Rural Health Network Development Program Performance Improvement and Measurement System (PIMS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1_R FORHP 0906-0010 Rural Health Network Development Measures (proposed revisions June 4 2025)	Form and Instruction	Modified	Repair queued
Form 1 RHND PIMS	Form and Instruction	Modified	Available
FORHP 0906-0010 OMB NonSubstantive Change Request (RHND) 6.4.25.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-06-04	Available
Supporting Statement A 03072023.docx	Supporting Statement A	Uploaded 2024-03-12	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
215502	Rural Health Network Development Performance Improvement and Measurement System (PIMS)	Form and Instruction	Modified	FORHP 0906-0010 Rural Health Network Development Measures (proposed revisions June 4 2025)
215502	Rural Health Network Development Performance Improvement and Measurement System (PIMS)	Form and Instruction	Modified	RHND PIMS

ICR Details

OMB Control No: 0906-0010	ICR Reference No: 202506-0906-002
Status: Active	Previous ICR Reference No: 202311-0906-002
Agency/Subagency: HHS/HRSA	Agency Tracking No:
Title: Rural Health Network Development Program Performance Improvement and Measurement System (PIMS)
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: 06/16/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/16/2025
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	44	0	44
Time Burden (Hours)	2,147	0	2,147
Cost Burden (Dollars)	0	0	0

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Abstract: The Rural Health Network Development (RHND) program is authorized under section 330A(f) of the Public Health Service Act (42 U.S.C. 254c(f)). The purpose of this program is to support integrated health care networks that collaborate to achieve efficiencies; expand access to, coordinate, and improve the quality of basic health care services and associated health outcomes; and strengthen the rural health care system as a whole. The program supports networks as they address gaps in service, enhance systems of care, and expand capacity of the local health care system. HRSA currently collects information about RHND awards using an OMB-approved set of performance measures and seeks to revise that approved collection. The proposed revisions are being implemented to better gather award recipient data in response to previously accumulated award recipient feedback, peer-reviewed research, and information gathered from the previously approved RHND measures.

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Authorizing Statute(s): US Code: 42 USC 254c (f), Name of Law: Section 330A (f) of the Public Health Service Act
  

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 46800	07/20/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 83420	11/29/2023
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
Rural Health Network Development Performance Improvement and Measurement System (PIMS)	1_R, 1	RHND PIMS ,   FORHP 0906-0010 Rural Health Network Development Measures (proposed revisions June 4 2025)

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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	44	44	0	0	0	0
Annual Time Burden (Hours)	2,147	2,147	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: $12,317

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? No

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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: 06/16/2025

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