BHW Performance Report for Grants and Cooperative Agreements

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Performance Metrics 2023.pdf	Form and Instruction	Modified	Available
Form 1 BHW Performance Measures Forms	Form and Instruction	Modified	Repair queued
BHW_0906 0086_OMB NonSubstantive Change Request.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-05-09	Repair queued
BHW_0906 0086_OMB NonSubstantive Change Request.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-05-09	Repair queued
Karsten_Response_3 (03082024).pdf	Supplementary Document	Uploaded 2024-03-08	Available
Karsten_Response_3 (03082024).pdf	Supplementary Document	Uploaded 2024-03-08	Repair queued
0915-0061 - BHW Performance Collection Supporting Statement A 03082024.docx	Supporting Statement A	Uploaded 2024-03-08	Repair queued
0915-0061 - BHW Performance Collection Supporting Statement A 03082024.docx	Supporting Statement A	Uploaded 2024-03-08	Repair queued
Karsten_public comment follow-up response.pdf	Supplementary Document	Uploaded 2024-01-09	Available
Karsten_public comment follow-up response.pdf	Supplementary Document	Uploaded 2024-01-09	Repair queued
Signed_Final Response_Karsten - OAA Signature.v2.pdf	Supplementary Document	Uploaded 2024-01-09	Available
Signed_Final Response_Karsten - OAA Signature.v2.pdf	Supplementary Document	Uploaded 2024-01-09	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
206385	BHW Performance Measures Forms	Form and Instruction	Modified	Performance Metrics 2023.pdf
206385	BHW Performance Measures Forms	Form and Instruction	Modified
206385	BHW Performance Measures Forms	Other-Program Mapping Document	Modified

ICR Details

OMB Control No: 0906-0086	ICR Reference No: 202505-0906-001
Status: Historical Active	Previous ICR Reference No: 202403-0906-004
Agency/Subagency: HHS/HRSA	Agency Tracking No: 19184
Title: BHW Performance Report for Grants and Cooperative Agreements
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/02/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/14/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2027	03/31/2027	03/31/2027
Responses	1,882	0	1,882
Time Burden (Hours)	5,929	0	5,929
Cost Burden (Dollars)	0	0	0

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Abstract: The BHW Performance Report for Grants and Cooperative Agreements (PRGCA) is an annual performance and progress report required from each health professions and nursing education grantee that has an approved, funded project with a project period of one year or more. The report is required to determine the extent to which objectives of the project have been met so that a decision regarding continuation funding can be made.

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Authorizing Statute(s): US Code: 42 USC 201 Name of Law: Health Professions Education and Partnership Act of 1998
   PL: Pub.L. 115 - 435 132 Stat. 5529 Name of Law: Foundations for Evidence-Based Policymaking Act of 2018.
   US Code: 42 USC 292 Name of Law: Health Research and Training Facilities and Training of Professional Health Personnel
   US Code: 42 USC 296 Name of Law: Nurse Education
   PL: Pub.L. 105 - 392 101 Name of Law: Health Professions Education and Financial Assistance Program
   PL: Pub.L. 109 - 307 2 Name of Law: CHGME Support Reauthorization Act of 2006
   PL: Pub.L. 103 - 62 107 Stat. 285 Name of Law: Govt. Performance Results Act (GPRA)
   PL: Pub.L. 111 - 352 124 Stat. 3866 Name of Law: GPRA Modernization Act of 2010
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 72086	10/19/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 1103	01/09/2024
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
BHW Performance Measures Forms	1	Performance Metrics 2023.pdf

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	1,882	1,882	0	0	0	0
Annual Time Burden (Hours)	5,929	5,929	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $336,045

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Yes

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 05/14/2025

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