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				 | Health Resources and Services DEPARTMENT OF HEALTH & HUMAN SERVICES Administration 
				 Healthcare Systems Bureau Rockville, MD 20857 
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DATE: November 16, 2021
TO: Josh Brammer, OMB Desk Officer
FROM: Samantha Miller, Acting HRSA Information Collection Clearance Officer
______________________________________________________________________________
Request: The Health Resources and Services Administration (HRSA) Bureau of Health Workforce (BHW) requests approval to change the name of their recently approved ICR (OMB 0915-0375 expiration date 11/30/2024) to reflect the correct ICR title. The correct title is ANE Program Specific Form, formerly Advanced Nursing Education Workforce (ANEW) Program- Specific Data Collection Forms.
Purpose: The incorrect title was used in the extension of this ICR.
Time Sensitivity: Immediately so BHW has the correct NOA title.
Burden: This request does not change the burden estimate.
Proposed Changes: Change ICR title from Advanced Nursing Education Workforce (ANEW) Program- Specific Data Collection Forms to the correct title of ANE Program Specific Form.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| File Title | change memo | 
| Author | Windows User | 
| File Modified | 0000-00-00 | 
| File Created | 2021-11-17 |