The Advanced Nursing Education Workforce (ANEW) Program Specific Data Collection Forms

ICR 202109-0915-002

OMB: 0915-0375

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2021-09-22
IC Document Collections
IC ID
Document
Title
Status
209293 Modified
ICR Details
0915-0375 202109-0915-002
Received in OIRA 202004-0915-003
HHS/HSA 20937
The Advanced Nursing Education Workforce (ANEW) Program Specific Data Collection Forms
Revision of a currently approved collection   No
Regular 09/28/2021
  Requested Previously Approved
36 Months From Approved 05/31/2023
521 236
3,647 1,652
0 0

HRSA will use this information in determining the amount of traineeship support to be awarded per student per institution, and to succinctly capture data for the number of projected students for determining eligibility for Special Consideration and Statutory Funding Preference.

US Code: 42 USC Section 811 296j(a)(2) Name of Law: Public Health Service Act
   US Code: 42 USC 296 Name of Law: Advanced Education Nursing Grants
  
None

Not associated with rulemaking

  86 FR 36756 07/13/2021
86 FR 53071 09/28/2021
No

1
IC Title Form No. Form Name
ANE Program Specific Data Forms 1 ANE Program Specific Data Forms.docx

  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 521 236 0 285 0 0
Annual Time Burden (Hours) 3,647 1,652 0 1,995 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Burden increase is due to an increase in respondents. Although the forms are listed separately in the burden table of the SS A, the tables in the form address the forms, as indicated in the table footnote.

$0
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.
09/28/2021


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