Health Workforce Connector

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 2 Profile Completion	Form	Removed	Available
Form B Profile Completion Instructions	Form	Modified	Available
Form A Account Creation	Form	Modified	Available
Attachment C - 0906-0031- BHW - BMISS Privacy Impact Assessment.pdf	Supplementary Document	Uploaded 2026-03-17	Available
Supporting Statement A – 0906-0031 - BHW- Health Workforce Connector-Revision - 03052026.docx	Supporting Statement A	Uploaded 2026-03-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
262088	Profile Completion Instructions and Screenshots	Form	Removed	Profile Completion
262088	Profile Completion Instructions and Screenshots	Form	Removed
226284	Account Creation	Form	Modified	Profile Completion Instructions
226284	Account Creation	Form	Modified	Account Creation
226284	Account Creation	Form	Modified

ICR Details

OMB Control No: 0906-0031	ICR Reference No: 202603-0906-003
Status: Received in OIRA	Previous ICR Reference No: 202309-0906-001
Agency/Subagency: HHS/HRSA	Agency Tracking No:
Title: Health Workforce Connector
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/17/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	11/30/2026
Responses	5,330	9,172
Time Burden (Hours)	5,440	4,565
Cost Burden (Dollars)	0	0

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Abstract: The Health Workforce Connector helps connect skilled professionals to communities in need by allowing approved Site Points of Contact (POCs) at National Health Service Corps (NHSC), Nurse Corps, Substance Use Disorder Treatment and Recovery (STAR), Pediatric Specialty (PS), Nursing Training, and Teaching Health Center Graduate Medical Education (THCGME) sites to post available opportunities and update site profiles. The Health Workforce Connector provides a central platform to connect participants, including but not limited to those in the NHSC, Nurse Corps, STAR, and PS programs and facilities that are approved for performance of their service obligations. The Health Workforce Connector has become a resource that engages any health care professional or student interested in providing primary care services in underserved communities and with facilities in need of health care providers. The Health Workforce Connector also allows users to create a profile, search for sites, find job and training opportunities, search for other like-minded clinicians, and be searchable by Site POCs.

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Authorizing Statute(s): US Code: 42 USC 254h-1(f) Name of Law: Public Health Service Act
   US Code: 42 USC 254i(6) Name of Law: Public Health Service Act
   US Code: 42 USC 254f(d) Name of Law: 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:
	90 FR 61402	12/31/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 12598	03/16/2026
Did the Agency receive public comments on this ICR? No

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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
Account Creation	A, B	Account Creation ,   Profile Completion Instructions
Profile Completion Instructions and Screenshots	2	Profile Completion

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	5,330	9,172	0	-3,842	0	0
Annual Time Burden (Hours)	5,440	4,565	0	875	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The current hour inventory is for 5,440.40, which reflects a 19.26% increase from the current collection burden of 4,564.64, a difference of 875.76 hours. The proposed increase is due to an increase in webpage traffic leading to an increase in the number of accounts created. Furthermore, HRSA put both forms under the same IC to ensure it matches with the burden table. The 5,014 respondents who complete their profiles are a subset of the 5,330 respondents who create accounts.

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Annual Cost to Federal Government: $152,810

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.     Yes

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.     Yes

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: 03/17/2026

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