The information is needed to select
nine small rural hospitals to receive on-site TA through HRSA’s
Small Rural Hospital Transitions (SRHT) project. Information will
be solicited via online application form and a hospital assessment.
Intended responders are small rural hospitals residing in areas of
persistent poverty. Hospitals may be for profit or not-for
profit.
This is a new ICR, so the
burden increase is from zero (0). Authorizing statue not applicable
for this ICR package.
$139,770
No
No
No
No
No
Uncollected
Elyana Bowman 301 443-3983
enadjem@hrsa.gov
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.