Shortage Designation Management System

Forms and Documents

Document	Type	Status	Availability
Form D SDMS Supplemental Information - Attachment D.docx	Form and Instruction	Modified	Repair queued
Form D SDMS Application	Form and Instruction	Modified	Available
Form G Manual for Policies and Procedures - Attachment G.pdf	Form and Instruction	Modified	Repair queued
Form F PCO Designation Management User Guide - Attachment F.pdf	Form and Instruction	Modified	Repair queued
Form E PCO Provider Management User Guide - Attachment E.pdf	Form and Instruction	Modified	Repair queued
Form E Designation, Planning, and Preparation	Form and Instruction	Modified	Available
0906 0029 - Response to Public Comments - Attachment H 04162026 FINAL.docx	Supplementary Document	Uploaded 2026-04-17	Repair queued
APhA Health Care Workers Shortage Designations Comments to HRSA.pdf	Public Comments	Uploaded 2026-01-07	Repair queued
PC_202512-0906-003_010726_102001_1.pdf	Public Comments	Uploaded 2026-01-07	Repair queued
Comment 20_Berry 07172025.pdf	Public Comments	Uploaded 2025-07-17	Repair queued
Comment 51_Long-Gee Transmittal 07212025.pdf	Public Comments	Uploaded 2025-07-21	Repair queued
Comment 51_Long-Gee 07212025.pdf	Public Comments	Uploaded 2025-07-21	Repair queued
Comment 50_Brown 07182025.pdf	Public Comments	Uploaded 2025-07-19	Repair queued
Comment 50_Brown Transmittal 07182025.pdf	Public Comments	Uploaded 2025-07-19	Repair queued
Comment 49_Young Transmittal 07182025.pdf	Public Comments	Uploaded 2025-07-19	Repair queued
Comment 49_Young 07182025.pdf	Public Comments	Uploaded 2025-07-19	Repair queued
Comment 48_Camacho Transmittal 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 48_Camacho 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 47_Lauterbach 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 47_Lauterbach Transmittal 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 46_Zamora 07182025.pdf	Public Comments	Uploaded 2025-12-17	Repair queued
Comment 46_Zamora Transmittal 07182025.pdf	Public Comments	Uploaded 2025-12-17	Repair queued
Comment 45_Griffith 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 45_Griffith Transmittal 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 44_Brennan Burke 07182025.pdf	Public Comments	Uploaded 2025-12-17	Repair queued
Comment 44_Brennan Burke Transmittal 07182025.pdf	Public Comments	Uploaded 2025-12-17	Repair queued
Comment 43_Zaidi 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 43_Zaidi Transmittal 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 42_Melendez 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 42_Melendez Transmittal 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 41_Ward 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 41_Ward Transmittal 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 40_Chen 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 40_Chen Transmittal 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 39_Mohamadzadeh 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 39_Mohamadzadeh Transmittal 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 38_Kladnitsky 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 38_Kladnitsky Transmittal 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 37_Marshall 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 37_Marshall Transmittal 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 36_Northern Transmittal 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 36_Northern 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 35_Linderbaum Transmittal_07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 35_Linderbaum_07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 34_Hodges Jimenez Transmittal_07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 34_Hodges Jimenez_07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 33_Pon_07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 33_Pon Transmittal_07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 32_Portillo_07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 32_Portillo Transmittal_07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 31_Sergeyev Transmittal_07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 31_Sergeyev_07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 30_Harper 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 30_Harper Transmittal 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 29_Calderon Transmittal_07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 29_Calderon_07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 28_Lewis 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 28_Lewis Transmittal 07182025.pdf	Public Comments	Uploaded 2025-07-18	Repair queued
Comment 27_Schafer_07172025.pdf	Public Comments	Uploaded 2025-07-17	Repair queued
Comment 27_Schafer Transmittal_07172025.pdf	Public Comments	Uploaded 2025-07-17	Repair queued
Comment 26_Smith Transmittal_07172025.pdf	Public Comments	Uploaded 2025-07-17	Repair queued
Comment 26_Smith_07172025.pdf	Public Comments	Uploaded 2025-07-17	Repair queued
Comment 25_Duplicate_Bryant Transmittal_07172025.pdf	Public Comments	Uploaded 2025-07-17	Repair queued
Comment 25_Duplicate_Bryant_07182025.docx	Public Comments	Uploaded 2025-07-17	Repair queued
Comment 25_Bryant Transmittal_07172025.pdf	Public Comments	Uploaded 2025-07-17	Repair queued
Comment 25_Bryant_07172025.docx	Public Comments	Uploaded 2025-07-17	Repair queued
Comment 24_Holland 07172025.docx	Public Comments	Uploaded 2025-07-17	Repair queued
Comment 24_Holland Transmittal 07172025.pdf	Public Comments	Uploaded 2025-07-17	Repair queued
Comment 23_Leyba 07172025.pdf	Public Comments	Uploaded 2025-07-17	Repair queued
Comment 23_Leyba Transmittal 07172025.pdf	Public Comments	Uploaded 2025-07-17	Repair queued
Comment 22_Tan 07172025.pdf	Public Comments	Uploaded 2025-07-17	Repair queued
Comment 22_Tan Transmittal 07172025.pdf	Public Comments	Uploaded 2025-07-17	Repair queued
