Grantee Reporting Requirements for the Rural Health Network Grant Program

ICR 199708-0915-001

OMB: 0915-0218

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0915-0218 199708-0915-001
Historical Active
HHS/HSA
Grantee Reporting Requirements for the Rural Health Network Grant Program
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/03/1997
Retrieve Notice of Action (NOA) 08/05/1997
This information collection is approved through 10-98 as revised by the October 1, 1997 HHS memorandum and under the following conditions: Upon the next submission, HHS will succinctly outline the goals of the Rural Health Network Grant Program; demonstrate how the reporting on this program supports these goals, or if they do not, revise the reporting to directly reflect the goals; and ensure that the goals are measureable as required in the Government Performance Results Act.
  Inventory as of this Action Requested Previously Approved
12/31/1998 12/31/1998
80 0 0
93 0 0
0 0 0

This request is for OMB approval of a new reporting form that will be used to track the progress of grantees under the Rural Health Network Grant Program authorized by section 330A of the Public Health Service Act. The purpose of the program is to assist in the planning and development of vertically integrated networks of health care providers in rural communities.

None
None


No

1
IC Title Form No. Form Name
Grantee Reporting Requirements for the Rural Health Network Grant 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 80 0 0 80 0 0
Annual Time Burden (Hours) 93 0 0 93 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.
08/05/1997


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