Shortage Designation Management System

ICR 202005-0906-001

OMB: 0906-0029

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Form and Instruction
Modified
Supplementary Document
2020-05-14
Supplementary Document
2020-05-14
Supplementary Document
2020-05-14
Supplementary Document
2020-05-14
Supplementary Document
2020-05-14
Supplementary Document
2020-05-14
Supplementary Document
2020-05-14
Supplementary Document
2020-05-14
Supporting Statement A
2020-06-26
IC Document Collections
ICR Details
0906-0029 202005-0906-001
Active 201601-0906-001
HHS/HRSA
Shortage Designation Management System
Revision of a currently approved collection   No
Regular
Approved with change 07/07/2020
Retrieve Notice of Action (NOA) 05/14/2020
  Inventory as of this Action Requested Previously Approved
07/31/2023 36 Months From Approved 07/31/2020
7,074 0 3,078
38,664 0 106,899
0 0 0

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.

US Code: 42 USC 254e Title III Section 332 Name of Law: Public Health Service Act as Amended by 42 USC
   US Code: 42 USC 254b Title III Section 330(b) Name of Law: Public Health Service Act as Amended by 42 USC
  
None

Not associated with rulemaking

  85 FR 11094 02/26/2020
85 FR 27746 05/11/2020
Yes

  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 7,074 3,078 0 3,996 0 0
Annual Time Burden (Hours) 38,664 106,899 0 -68,235 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Using Information Technology
The increase in burden is due to an increase in the number of responses per respondent. The decrease in burden is due to the development of the SDMS. PCOs are no longer required to provide certain information as it is automatically populated in the system when they select the rational service area via the mapping tool in SDMS.

$7,953,177
No
    No
    No
No
No
No
No
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.
05/14/2020


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