Rural Health Care Services Outreach Performance Improvement and Measurement Systems (PIMS) Measures

ICR 202110-0906-002

OMB: 0906-0009

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2021-10-06
IC Document Collections
IC ID
Document
Title
Status
215503 Modified
ICR Details
0906-0009 202110-0906-002
Received in OIRA 201810-0906-001
HHS/HRSA
Rural Health Care Services Outreach Performance Improvement and Measurement Systems (PIMS) Measures
Revision of a currently approved collection   No
Regular 10/19/2021
  Requested Previously Approved
36 Months From Approved 11/30/2021
61 25
458 88
0 0

The PIMS measures for the Outreach Program enable HRSA and the Federal Office of Rural Health Policy to capture awardee-level and aggregate data that illustrate the impact and scope of federal funding. The collection of this information helps further inform and substantiate the focus and objectives of the grant program. The respondents would be award recipients of the Rural Health Care Services Outreach Program.

PL: Pub.L. 116 - 136 330A(e), Title III Name of Law: PHSA
   US Code: 42 USC 254c(e) Name of Law: Section 330A (e) of the Public Health Service (PHS) Act
  
None

Not associated with rulemaking

  86 FR 38725 07/22/2021
86 FR 57838 10/19/2021
No

1
IC Title Form No. Form Name
Rural Health Care Services Outreach Program Measures 1 Rural Health Care Services Outreach Program.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 61 25 0 36 0 0
Annual Time Burden (Hours) 458 88 0 370 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Burden increase due to an increase in the number of respondents from 25 to 61 and the average burden per response from 3.5 to 7.5.

$55,619
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.
10/19/2021


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