OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Evaluation of Tribal Health Profession Opportunity Grants

ICR 201107-0970-002 · OMB 0970-0395 · Historical Active

Forms and Documents
Document
Name
Status
Supplementary Document
2011-10-17
Supplementary Document
2011-10-17
Supplementary Document
2011-10-17
Supplementary Document
2011-10-17
Supplementary Document
2011-10-17
Supplementary Document
2011-10-17
Supplementary Document
2011-10-17
Supplementary Document
2011-10-17
Supplementary Document
2011-10-17
Supplementary Document
2011-10-17
Supporting Statement B
2011-10-17
Supplementary Document
2011-06-20
Supplementary Document
2011-06-20
Supplementary Document
2011-06-20
Supplementary Document
2011-06-20
Supplementary Document
2011-06-20
Supplementary Document
2011-06-20
Supplementary Document
2011-06-20
Supplementary Document
2011-06-20
Supplementary Document
2011-06-20
Supporting Statement A
2011-10-17
IC Document Collections
IC ID
Document
Title
Status
198409 New
198408 New
198407 New
198406 New
198405 New
198404 New
ICR Details
0970-0395 201107-0970-002
Historical Active
HHS/ACF
Evaluation of Tribal Health Profession Opportunity Grants
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 10/19/2011
Retrieve Notice of Action (NOA) 07/06/2011
  Inventory as of this Action Requested Previously Approved
10/31/2014 36 Months From Approved
408 0 0
485 0 0
9,632 0 0
The Administration for Children and Families (ACF) is requesting Office of Management and Budget (OMB) approval to collect qualitative data through in-person and telephone interviews and focus groups as part of the evaluation of the Tribal Health Professions Opportunity Grants (HPOG) to develop an understanding of the Program's effectiveness in meeting the tribal health workforce needs. This project provides an opportunity for evaluating the implementation and outcomes of five distinct workforce development approaches that integrate health professional training programs with culturally-informed models of learning and practice.
PL: Pub.L. 111 - 148 5507 Name of Law: Patient Protection and Affordable Care Act
  
None
Not associated with rulemaking
  76 FR 21749 04/18/2011
76 FR 38400 06/30/2011
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 408 0 0 408 0 0
Annual Time Burden (Hours) 485 0 0 485 0 0
Annual Cost Burden (Dollars) 9,632 0 0 9,632 0 0
Yes
Miscellaneous Actions
No
This is a new data collection request.
$317,287
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Steve Hanmer 202 401-5651 Steven.Hanmer@ACF.hhs.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.
07/06/2011