Comment 21_Hudson 07172025.pdf	Public Comments	Uploaded 2025-07-17	Repair queued
Comment 21_Hudson Transmittal 07172025.pdf	Public Comments	Uploaded 2025-07-17	Repair queued
Comment 20_Berry Transmittal 07172025.pdf	Public Comments	Uploaded 2025-07-17	Repair queued
Comment 19_Guazzone 07192025.docx	Public Comments	Uploaded 2025-07-17	Repair queued
Comment 19_Guazzone Transmittal 07192025.pdf	Public Comments	Uploaded 2025-07-17	Repair queued
Comment 17_Shaw 07162025.pdf	Public Comments	Uploaded 2025-07-16	Repair queued
Comment 17_Shaw Transmittal 07162025.pdf	Public Comments	Uploaded 2025-07-16	Repair queued
Comment 18_Lopez 07172025.pdf	Public Comments	Uploaded 2025-07-17	Repair queued
Comment 18_Lopez Transmittal 07172025.pdf	Public Comments	Uploaded 2025-07-17	Repair queued
Comment 16_Gordon 07162025.pdf	Public Comments	Uploaded 2025-07-16	Repair queued
Comment 16_Gordon Transmittal 07162025.pdf	Public Comments	Uploaded 2025-07-16	Repair queued
Comment 15_Phan 07162025.PDF	Public Comments	Uploaded 2025-07-16	Repair queued
Comment 15_Phan Transmittal 07162025.pdf	Public Comments	Uploaded 2025-07-16	Repair queued
Comment 14_Lebron 07162025.pdf	Public Comments	Uploaded 2025-07-16	Repair queued
Comment 14_Lebron Transmittal 07162025.pdf	Public Comments	Uploaded 2025-07-16	Repair queued
Comment 13_Wilkinson 07162025.pdf	Public Comments	Uploaded 2025-12-17	Repair queued
Comment 13_Wilkinson Transmittal 07162025.pdf	Public Comments	Uploaded 2025-12-17	Repair queued
Comment 12_Vaquerano 07162025.pdf	Public Comments	Uploaded 2025-07-16	Repair queued
Comment 12_Vaquerano Transmittal 07162025.pdf	Public Comments	Uploaded 2025-07-16	Repair queued
Comment 11_Carey 07162025.pdf	Public Comments	Uploaded 2025-07-16	Repair queued
Comment 11_Carey Transmittal 07162025.pdf	Public Comments	Uploaded 2025-07-16	Repair queued
Comment 10_Lawoyin 07162025.pdf	Public Comments	Uploaded 2025-07-16	Repair queued
Comment 10_Lawoyin Transmittal 07162025.pdf	Public Comments	Uploaded 2025-07-16	Repair queued
Comment 9_Bauer 07162025.pdf	Public Comments	Uploaded 2025-07-16	Repair queued
Comment 9_Bauer Transmittal 07162025.pdf	Public Comments	Uploaded 2025-07-16	Repair queued
Comment 8_VanAcker 07162025.pdf	Public Comments	Uploaded 2025-07-16	Repair queued
Comment 8_VanAcker Transmittal 07162025.pdf	Public Comments	Uploaded 2025-07-16	Repair queued
Comment 7_Wagonhurst 07152025.pdf	Public Comments	Uploaded 2025-07-15	Repair queued
Comment 7_Wagonhurst Transmittal 07152025.pdf	Public Comments	Uploaded 2025-07-15	Repair queued
Comment 6_Taghvaei Transmittal 07152025.pdf	Public Comments	Uploaded 2025-07-15	Repair queued
Comment 6_Taghvaei 07152025.docx	Public Comments	Uploaded 2025-07-15	Repair queued
Comment 5_Kladnitsky 07152025.pdf	Public Comments	Uploaded 2025-07-15	Repair queued
Comment 4_Mongeon 07152025.pdf	Public Comments	Uploaded 2025-07-15	Repair queued
Comment 4_Mongeon Transmittal 07152025.pdf	Public Comments	Uploaded 2025-07-15	Repair queued
Comment 3_Ortiz Transmittal_07152025.pdf	Public Comments	Uploaded 2025-07-15	Repair queued
Comment 3_Ortiz_07152025.pdf	Public Comments	Uploaded 2025-07-15	Repair queued
Comment 2_Jackson_07102025.docx	Public Comments	Uploaded 2025-07-10	Repair queued
Comment 2_Incoming_Jackson_07102025.pdf	Public Comments	Uploaded 2025-07-10	Repair queued
Comment 1_Incoming_Hedges_07152025.pdf	Public Comments	Uploaded 2025-07-15	Repair queued
Comment 1_Hedges_07152025.pdf	Public Comments	Uploaded 2025-07-15	Repair queued
0906 0029 - Attachment K - 2024 Designated MH HPSA FRN.pdf	Supplementary Document	Uploaded 2025-12-17	Repair queued
0906 0029 - Attachment K - 2024 Designated MH HPSA FRN.pdf	Supplementary Document	Uploaded 2025-12-17	Repair queued
0906 0029 - Attachment J - 2024 Designated DT HPSA FRN.pdf	Supplementary Document	Uploaded 2025-12-17	Repair queued
0906 0029 - Attachment J - 2024 Designated DT HPSA FRN.pdf	Supplementary Document	Uploaded 2025-12-17	Available
0906 0029 - Attachment I - 2024 Designated PC HPSA FRN.pdf	Supplementary Document	Uploaded 2025-12-17	Repair queued
0906 0029 - Attachment I - 2024 Designated PC HPSA FRN.pdf	Supplementary Document	Uploaded 2025-12-17	Available
0906 0029 - Response to Public Comments - Attachment H - 12042025.docx	Supplementary Document	Uploaded 2025-12-17	Repair queued
0906 0029 - Response to Public Comments - Attachment H - 12042025.docx	Supplementary Document	Uploaded 2025-12-17	Repair queued
0906 0029 - Supporting Statement A - SDMS - 04162026 FINAL.docx	Supporting Statement A	Uploaded 2026-04-17	Repair queued
0906 0029 - Supporting Statement A - SDMS - 12.11.25.docx	Supporting Statement A	Uploaded 2025-12-17	Available
0906 0029 - Attachment C - HPSA Regulations.pdf	Supplementary Document	Uploaded 2025-12-17	Repair queued
0906 0029 - Attachment C - HPSA Regulations.pdf	Supplementary Document	Uploaded 2025-12-17	Available
0906 0029 - Attachment B - MUAP Statute.pdf	Supplementary Document	Uploaded 2025-12-17	Repair queued
0906 0029 - Attachment B - MUAP Statute.pdf	Supplementary Document	Uploaded 2025-12-17	Available
0906 0029 - Attachment A - HPSA Statute.pdf	Supplementary Document	Uploaded 2025-12-17	Repair queued
0906 0029 - Attachment A - HPSA Statute.pdf	Supplementary Document	Uploaded 2025-12-17	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
241813	SDMS Application	Form and Instruction	Modified	SDMS Supplemental Information - Attachment D.docx
241813	SDMS Application	Form and Instruction	Modified
219565	Designation, Planning, and Preparation	Form and Instruction	Modified	Manual for Policies and Procedures - Attachment G.pdf
219565	Designation, Planning, and Preparation	Form and Instruction	Modified	PCO Designation Management User Guide - Attachment F.pdf
219565	Designation, Planning, and Preparation	Form and Instruction	Modified	PCO Provider Management User Guide - Attachment E.pdf
219565	Designation, Planning, and Preparation	Form and Instruction	Modified

