HRSA Environmental Information and Documentation (EID)

Forms and Documents

Document Name	Status
Form NEPA EID HRSA NEPA Environmental Information and Documentation Form	New
sf424C instructions.pdf Supplementary Document	2009-04-30
sf424d.pdf Supplementary Document	2009-04-30
sf424c.pdf Supplementary Document	2009-04-30
sf424.pdf Supplementary Document	2009-04-30
nepa citation.doc Supplementary Document	2009-04-29
arra nepa citation.doc Supplementary Document	2009-04-29
nepa compliance.pdf Supplementary Document	2009-04-29
ss nepa info.doc Supporting Statement A	2009-04-30

IC Document Collections

IC ID	Document Title	Status
189032	HRSA NEPA Environmental Information and Documentation Form	New

ICR Details

OMB Control No: 0915-0324	ICR Reference No: 200905-0915-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: HRSA Environmental Information and Documentation (EID)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 05/05/2009
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/05/2009
	Date Received in OIRA: 05/04/2009
Terms of Clearance: This ICR is approved on an emergency basis, consistent with the justification provided. HRSA agrees to immediately begin the full ICR submission process which will provide for the usual 60 day and 30 day public comment periods.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2009	4 Months From Approved
Responses	1,134	0	0
Time Burden (Hours)	1,134	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The EID Checklist obtains information that is required to ensure compliance with the National Environmental Policy Act (NEPA) as specified under Section 1609 of the American Recovery and Reinvestment Act. HRSA will use this information along with the overall application to determine eligibility for agency awards.

Emergency Justfication: This information collection request is for applicant information that provides assurance of compliance with the National Environmental Policy Act for recipients of federal funds under Section 1609 of the American Recovery and Reinvestment Act (ARRA). Emergency processing is needed for the Environmental Information and Documentation because of the critical timing of the application announcement for grantees requesting ARRA funds. The program application for these funds must be made available as soon as possible in order to allow 30 days for grantees to prepare the application materials, which are due on/around June 1, 2009, and to make awards 30 days following.

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Authorizing Statute(s): PL: Pub.L. 111 - 5 1609 Name of Law: American Recovery and Reinvestment Act
   US Code: 42 USC 4321 Name of Law: National Environmental Policy Act
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 5 1609 Name of Law: American Recovery and Reinvestment Act

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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

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
HRSA NEPA Environmental Information and Documentation	NEPA EID	NEPA EID

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ICR Summary of Burden

	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	1,134	0	1,134	0	0	0
Annual Time Burden (Hours)	1,134	0	1,134	0	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: No

Burden Reduction Due to:

Short Statement: This is an emergency request for a program change with a total burden of 1134 hours for applicants to provide information to ensure compliance with the National Environmental Policy Act as required for recipients of federal awards under section 1609 of ARRA.

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Annual Cost to Federal Government: $1,814,400

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Yes

Is this ICR related to the Pandemic Response? Uncollected

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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: 05/04/2009

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