Request for Public Comment: 30-Day Proposed Information Collection: Application for Participation in the IHS Scholarship Program, 69338-69340 [E9-30947]

Download as PDF 69338 Federal Register / Vol. 74, No. 250 / Thursday, December 31, 2009 / Notices includes a brief summary of EPA’s comment letters, in the Federal Register. Since February 2008, EPA has been including its comment letters on EISs on its Web site at: https:// www.epa.gov/compliance/nepa/ eisdata.html. Including the entire EIS comment letters on the Web site satisfies the Section 309(a) requirement to make EPA’s comments on EISs available to the public. Accordingly, after March 31, 2010, EPA will discontinue the publication of this notice of availability of EPA comments in the Federal Register. erowe on DSK5CLS3C1PROD with NOTICES Draft EISs EIS No. 20090349, ERP No. D–SFW– K91018–CA, Hatchery and Stocking Program Operation of 14 Trout Hatcheries and the Mad River Hatchery for the Anadromous Steelhead, Federal Funding, California Department of Fish and Game, CA. Summary: EPA expressed environmental concerns about wetland impacts, and requested additional information on monitoring, aquatic toxicity, and ammonia toxicity. Rating EC2. EIS No. 20090369, ERP No. D–USA– G11052–LA, Joint Readiness Training Center and Fort Polk Land Acquisition Program, Purchase and Lease Lands for Training and Management Activities, in the Parishes of Vernon, Sabine, Natchitoches, LA. Summary: While EPA has no objections to the proposed action, EPA did request clarification of wetland issues. Rating LO. EIS No. 20090377, ERP No. D–BOP– F81022–00, Criminal Alien Requirement 9 Project, Proposal to Contract with one or more Private Contractors to House up to 2,500 Federal, Low-Security, Adult Male, Non-U.S. Citizen, Criminal Aliens at Contractor Owned and Operated Correctional Facilities, Located in Baldwin, MI and/or Lake City, FL. Summary: EPA expressed environmental concerns about wastewater management impacts. Rating EC2. EIS No. 20090385, ERP No. DS–TVA– A06090–AL, Bellefonte Site Single Nuclear Unit Project, Proposes to Complete or Construct and Operate a Single 1,100–1,200 MW Nuclear Generation Unit, Jackson County, AL. Summary: EPA expressed environmental concerns about air quality, wetland, and radiological impacts. Rating EC2. VerDate Nov<24>2008 15:06 Dec 30, 2009 Jkt 220001 Final EISs EIS No. 20090389, ERP No. F–AFS– K65370–CA, Beaverslide Timber Sale and Fuel Treatment Project, Proposing to Harvest Commercial Timber and Treat Hazardous Fuels, Six Rivers National Forest, Mad River Ranger District, Trinity County, CA. Summary: EPA does not object to the proposed project. EIS No. 20090391, ERP No. F–AFS– K65359–CA, Salt Timber Harvest and Fuel Hazard Reduction Project, Proposing Vegetation Management in the Salt Creek Watershed, South Fork Management Unit, Hayfork Ranger District, Shasta-Trinity National Forest, Trinity County, CA. Summary: EPA’s previous asbestos concerns have been resolved; therefore, EPA does not object to the proposed action. Dated: December 24, 2009. Ken Mittelholtz, Deputy Director, NEPA Compliance Division, Office of Federal Activities. [FR Doc. E9–31053 Filed 12–30–09; 8:45 am] BILLING CODE 6560–50–P ENVIRONMENTAL PROTECTION AGENCY [ER–FRL–8987–1] Environmental Impact Statements; Notice of Availability Responsible Agency: Office of Federal Activities, General Information (202) 564–1399 or https://www.epa.gov/ compliance/nepa/. Weekly receipt of Environmental Impact Statements Filed 12/21/2009 Through 12/25/2009 Pursuant to 40 CFR 1506.9. Notice In accordance with Section 309(a) of the Clean Air Act, EPA is required to make its comments on EISs issued by other Federal agencies public. Historically, EPA has met this mandate by publishing weekly notices of availability of EPA comments, which includes a brief summary of EPA’s comment letters, in the Federal Register. Since February 2008, EPA has been including its comment letters on EISs on its Web site at: https:// www.epa.gov/compliance/nepa/ eisdata.html. Including the entire EIS comment letters on the Web site satisfies the Section 309(a) requirement to make EPA’s comments on EISs available to the public. Accordingly, after March 31, 2010, EPA will discontinue the publication of this PO 00000 Frm 00015 Fmt 4703 Sfmt 4703 notice of availability of EPA comments in the Federal Register. EIS No. 20090448, Final EIS, FHWA, WA, South Park Bridge Project, Proposes to Rehabilitate or Replace the Historic South Park Ridge over the Duwamish Waterway at 14th/16 Avenue S, U.S. Coast Guard Permit and U.S. Army COE Section 10 and 404 Permits, King County, WA, Wait Period Ends: 02/01/2010, Contact: Peter A. Jilek, P.E. 360–753–9550. EIS No. 20090449, Final EIS, USFS, MI, Niagara Project, To Address SiteSpecific Vegetation and Transportation System Needs in the