OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Evaluation of Tribal Health Profession Opportunity Grants

ICR 201408-0970-004 · 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
2014-08-20
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
Supplementary Document
2011-06-20
Supporting Statement A
2014-08-20
IC Document Collections
IC ID
Document
Title
Status
198409 Modified
198408 Modified
198407 Modified
198406 Modified
198405 Modified
198404 Modified
ICR Details
0970-0395 201408-0970-004
Historical Active 201107-0970-002
HHS/ACF
Evaluation of Tribal Health Profession Opportunity Grants
Extension without change of a currently approved collection   No
Regular
Approved without change 09/25/2014
Retrieve Notice of Action (NOA) 08/28/2014
  Inventory as of this Action Requested Previously Approved
09/30/2015 12 Months From Approved 10/31/2014
416 0 408
493 0 485
0 0 9,632
The Administration for Children and Families (ACF) is requesting a one year extension from the Office of Management and Budget (OMB) to continue to collect qualitative data 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 extension will allow ACF to collect data on grantees through the completion of their grant period. Since initial approval of this information collection, no changes have been made to the instruments (interview and focus group protocols) or the time per response.
PL: Pub.L. 111 - 148 5507 Name of Law: Patient Protection and Affordable Care Act
  
None
Not associated with rulemaking
  79 FR 33929 06/13/2014
79 FR 49522 08/21/2014
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 416 408 0 8 0 0
Annual Time Burden (Hours) 493 485 0 8 0 0
Annual Cost Burden (Dollars) 0 9,632 0 -9,632 0 0
Yes
Miscellaneous Actions
No
The estimated number of respondents for the Telephone Interviews with Program Completers was reduced based on experience to date with this project.
$192,796
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Molly Buck 202 205-4724 mary.buck@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.
08/28/2014