Yes
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.
02/24/2021


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