Project Areas, Hiawatha National Forest, St. Ignace and Sault Ste. Marie Ranger Districts, Mackinac and Chippewa Counties, MI, Wait Period Ends: 02/01/2010, Contact: Martha Sjoren 906–643–7900 Ext. 117. EIS No. 20090450, Final EIS, FERC, 00, Bison Pipeline Project (Docket No. CP09–161–000), Construction, Operation, and Maintenance of Interstate Natural Gas Pipeline Facilities, Application for Right-ofWay Grant and Temporary Use Permit, NPDES Permit and U.S. Army COE 404 Permit, WY, MT, and ND, Wait Period Ends: 02/01/2010, Contact: Julia Bovey 1–866–208–3372. Amended Notices EIS No. 20090446, Final EIS, USFS, NV, Jarbidge Ranger District Rangeland Management Project, Proposed Reauthorizing Grazing on 21 Existing Grazing Allotments, Humboldt Toiyabe National Forest, Elko County, NV, Wait Period Ends: 01/25/2010, Contact: Vernon Keller 775–355–5356 Revision to FR Notice Published 12/ 24/2009: Correction to State and Comment Due Date. Dated: December 24, 2009. Ken Mittelholtz, Deputy Director, NEPA Compliance Division, Office of Federal Activities. [FR Doc. E9–31057 Filed 12–30–09; 8:45 am] BILLING CODE 6560–50–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Request for Public Comment: 30-Day Proposed Information Collection: Application for Participation in the IHS Scholarship Program Indian Health Service, HHS. Notice. AGENCY: ACTION: SUMMARY: In compliance with Section 3506(c)(2)(A) of the Paperwork E:\FR\FM\31DEN1.SGM 31DEN1 69339 Federal Register / Vol. 74, No. 250 / Thursday, December 31, 2009 / Notices Reduction Act of 1995 which requires a 30-day advance opportunity for public comment on the proposed information collection project, the Indian Health Service (IHS) has submitted to the Office of Management and Budget (OMB) a request to review and approve the information collection listed below. This proposed information collection project was previously published in the Federal Register (74 FR 36714) on July 24, 2009 and allowed 60 days for public comment. No public comment was received in response to the notice. The purpose of this notice is to allow 30 days for public comment to be submitted directly to OMB. Proposed Collection: Title: 0917– 0006, ‘‘Application for Participation in the IRS Scholarship Program.’’ Type of Information Collection Request: Previously Approved Collection (Form changes and additions). Form Number(s): IHS–856, 856–2 through 856–24, IHS–815, IHS–816, IHS–817, and IHS–818. Reporting formats are contained in an IT–IS Scholarship Program application booklet. Need and Use of Information Collection: The IHS Scholarship Branch needs this information for program administration and uses the information to solicit, process, and award IHS Pre-graduate, Preparatory, andlor Health Professions Scholarship grants and monitor the academic performance of awardees, to place awardees at payback sites, and for awardees to request additional program Number of respondents Data collection instrument(s) Responses per respondent information. The IHS Scholarship Program is streamlining the application to reduce the time needed by applicants to complete and provide the information and plans on using information technology to make the application electronically available on the internet. Affected Public: Individuals, not-forprofit institutions and State, local or Tribal Government. Type of Respondents: Students pursuing health care professions. The table below provides: Types of data collection instruments, Estimated number of respondents, Number of responses per respondent, Annual number of responses, Average burden hour per response, and Total annual burden hour(s). Total annual response Burden hour per response* Annual burden hours Scholarship Application (IHS–856) ............................ Application Checklist (IHS–856–2) ............................ Faculty/Employer Evaluation (IHS–856–3) ................ Narrative Statements (IHS–856–4) ............................ Delinquent Federal Debt (IHS–856–5) ...................... Course Curriculum Verification (IHS–856–6) ............ Verification of Acceptance (IHS–856–7) .................... Recipient’s Initial Program Progress Report (IHS– 856–8) .................................................................... Notification of Academic Problem (IHS–856–9) ........ Change of Status (IHS–856–10) ............................... Request for Approval of Deferment (IHS–856–11) ... Preferred Placement (IHS–856–12) .......................... Notice of Impending Graduation (IHS–856–13) ........ Notification of Deferment Program (IHS–856–14) ..... Placement Update (IHS–856–15) .............................. Annual Status Report (IHS–856–16) ......................... Extern Site Preference Request (IHS–856–17) ........ Request for Extern Travel Reimbursement (IHS– 856–18) .................................................................. Lost Stipend Checks (IHS–856–19) .......................... Request for Tutorial Assistance (IHS–856–20) ......... Summer School Request (IHS–856–21) ................... Change of Name or Address (IHS–856–22) ............. Request for Credit Validation (IHS–856–23) ............. Faculty/Advisor Evaluation (IHS–856–24) ................. Acknowledgment Card (IHS–8l5) .............................. Address Change Notice (IHS–816) ........................... Scholarship Program Agreement (IHS–817) ............. Health Professions Contract (IHS–818) .................... 1500 1500 1500 1500 1500 1500 400 1 1 2 1 1 1 1 1500 1500 3000 1500 1500 1500 400 1.00 (60 0.13 (8 0.83 (50 0.75 (45 0.13 (8 0.70 (42 0.13 (8 mm) mm) mm) mm) mm) mm) mm) 1500 200 2500 1125 200 1050 53 400 50 50 50 200 200 50 200 200 125 1 1 1 1 1 1 1 1 1 1 400 50 50 50 200 200 50 200 200 125 0.13 (8 0.13 (8 0.45 (25 0.13 (8 0.75 (45 0.17 (10 0.13 (8 0.18 (11 0.25 (15 0.13 (8 mm) mm) mm) mm) mm) mm) mm) mm) mm) mm) 53 7 21 7 150 33 7 37 50 17 125 50 150 75 50 30 1500 1500 50 175 225 1 1 1 1 1 1 2 1 1 1 1 125 50 150 75 50 30 3000 1500 50 175 225 0.10 (6 0.13 (8 0.13 (8 0.10 (6 0.13 (8 0.10 (6 0.83 (50 0.03 (2 0.02 (1 0.05 (3 0.05 (3 mm) mm) mm) mm) mm) mm) mm) mm) mm) mm) mm) 13 7 20 8 7 3 2500 50 1 9 11 Total .................................................................... .......................... .......................... 17,855 .......................... 9,639 erowe on DSK5CLS3C1PROD with NOTICES * For ease of understanding, burden hours are also provided in actual minutes. There is no direct cost to respondents other than their time to voluntarily complete the forms and submit them for consideration. The estimated cost in time to respondents, as a group, is $99,355.00 (9639 burden hours x 2009 GS–3 base pay rate = $10.31 per burden hour). This total dollar amount is based upon the number of burden hours per data collection instrument, rounded to the nearest dollar. Request for Comments: Your written comments and/or suggestions are VerDate Nov<24>2008 15:06 Dec 30, 2009 Jkt 220001 invited on one or more of the following points: (a) Whether the information collection activity is necessary to carry out an agency function; (b) whether the agency processes the information collected in a useful and timely fashion; (c) the accuracy of public burden estimate (the estimated amount of time needed for individual respondents to provide the requested information); (d) whether the methodology and assumptions used to determine the estimates are logical; (e) ways to PO 00000 Frm 00016 Fmt 4703 Sfmt 4703 enhance the quality, utility, and clarity of the information being collected; and (f) ways to minimize the public burden through the use of automated, electronic, mechanical, or other technological collection techniques or other forms of information technology. Direct Comments to OMB: Send your written comments and suggestions regarding the proposed information collection contained in this notice, especially regarding the estimated public burden and associated response E:\FR\FM\31DEN1.SGM 31DEN1 69340 Federal Register / Vol. 74, No. 250 / Thursday, December 31, 2009 / Notices time to: Office of Management and Budget, Office of Regulatory Affairs, Attention: Desk Officer for IRS, New Executive Office Building, Room 10235, Washington, DC 20503. Send Comments and Requests for Further Information: To request more information on the proposed collection or to obtain a copy of the data collection instrument(s) and or instruction(s) contact: Ms. Betty Gould, IHS Reports Clearance Officer, 801 Thompson Avenue, TMP, Suite 450, Rockville, MD 20852, call non-toll free (301) 443–7899; send via facsimile to (301) 443–9879; or send your e-mail requests, comments, and return address to: betty.gould@ihs.gov. Comment Due Date: Comments regarding this information collection are best assured of having full effect if received within 30 days of the date of this publication. Dated: December 17, 2009. Randy Grinnell, Deputy Director, Indian Health Service. [FR Doc. E9–30947 Filed 12–30–09; 8:45 am] BILLING CODE 4165–16–M DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Submission for OMB Review; Comment Request; A Generic Submission for Formative Research, Pretesting, and Customer Satisfaction of NCI’s Communication and Education Resources (NCI) SUMMARY: Under the provisions of Section 3507(a)(1)(D) of the Paperwork Reduction Act of 1995, the National Cancer Institute (NCI), the National Institutes of Health (NIH) has submitted to the Office of Management and Budget (OMB) a request for review and approval of the information collection listed below. This proposed information collection was previously published in the Federal Register on October 28, 2009 (74 FR 55558) and allowed 60 days for public comment. One comment in