Application for Deemed Health Center Program Award Recipients to Sponsor Volunteer Health Professionals (VHPs) for Deemed PHS Employment

ICR 202104-0906-003

OMB: 0906-0032

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Justification for No Material/Nonsubstantive Change
2021-04-06
Supporting Statement A
2020-10-01
IC Document Collections
ICR Details
0906-0032 202104-0906-003
Received in OIRA 202010-0906-002
HHS/HRSA
Application for Deemed Health Center Program Award Recipients to Sponsor Volunteer Health Professionals (VHPs) for Deemed PHS Employment
No material or nonsubstantive change to a currently approved collection   No
Regular 04/06/2021
  Requested Previously Approved
12/31/2023 12/31/2023
3,468 3,468
6,936 6,936
0 0

Deemed status for FTCA medical malpractice coverage requires HRSA approval of an application for deeming of certain eligible individuals from a sponsoring health center. The FTCA Program Deeming Application for Health Center Volunteer Health Professionals is an electronic application submitted to HRSA through the Electronic Handbooks as part of the process of deeming qualified volunteers of health centers.

US Code: 42 USC 233(q0 Name of Law: PHSA
  
None

Not associated with rulemaking

  85 FR 44101 07/21/2020
85 FR 62746 10/05/2020
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 3,468 3,468 0 0 0 0
Annual Time Burden (Hours) 6,936 6,936 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$64,488
No
    Yes
    Yes
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.
04/06/2021


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