HRSA Environmental Information and Documentation (EID)

Forms and Documents

Document Name	Status
Form 0915-0324 HRSA NEPA Environmental Information and Documentation Form	Modified
Supporting Statement.doc Supporting Statement A	2013-01-09

IC Document Collections

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

ICR Details

OMB Control No: 0915-0324	ICR Reference No: 201301-0915-002
Status: Historical Active	Previous ICR Reference No: 200910-0915-001
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: HRSA Environmental Information and Documentation (EID)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/25/2013
	Date Received in OIRA: 01/14/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2016	36 Months From Approved	03/31/2013
Responses	1,847	0	2,734
Time Burden (Hours)	1,385	0	2,734
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 P.L. 91-190. HRSA will use this information along with overall program applications to determine eligibility for agency awards that support construction projects including acquisition of health information technology systems.

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Authorizing Statute(s): US Code: 42 USC 4321 Name of Law: National Environmental Policy 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:
	77 FR 61007	10/05/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 954	01/07/2013
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	0915-0324	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	1,847	2,734	0	-887	0	0
Annual Time Burden (Hours)	1,385	2,734	0	-1,349	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: Cutting Redundancy

Short Statement: The program change is due to revisions in the EID checklist. Based on three years of data collection and reviews the form was redesigned to cause the minimum impact in the form of hourly burden on grant applicants and still meet the current minimum requirements for NEPA. The questions have been revised and streamlined for clarity, and the questions reorganized and reduced to accurately mirror environmental policy and procedural requirements, such as environmental justice and cumulative environmental impacts. This has resulted in a reduction of 25 questions, and a document that provides better ease of use by applicants. In addition, the estimated number of applicants that would be required to fill out the checklist has decreased. This is due to the initial projected estimate being based on American Recovery and Reinvestment Act (ARRA) applications that were expected over a one year period. The annualized burden decreased when averaged with applications for non-discretionary awards and Patient Protection and Affordable Care Act programs over a three year period.

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Annual Cost to Federal Government: $500,000

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]? 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)? 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: 01/14/2013

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