regards to NCI’s communication on October 28, 2009, and we responded on October 28, 2009, ‘‘We received your comment. We will take your comments into consideration’’. The purpose of this notice is to allow an additional 30 days for public comment. The National Institutes of Health may not conduct or sponsor, and the respondent is not required to respond to, an information collection that has been extended, revised, or implemented on or after October 1, 1995, unless it displays a currently valid OMB control number. Proposed Collection: Title: A Generic Submission for Formative Research, Pretesting, and Customer Satisfaction of NCI’s Communication and Education Resources (NCI). Type of Information Collection Request: REVISION. Need and Use of Information Collection: In order to carry out NCI’s legislative mandate to educate and disseminate information about cancer prevention, detection, diagnosis, and treatment to a wide variety of audiences and organizations (e.g., cancer patients, their families, the general public, health providers, the media, voluntary groups, scientific and medical organizations), it is beneficial for NCI, through its Office of Communications and Education (OCE), to pretest NCI communications strategies, concepts, and messages while they are under development. This pretesting, or formative evaluation, helps ensure that the messages, communication materials, and information services created by NCI have the greatest capacity of being received, understood, and accepted by their target audiences. Since NCI’s OCE also is responsible for the design, implementation, and evaluation of education programs over the entire cancer continuum and management of NCI initiatives that address specific challenges in cancer research and treatment, it is also necessary to ensure that customers are satisfied with programs. This customer satisfaction research helps ensure the relevance, utility, and appropriateness of the many educational programs and products that OCE and NCI produce. OCE will use a variety of qualitative (focus groups, interviews) and quantitative (paper, phone, in-person, and web surveys) methodologies to conduct this formative and customer satisfaction research, allowing NCI to: (1) Understand characteristics (attitudes, beliefs, and behaviors) of the intended target audience and use this information in the development of effective communication tools and strategies; (2) use a feedback loop to help refine, revise, and enhance messages, materials, products, and programs—ensuring that they have the greatest relevance, utility, appropriateness, and impact for/to target audiences; and (3) expend limited program resource dollars wisely and effectively. This package represents the combination of a currently approved generic submission, ‘‘Pretesting of NCI’s Office of Communications Messages,’’ (OMB No. 0925–0046) and a previously approved generic submission, ‘‘Customer Satisfaction with Educational Programs and Products of the NCI’’ (OMB No. 0925–0526). Frequency of Response: On occasion. Affected Public: Individuals or households; Businesses or other for profit; Not-for-profit institutions; Federal Government; State, local, or tribal Government. Type of Respondents: Adult cancer patients; members of the public; health care professionals; organizational representatives. The table below outlines the estimated burden hours required for a three-year approval of this generic submission. There are no Capital Costs, Operating Costs, and/or Maintenance Costs to report. TABLE 1—ESTIMATES FOR BURDEN HOURS FOR THREE YEARS [Generic Study] Total number of respondents erowe on DSK5CLS3C1PROD with NOTICES Survey method Frequency of response Minutes/hour per response Total burden hours Focus Groups .................................................................................................. Individual In-Depth Interviews (Typically longer than 15 minutes, includes Web site usability testing) ............................................................................ Brief Interviews (Typically less than 5 minutes) .............................................. Surveys (Web, phone, in-person, paper-and-pencil) ....................................... 900 1 90/60 (1.5) 1,350.00 600 19,000 12,500 1 1 1 45/60 (.75) 10/60 (.17) 10/60 (.17) 450.00 3,166.67 2,083.33 Totals ........................................................................................................ 33,000 ........................ ........................ 7,050.00 Request for Comments: Written comments and/or suggestions from the VerDate Nov<24>2008 15:06 Dec 30, 2009 Jkt 220001 public and affected agencies are invited on one or more of the following points: PO 00000 Frm 00017 Fmt 4703 Sfmt 4703 (1) Whether the proposed collection of information is necessary for the proper E:\FR\FM\31DEN1.SGM 31DEN1

