Small Rural Hospital Improvement Program (SHIP) COVID-19 Testing and Mitigation Reporting Portal

ICR 202110-0906-004

OMB: 0906-0066

Federal Form Document

ICR Details
202110-0906-004
Received in OIRA
HHS/HRSA
Small Rural Hospital Improvement Program (SHIP) COVID-19 Testing and Mitigation Reporting Portal
New collection (Request for a new OMB Control Number)   No
Emergency 10/18/2021
10/14/2021
  Requested Previously Approved
6 Months From Approved
9,240 0
2,310 0
0 0

HRSA Federal Office of Rural Health Policy created a quarterly, aggregate data report to collect information on COVID-19 testing and mitigation activities conducted by small rural hospitals receiving SHIP funding. Respondents are SHIP grantees or their small rural hospitals who received funding for COVID-19 testing and mitigation related expenses. HRSA issued funding as one-time payments to 46 state offices of rural health based on the number of eligible hospitals, providing $258,376 per hospital (1540 hospitals total across the country). The organizations were identified by CMS Certification Numbers (CCN). Data report information is needed to comply with federal requirements to monitor funds distributed under the American Rescue Plan Act.
Approval of the SHIP COVID-19 Testing and Mitigation Reporting Portal is time-sensitive to meet federal reporting requirements as outlined in the American Rescue Plan Act legislation. Because of the urgent nature of the COVID-19 pandemic response, combined with the quick disbursement of and the short-term duration of this funding (one time disbursement on July 1, 2021), it is important for HRSA to obtain data as quickly as possible.

None
None

Not associated with rulemaking

  86 FR 52914 09/23/2021
Yes

1
IC Title Form No. Form Name
Small Rural Hospital Improvement Program COVID-19 Testing and Mitigation Reporting Portal 1 HRSA FORHP COVID-19 Data Report .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 9,240 0 0 9,240 0 0
Annual Time Burden (Hours) 2,310 0 0 2,310 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR so burden has increased from zero (0).

$58,813
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.
10/14/2021


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