Shortage Designation Management System

OMB 0906-0029

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.

The latest form for Shortage Designation Management System expires 2023-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form D SDMS Application Form and Instruction
Form E Designation, Planning, and Preparation Form and Instruction
SDMS Supporting Statement - Final.docx Supporting Statement A
2022 Designated MH HPSA FRN - Attachment L.pdf Supplementary Document
2022 Designated DT HPSA FRN - Attachment K.pdf Supplementary Document
2022 Designated PC HPSA FRN - Attachment J.pdf Supplementary Document
State PCO NOFO HRSA-2019 - 2024 FINAL - Attachment I.pdf Supplementary Document
SDMS 60 Day FRN - Attachment H.pdf Supplementary Document
HPSA Regulations - Attachment C.pdf Supplementary Document
MUAP Statute - Attachment B.pdf Supplementary Document
HPSA Statute - Attachment A.pdf Supplementary Document
SDMS Application Form and Instruction
Designation, Planning, and Preparation Form and Instruction

All Historical Document Collections

202303-0906-002 Approved without change	Extension without change of a currently approved collection	2023-03-23
202005-0906-001 Approved with change	Revision of a currently approved collection	2020-05-14
201601-0906-001 Approved with change	Existing collection in use without an OMB Control Number	2016-10-03

OMB Details

Designation, Planning, and Preparation

Federal Enterprise Architecture: Health - Health Care Services

Form E	PCO Provider Management User Guide - Attachment E.pdf	Fillable Fileable	Form and instruction
Form G	Manual for Policies and Procedures - Attachment G.pdf	Fillable Fileable	Form and instruction
Form F	PCO Designation Management User Guide - Attachment F.pdf	Fillable Fileable	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.