Agencies

[Federal Register Volume 74, Number 250 (Thursday, December 31, 2009)]
[Notices]
[Pages 69338-69340]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-30947]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Request for Public Comment: 30-Day Proposed Information 
Collection: Application for Participation in the IHS Scholarship 
Program

AGENCY: Indian Health Service, HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: In compliance with Section 3506(c)(2)(A) of the Paperwork

[[Page 69339]]

Reduction Act of 1995 which requires a 30-day advance opportunity for 
public comment on the proposed information collection project, the 
Indian Health Service (IHS) has submitted to the Office of Management 
and Budget (OMB) a request to review and approve the information 
collection listed below. This proposed information collection project 
was previously published in the Federal Register (74 FR 36714) on July 
24, 2009 and allowed 60 days for public comment. No public comment was 
received in response to the notice. The purpose of this notice is to 
allow 30 days for public comment to be submitted directly to OMB.
    Proposed Collection: Title: 0917-0006, ``Application for 
Participation in the IRS Scholarship Program.'' Type of Information 
Collection Request: Previously Approved Collection (Form changes and 
additions). Form Number(s): IHS-856, 856-2 through 856-24, IHS-815, 
IHS-816, IHS-817, and IHS-818. Reporting formats are contained in an 
IT-IS Scholarship Program application booklet. Need and Use of 
Information Collection: The IHS Scholarship Branch needs this 
information for program administration and uses the information to 
solicit, process, and award IHS Pre-graduate, Preparatory, andlor 
Health Professions Scholarship grants and monitor the academic 
performance of awardees, to place awardees at payback sites, and for 
awardees to request additional program information. The IHS Scholarship 
Program is streamlining the application to reduce the time needed by 
applicants to complete and provide the information and plans on using 
information technology to make the application electronically available 
on the internet. Affected Public: Individuals, not-for-profit 
institutions and State, local or Tribal Government. Type of 
Respondents: Students pursuing health care professions.
    The table below provides: Types of data collection instruments, 
Estimated number of respondents, Number of responses per respondent, 
Annual number of responses, Average burden hour per response, and Total 
annual burden hour(s).

