Indian Health Service Medical Staff Credentials Application

ICR 202002-0917-002

OMB: 0917-0009

Federal Form Document

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Supporting Statement A
2020-08-25
ICR Details
0917-0009 202002-0917-002
Active 201607-0917-001
HHS/IHS 18529
Indian Health Service Medical Staff Credentials Application
Revision of a currently approved collection   No
Regular
Approved with change 08/25/2020
Retrieve Notice of Action (NOA) 02/27/2020
  Inventory as of this Action Requested Previously Approved
08/31/2023 36 Months From Approved 08/31/2020
2,700 0 3,068
1,400 0 1,784
0 0 0

This collection of information is used to evaluate individual health care providers applying for medical staff credentials at IHS health care facilities. Provider credentialing in the IHS has been identified as a priority area for quality improvement to support patient safety and demonstrate quality of care. IHS health care facilities require all medical staff applicants to provide information concerning their education, training, licensure, and work experience and any adverse disciplinary actions taken against them. The IHS is transforming credentialing into a centrally installed, automated, standardized, electronic/digital, measurable, portable, accessible, and efficient business process to improve the effectiveness of application and re-application to Medical Staffs, movement of practitioners within the IHS system, and recruitment/retention of high-quality practitioners.

US Code: 25 USC 450 Name of Law: Indian Self-Determination and Education Act
   US Code: 25 USC 13 Name of Law: Synder Act
   US Code: 42 USC 2001-2004 Name of Law: IHS Transfer Act
  
None

Not associated with rulemaking

  84 FR 70197 12/20/2019
85 FR 10705 02/25/2020
No

  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 2,700 3,068 0 2,700 -3,068 0
Annual Time Burden (Hours) 1,400 1,784 0 1,400 -1,784 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The new credentialing system is completely electronic and streamlines the credentialing process for providers.

$2,360,000
No
    Yes
    Yes
No
No
No
No
Evonne Bennett-Barnes 301 443-4750 evonne.bennett-barnes@ihs.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.
02/27/2020


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