Information Collection Request

Shortage Designation Management System

ICR 202303-0906-002 · OMB 0906-0029 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0906-0029 can be found here:

Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
Form D SDMS Application	Form and Instruction	Unchanged	Repair queued
Form E Designation, Planning, and Preparation	Form and Instruction	Modified	Repair queued
SDMS Supporting Statement - Final.docx	Supporting Statement A	Uploaded 2023-03-23	Repair queued
2022 Designated MH HPSA FRN - Attachment L.pdf	Supplementary Document	Uploaded 2023-03-23	Repair queued
2022 Designated DT HPSA FRN - Attachment K.pdf	Supplementary Document	Uploaded 2023-03-23	Repair queued
2022 Designated PC HPSA FRN - Attachment J.pdf	Supplementary Document	Uploaded 2023-03-23	Repair queued
State PCO NOFO HRSA-2019 - 2024 FINAL - Attachment I.pdf	Supplementary Document	Uploaded 2023-03-23	Repair queued
SDMS 60 Day FRN - Attachment H.pdf	Supplementary Document	Uploaded 2023-03-23	Repair queued
HPSA Regulations - Attachment C.pdf	Supplementary Document	Uploaded 2023-03-23	Repair queued
MUAP Statute - Attachment B.pdf	Supplementary Document	Uploaded 2023-03-23	Repair queued
HPSA Statute - Attachment A.pdf	Supplementary Document	Uploaded 2023-03-23	Repair queued

Information collection document groups
IC ID	Collection	Type	Status	Form
241813	SDMS Application	Form and Instruction	Unchanged
219565	Designation, Planning, and Preparation	Form and Instruction	Modified

Record metadata
Status	Received in OIRA
Agency/Subagency	HHS/HRSA
OMB Control No	0906-0029
Type of Information Collection	Extension without change of a currently approved collection
Previous ICR Reference No	202005-0906-001
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31