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                        Number of      Responses per     Total annual   Burden hour per   Annual burden
                   Data collection instrument(s)                       respondents       respondent        response        response*          hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
Scholarship Application (IHS-856)..................................             1500                1             1500     1.00 (60 mm)             1500
Application Checklist (IHS-856-2)..................................             1500                1             1500      0.13 (8 mm)              200
Faculty/Employer Evaluation (IHS-856-3)............................             1500                2             3000     0.83 (50 mm)             2500
Narrative Statements (IHS-856-4)...................................             1500                1             1500     0.75 (45 mm)             1125
Delinquent Federal Debt (IHS-856-5)................................             1500                1             1500      0.13 (8 mm)              200
Course Curriculum Verification (IHS-856-6).........................             1500                1             1500     0.70 (42 mm)             1050
Verification of Acceptance (IHS-856-7).............................              400                1              400      0.13 (8 mm)               53
Recipient's Initial Program Progress Report (IHS-856-8)............              400                1              400      0.13 (8 mm)               53
Notification of Academic Problem (IHS-856-9).......................               50                1               50      0.13 (8 mm)                7
Change of Status (IHS-856-10)......................................               50                1               50     0.45 (25 mm)               21
Request for Approval of Deferment (IHS-856-11).....................               50                1               50      0.13 (8 mm)                7
Preferred Placement (IHS-856-12)...................................              200                1              200     0.75 (45 mm)              150
Notice of Impending Graduation (IHS-856-13)........................              200                1              200     0.17 (10 mm)               33
Notification of Deferment Program (IHS-856-14).....................               50                1               50      0.13 (8 mm)                7
Placement Update (IHS-856-15)......................................              200                1              200     0.18 (11 mm)               37
Annual Status Report (IHS-856-16)..................................              200                1              200     0.25 (15 mm)               50
Extern Site Preference Request (IHS-856-17)........................              125                1              125      0.13 (8 mm)               17
Request for Extern Travel Reimbursement (IHS-856-18)...............              125                1              125      0.10 (6 mm)               13
Lost Stipend Checks (IHS-856-19)...................................               50                1               50      0.13 (8 mm)                7
Request for Tutorial Assistance (IHS-856-20).......................              150                1              150      0.13 (8 mm)               20
Summer School Request (IHS-856-21).................................               75                1               75      0.10 (6 mm)                8
Change of Name or Address (IHS-856-22).............................               50                1               50      0.13 (8 mm)                7
Request for Credit Validation (IHS-856-23).........................               30                1               30      0.10 (6 mm)                3
Faculty/Advisor Evaluation (IHS-856-24)............................             1500                2             3000     0.83 (50 mm)             2500
Acknowledgment Card (IHS-8l5)......................................             1500                1             1500      0.03 (2 mm)               50
Address Change Notice (IHS-816)....................................               50                1               50      0.02 (1 mm)                1
Scholarship Program Agreement (IHS-817)............................              175                1              175      0.05 (3 mm)                9
Health Professions Contract (IHS-818)..............................              225                1              225      0.05 (3 mm)               11
                                                                    ------------------------------------------------------------------------------------
    Total..........................................................  ...............  ...............           17,855  ...............            9,639
--------------------------------------------------------------------------------------------------------------------------------------------------------
* For ease of understanding, burden hours are also provided in actual minutes.

    There is no direct cost to respondents other than their time to 
voluntarily complete the forms and submit them for consideration. The 
estimated cost in time to respondents, as a group, is $99,355.00 (9639 
burden hours x 2009 GS-3 base pay rate = $10.31 per burden hour). This 
total dollar amount is based upon the number of burden hours per data 
collection instrument, rounded to the nearest dollar.
    Request for Comments: Your written comments and/or suggestions are 
invited on one or more of the following points: (a) Whether the 
information collection activity is necessary to carry out an agency 
function; (b) whether the agency processes the information collected in 
a useful and timely fashion; (c) the accuracy of public burden estimate 
(the estimated amount of time needed for individual respondents to 
provide the requested information); (d) whether the methodology and 
assumptions used to determine the estimates are logical; (e) ways to 
enhance the quality, utility, and clarity of the information being 
collected; and (f) ways to minimize the public burden through the use 
of automated, electronic, mechanical, or other technological collection 
techniques or other forms of information technology.
    Direct Comments to OMB: Send your written comments and suggestions 
regarding the proposed information collection contained in this notice, 
especially regarding the estimated public burden and associated 
response

[[Page 69340]]

time to: Office of Management and Budget, Office of Regulatory Affairs, 
Attention: Desk Officer for IRS, New Executive Office Building, Room 
10235, Washington, DC 20503.
    Send Comments and Requests for Further Information: To request more 
information on the proposed collection or to obtain a copy of the data 
collection instrument(s) and or instruction(s) contact: Ms. Betty 
Gould, IHS Reports Clearance Officer, 801 Thompson Avenue, TMP, Suite 
450, Rockville, MD 20852, call non-toll free (301) 443-7899; send via 
facsimile to (301) 443-9879; or send your e-mail requests, comments, 
and return address to: betty.gould@ihs.gov.
    Comment Due Date: Comments regarding this information collection 
are best assured of having full effect if received within 30 days of 
the date of this publication.

    Dated: December 17, 2009.
Randy Grinnell,
Deputy Director, Indian Health Service.
[FR Doc. E9-30947 Filed 12-30-09; 8:45 am]
BILLING CODE 4165-16-M
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