OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Assistance for Hiring and Retaining Nurses at State Homes

ICR 201305-2900-009 · OMB 2900-0709 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 10-0430 Regulation on Reduction of Nursing Shortages in State Homes; Application for Assistance for Hiring and Retaining Nurses at State Homes Form and Instruction Modified Repair queued
2900-0709 justification (v4).doc Supporting Statement A Uploaded 2014-03-04 Available
IC Document Collections
IC IDCollectionTypeStatusForm
181239 Regulation on Reduction of Nursing Shortages in State Homes; Application for Assistance for Hiring and Retaining Nurses at State Homes Form and Instruction Modified
ICR Details
2900-0709 201305-2900-009
Historical Active 201007-2900-002
VA
Application for Assistance for Hiring and Retaining Nurses at State Homes
Revision of a currently approved collection   No
Regular
Approved with change 03/18/2014
Retrieve Notice of Action (NOA) 12/19/2013
  Inventory as of this Action Requested Previously Approved
03/31/2017 36 Months From Approved 03/31/2014
15 0 50
30 0 100
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, VA Form 10-0430 will be used for this purpose.
PL: Pub.L. 108 - 422 Entirety Name of Law: VETERANS HEALTH PROGRAMS IMPROVEMENT ACT OF 2004
  
None
Not associated with rulemaking
  78 FR 176 09/11/2013
78 FR 240 12/13/2013
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 15 50 0 -35 0 0
Annual Time Burden (Hours) 30 100 0 -70 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
Upon completion of the past 3 years, the rate of respondents was much less than anticipated. The number of respondents for this OMB renewal is reduced to a 3-year average of 15 respondents. The burden has been adjusted to reflect the decrease that is expected for this collection, as per lack of respondents.
$782
No
No
No
No
No
Uncollected
Crystal Rennie 202 632-7492 [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.
12/19/2013