The Health Center Program,
administered by HRSA, is authorized under section 330 of the Public
Health Service (PHS) Act (42 U.S.C. § 254b). Health centers are
community-based and patient-directed organizations that deliver
affordable, accessible, quality, and cost-effective primary health
care services to patients regardless of their ability to pay.
Nearly 1,400 health centers operate approximately 15,500 service
delivery sites that provide primary health care to more than 31
million people in every U.S. state, the District of Columbia,
Puerto Rico, the U.S. Virgin Islands, and the Pacific Basin. HRSA
uses the Uniform Data System (UDS) for required annual reporting of
program-specific data by Health Center Program awardees (those
funded under section 330 of the PHS Act); Health Center Program
look-alikes (entities meeting requirements of, but not funded
under, section 330 of the PHS Act); and Nurse Education, Practice,
Quality and Retention (NEPQR) and Advanced Nursing Education (ANE)
Program awardees (specifically those funded under the practice
priority areas of sections 831(b) and 811 of the PHS Act). Some
NEPQR and ANE Program awardees establish and expand nursing
practice arrangements in noninstitutional settings to demonstrate
methods to improve access to primary health care in areas with
unmet primary health care needs. Such grantees implementing nursing
practice arrangements have historically used the same data
collection system as the Health Center Program for their required
annual reporting of program-specific data.
In 2025, the estimated total
burden hours for this ICR are approximately 377,317 hours, compared
to the last update to the UDS collection in 2023 where the burden
was estimated to be 375,324 hours. This increase of approximately
1,993 hours is primarily due to the growing number of health
centers in the Health Center Program that are now required to
submit UDS data, reflective of HRSA’s broader efforts to expand
access to primary care services across areas with unmet primary
health care needs.
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.