Information Collection Request

Shortage Designation Management System

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

Forms and Documents
DocumentTypeStatusAvailability
Form D SDMS Application Form and Instruction Unchanged Missing upstream
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 Missing upstream
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
IC Document Collections
IC IDCollectionTypeStatusForm
241813 SDMS Application Form and Instruction Unchanged
219565 Designation, Planning, and Preparation Form and Instruction Modified
ICR Details
StatusReceived in OIRA
Agency/SubagencyHHS/HRSA
OMB Control No0906-0029
Type of Information CollectionExtension without change of a currently approved collection
Previous ICR Reference No202005-0906-001
Date Submitted to OIRA1969-12-31
Requested Expiration Date1969-12-31