NURSE PRACTITIONER AND NURSE MIDWIFERY TRAINEESHIP PROGRAM

ICR 199007-0915-003

OMB: 0915-0129

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
110337
Migrated
ICR Details
0915-0129 199007-0915-003
Historical Active 198906-0915-010
HHS/HSA
NURSE PRACTITIONER AND NURSE MIDWIFERY TRAINEESHIP PROGRAM
Revision of a currently approved collection   No
Regular
Approved without change 10/19/1990
Retrieve Notice of Action (NOA) 07/23/1990
This information collection is approved for use until September 30, 1991. OMB conditionally approves the forms with the agreement that the agency must submit final versions of the forms which reflect amendments agreed to in the October 17, 1990 Note to Angela Antonelli, OMB from Nancy Pearce, PHS. This should include the agency's counsel written concurrence that the terms of the contract and other forms are consistent with relevant regulations. All of the forms (HRSA 950-955) should cite at the beginning the statutes and regulations governing the operation of the Nurse Practitioner and Nurse Midwifery Traineeship Programs. HRSA should consider whether the program forms are in compliance with the Privacy Act of 1974 requiring the agency to provide notification to individuals asked to supply information (see HRSA's NHSC program forms, OMB no. 0915-0127). In addition, HRSA should examine the extent to which the program forms can be consolidated (e.g., HRSA 953 and 955) and still meet the requirements of program regulations. HRSA should seek consultation on the forms before the next submission to OMB.
  Inventory as of this Action Requested Previously Approved
09/30/1991 09/30/1991 09/30/1990
1,736 0 1
370 0 1
0 0 0

CLEARANCE IS REQUESTED TO MOVE THE NPRM TO FINAL RULE AND FINALIZE THE RESPONSE BURDEN. APPROVAL IS NEEDED FOR FIVE FORMS NEEDED TO OPERATE THE PROGRAM AND TRACK THE RECIPIENTS THROUGH THE OBLIGATORY SERVICE PERIOD. THE DATA ARE PROVIDED BY TRAINING PROGRAMS, THE TRAINEES AND THE EMPLOYERS.

None
None


No

1
IC Title Form No. Form Name
NURSE PRACTITIONER AND NURSE MIDWIFERY TRAINEESHIP PROGRAM

  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 1,736 1 0 1,735 0 0
Annual Time Burden (Hours) 370 1 0 369 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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.
07/23/1990


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