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

ICR 202205-0906-001

OMB: 0906-0066

Federal Form Document

ICR Details
0906-0066 202205-0906-001
Received in OIRA 202110-0906-004
HHS/HRSA
Small Rural Hospital Improvement Program (SHIP) COVID-19 Testing and Mitigation Reporting Portal
Reinstatement without change of a previously approved collection   No
Regular 05/09/2022
  Requested Previously Approved
36 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.

US Code: 42 USC 912(b)(5) Name of Law: American Rescue Plan Act
  
None

Not associated with rulemaking

  86 FR 74095 12/29/2021
87 FR 15438 03/18/2022
No

1
IC Title Form No. Form Name
Small Rural Hospital Improvement Program COVID-19 Testing and Mitigation Reporting Portal 0906-0066 HRSA FORHP COVID-19 Data Report

  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 0 0 9,240
Annual Time Burden (Hours) 2,310 0 0 0 0 2,310
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$58,813
No
    No
    No
No
No
No
Yes
Joella Roland 301 945-0232 [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.
05/09/2022


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