Rural Health Network Development Program Performance Improvement and Measurement System (PIMS)

Forms and Documents

Document Name	Status
Form 1 Rural Health Network Development Performance Improvement and Measurement System (PIMS) Form and Instruction	Modified
FINALSupporting Statement A RHND FINAL.docx Supporting Statement A	2021-04-05

IC Document Collections

IC ID	Document Title	Status
215502	Rural Health Network Development Performance Improvement and Measurement System (PIMS) Form and Instruction	Modified

ICR Details

OMB Control No: 0906-0010	ICR Reference No: 202104-0906-001
Status: Received in OIRA	Previous ICR Reference No: 201810-0906-002
Agency/Subagency: HHS/HRSA	Agency Tracking No:
Title: Rural Health Network Development Program Performance Improvement and Measurement System (PIMS)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 04/06/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	11/30/2021
Responses	44	51
Time Burden (Hours)	264	306
Cost Burden (Dollars)	0	0

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Abstract: The purpose of the Rural Health Network Development Program (RHND) is to support integrated rural health care networks that have combined the functions of the entities participating in the network to address the health care needs of the targeted rural health community. These measures cover principal topic areas of interest to the Federal Office of Rural Health Policy and will evaluate FORHP’s progress towards achieving its goals.

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Authorizing Statute(s): US Code: 42 USC 254c (f), Name of Law: Section 330A (f) of the Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 73728	11/19/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 17612	04/05/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Rural Health Network Development Performance Improvement and Measurement System (PIMS)	1	RHND PIMS 3-25-21.pdf

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ICR Summary of Burden

	Total Request	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	44	51	0	-7	0	0
Annual Time Burden (Hours)	264	306	0	-42	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: A reduction of respondents from 51 to 44 has decreased the overall burden.

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Annual Cost to Federal Government: $2,298

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 04/06/2021

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