National Hospital Organ Donation Campaign's Activity Scorecard

ICR 202008-0915-005

OMB: 0915-0373

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Justification for No Material/Nonsubstantive Change
2020-08-20
Supporting Statement A
2019-12-18
IC Document Collections
IC ID
Document
Title
Status
209057 Modified
ICR Details
0915-0373 202008-0915-005
Active 201905-0915-003
HHS/HSA 20741
National Hospital Organ Donation Campaign's Activity Scorecard
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 08/25/2020
Retrieve Notice of Action (NOA) 08/21/2020
  Inventory as of this Action Requested Previously Approved
12/31/2022 12/31/2022 12/31/2022
1,500 0 1,500
375 0 375
0 0 0

The Hospital Campaign Scorecard was developed to: 1) motivate and assist healthcare organizations in conducting activities that promote organ, eye, and tissue donor registration by providing a turn-key menu of outreach strategies; 2) provide a basis for recognition by government and national partners; and, 3) measure and evaluate campaign process and outcomes.

PL: Pub.L. 108 - 216 377A(a) Name of Law: ORGAN DONATION AND RECOVERY IMPROVEMENT ACT
   US Code: 42 USC 3777A(a) 274f-1 Name of Law: PHS Act
  
None

Not associated with rulemaking

  84 FR 31602 07/02/2019
84 FR 54616 10/10/2019
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 1,500 1,500 0 0 0 0
Annual Time Burden (Hours) 375 375 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$24,310
No
    No
    No
No
No
No
Yes
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.
08/21/2020


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