OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Assistance for Hiring and Retaining Nurses at State Homes

ICR 200707-2900-037 · OMB 2900-0709 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 10-0430 Application for Assistance for Hiring and Retaining Nurses at State Homes Form New Available
10-040.doc Supporting Statement A Uploaded 2007-11-20 Available
IC Document Collections
IC IDCollectionTypeStatusForm
181239 Application for Assistance for Hiring and Retaining Nurses at State Homes Form New
ICR Details
2900-0709 200707-2900-037
Historical Active
VA
Application for Assistance for Hiring and Retaining Nurses at State Homes
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 02/21/2008
Retrieve Notice of Action (NOA) 11/20/2007
  Inventory as of this Action Requested Previously Approved
02/28/2011 36 Months From Approved
67 0 0
134 0 0
0 0 0
Public Law 108-422 authorized expenditure of funds to assist State Veterans Homes in hiring and retention of nurses and reduction of nursing shortages at State homes. The law requires payment may be made to the state for a fiscal year subject to submission of an application. Therefore to assure funding requests conform to the limitations of the law and is consistent with regulatory requirement, VHA designed VA Form 10-0430 for this purpose.
PL: Pub.L. 108 - 422 Entirety Name of Law: VETERANS HEALTH PROGRAMS IMPROVEMENT ACT OF 2004
  
None
Not associated with rulemaking
  72 FR 62 04/02/2007
72 FR 123 06/27/2007
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 67 0 0 67 0 0
Annual Time Burden (Hours) 134 0 0 134 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new information collection.
$2,990
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Denise McLamb 202-565-8374 [email protected]
  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.
11/20/2007