ICR Details

OMB Control No: 0906-0029	ICR Reference No: 202512-0906-003
Status: Active	Previous ICR Reference No: 202303-0906-002
Agency/Subagency: HHS/HRSA	Agency Tracking No:
Title: Shortage Designation Management System
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/27/2026
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/18/2025
Terms of Clearance: Prior to resubmission of this ICR for extension or revision, the agency will consider streamlining data processes, improving functionality, and furnishing additional guidance (as recommended by commenters in 2025/2026). This agency consideration shall be reflected in Supporting Statement A, to include a description of changes and timeline for implementation.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2029	36 Months From Approved	04/30/2026
Responses	7,074	0	7,074
Time Burden (Hours)	38,664	0	38,664
Cost Burden (Dollars)	0	0	0

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Abstract: The need and purpose of this information collection is to obtain information from the State Primary Care Offices (PCO) via the Shortage Designation Management System (SDMS) for the review of geographic area, population, or facility Health Professional Shortage Area (HPSA) and Medically Underserved Area/Population (MUAP) designations. The application asks for national, state and local data required to determine the area, population, or facility’s eligibility for a shortage designation. The respondents for this information collection are State PCO who seek to improve primary care service delivery and workforce availability in the State or territory to meet the needs of underserved populations.

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Authorizing Statute(s): US Code: 42 USC 254b Title III Section 330(b) Name of Law: Public Health Service Act as Amended by 42 USC
   US Code: 42 USC 254e Title III Section 332 Name of Law: Public Health Service Act as Amended by 42 USC
  

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:
	90 FR 21318	05/19/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 58569	12/17/2025
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Designation, Planning, and Preparation	E, F, G	PCO Provider Management User Guide - Attachment E.pdf ,   PCO Designation Management User Guide - Attachment F.pdf ,   Manual for Policies and Procedures - Attachment G.pdf
SDMS Application	D	SDMS Supplemental Information - Attachment D.docx

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ICR Summary 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	7,074	7,074	0	0	0	0
Annual Time Burden (Hours)	38,664	38,664	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: $633,040

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: 12/18/2025

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