Tribal Investment in Commercial Electronic Health Records

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0917-xxxx Tribal Electronic Health Record Data Call	Form and Instruction	New	Available
Justification Memo for OMB.pdf	Supplementary Document	Uploaded 2021-05-05	Available
Tab B - Tribal EHR Data Call - Supporting_Statement OMB template final 4.29.21.docx	Supporting Statement A	Uploaded 2021-05-04	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
247212	Tribal Electronic Health Record Data Call	Form and Instruction	New

ICR Details

OMB Control No: 0917-0042	ICR Reference No: 202105-0917-001
Status: Active	Previous ICR Reference No:
Agency/Subagency: HHS/IHS	Agency Tracking No:
Title: Tribal Investment in Commercial Electronic Health Records
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 05/05/2021
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/05/2021
	Date Received in OIRA: 05/05/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2021	6 Months From Approved
Responses	40	0	0
Time Burden (Hours)	40	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Congress directed IHS “to report back within 120 days of enactment of this Act with a list of Tribes that currently maintain their own non-RPMS electronic health record systems along with cost estimates required for those Tribes to implement, maintain, and make any necessary upgrades to these systems.” Because the IHS does not routinely collect or maintain this information, the Agency will issue a data call to Tribes and Urban Indian Organizations in order to prepare the required report to the requesting Committees.

Emergency Justfication: The requirement from Congress for IHS to report this information was published in the Explanatory Statement that accompanied the Consolidated Appropriations Act, 2021, signed into law on December 27, 2020. The Explanatory Statement can be found at: https://www.congress.gov/116/crec/2020/12/21/CREC-2020-12-21.pdf-bk4 It includes the following language: “The Committees direct the [Indian Health] Service to report back within 120 days of enactment of this Act with a list of Tribes that currently maintain their own non-RPMS electronic health record systems along with cost estimates required for those Tribes to implement, maintain, and make any necessary upgrades to these systems. Further directions and limitations on expenditures are provided in the bill.” The IHS does not collect or maintain this information about Tribal investment into non-RPMS EHR systems, so the only way that IHS can respond to this requirement is by issuing a data call to the Tribes.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Tribal Electronic Health Record Data Call	0917-xxxx	EHR Data Call

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ICR Summary of Burden

table that charts list of burden

	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	40	0	0	40	0	0
Annual Time Burden (Hours)	40	0	0	40	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Congress directed IHS “to report back within 120 days of enactment of this Act with a list of Tribes that currently maintain their own non-RPMS electronic health record systems along with cost estimates required for those Tribes to implement, maintain, and make any necessary upgrades to these systems.” Because the IHS does not routinely collect or maintain this information, the Agency will issue a data call to Tribes and Urban Indian Organizations in order to prepare the required report to the requesting Committees.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 05/05/2021

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