Agency Information Collection Activities: Submission for OMB Review; Comment Request, 81623 [2010-32561]

Download as PDF 81623 Federal Register / Vol. 75, No. 248 / Tuesday, December 28, 2010 / Notices DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency Information Collection Activities: Submission for OMB Review; Comment Request Periodically, the Health Resources and Services Administration (HRSA) publishes abstracts of information collection requests under review by the Office of Management and Budget (OMB), in compliance with the Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35). To request a copy of the clearance requests submitted to OMB for review, e-mail paperwork@hrsa.gov or call the HRSA Reports Clearance Office on (301) 443– 1129. The following request has been submitted to the Office of Management and Budget for review under the Paperwork Reduction Act of 1995: Proposed Project: The Nursing Education Loan Repayment Program Application (OMB No. 0915–0140)— Revision This is a request for revision of the Nursing Education Loan Repayment Program (NELRP) application and participant monitoring forms. The NELRP is authorized by 42 U.S.C. 297n(a) (section 846(a) of the Public Health Service Act, as amended by Public Law 107–205, August 1, 2002 and Public Law 111–148, March 23, 2010). Under the NELRP, registered nurses and nurse faculty are offered the opportunity to enter into a contractual agreement with the Secretary to receive loan repayment for up to 85 percent of their qualifying educational loan balance as follows: 30 percent each year for the first 2 years and 25 percent for the optional third year. In exchange, the nurses agree to serve full-time for a minimum of 2 years as a registered nurse at a health care facility with a critical shortage of nurses or as nurse Number of respondents Instrument NELRP Application .............................................................. Loan Information and Verification Form .............................. Employment Verification and Critical Shortage Facility Form ................................................................................. Employment Verification for Nurse Faculty Appointment Form ................................................................................. Authorization for Release of Employment Information Form ................................................................................. Authorization to Release Information Form ......................... Certification Regarding Debarment, Suspension, Disqualification and Related Matters Form ................................... Certification Of Accreditation Status for School of Nursing Education Programs Form ............................................... Application Checklist and Self-Certification Form ............... The Verification of Acceptance or Decline of Award form .. Responses/ respondents faculty at an eligible school of nursing. The NELRP forms provide information that is needed for selecting participants, repaying qualifying loans for education, and monitoring compliance with service requirements. The NELRP forms include the following: The NELRP Application, the Loan Information and Verification form, the Employment Verification and Critical Shortage Facility form, the Employment Verification for Nurse Faculty Appointment, the Authorization for Release of Employment Information form, the Authorization to Release Information form, the Certification Regarding Debarment, Suspension, Disqualification and Related Matters form, the Certification of Accreditation Status for School of Nursing Education Programs form, the NELRP Application Checklist and Self-Certification form, the Verification of Acceptance or Decline of Award form and the Participant Semi-Annual Employment Verification form. The estimates of reporting burden for Applicants are as follows: Total responses Hours per response Total burden hours 8,000 8,000 1 3 8,000 24,000 1.5 1 12,000 24,000 7,500 1 7,500 .50 3,750 500 1 500 .25 125 8,000 8,000 1 1 8,000 8,000 .10 .10 800 800 8,000 1 8,000 .10 800 500 8,000 1,200 1 1 1 500 8,000 1,200 .10 .50 .25 50 4,000 300 ........................ ........................ 73,700 ........................ 46,625 Participant Semi-Annual Employment Verification Form ..... 2,300 2 4,600 .5 2,300 Total .............................................................................. 2,300 2 4,600 .5 2,300 Total .............................................................................. emcdonald on DSK2BSOYB1PROD with NOTICES The annual estimate of burden for Participants is as follows: Written comments and recommendations concerning the proposed information collection should be sent within 30 days of this notice to the OMB desk officer for HRSA, either by e-mail to OIRA_submission@omb.eop.gov or by fax to 202–395–6974. Please direct all correspondence to the ‘‘attention of the OMB desk officer for HRSA.’’ VerDate Mar<15>2010 22:37 Dec 27, 2010 Jkt 223001 Dated: December 21, 2010. Robert Hendricks, Director, Division of Policy and Information Coordination. [FR Doc. 2010–32561 Filed 12–27–10; 8:45 am] BILLING CODE 4165–15–P PO 00000 DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency Information Collection Activities: Submission for OMB Review; Comment Request Periodically, the Health Resources and Services Administration (HRSA) Frm 00064 Fmt 4703 Sfmt 4703 E:\FR\FM\28DEN1.SGM 28DEN1

Agencies

[Federal Register Volume 75, Number 248 (Tuesday, December 28, 2010)]
[Notices]
[Page 81623]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-32561]



[[Page 81623]]

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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

    Periodically, the Health Resources and Services Administration 
(HRSA) publishes abstracts of information collection requests under 
review by the Office of Management and Budget (OMB), in compliance with 
the Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35). To request 
a copy of the clearance requests submitted to OMB for review, e-mail 
paperwork@hrsa.gov or call the HRSA Reports Clearance Office on (301) 
443-1129.
    The following request has been submitted to the Office of 
Management and Budget for review under the Paperwork Reduction Act of 
1995:

Proposed Project: The Nursing Education Loan Repayment Program 
Application (OMB No. 0915-0140)--Revision

    This is a request for revision of the Nursing Education Loan 
Repayment Program (NELRP) application and participant monitoring forms. 
The NELRP is authorized by 42 U.S.C. 297n(a) (section 846(a) of the 
Public Health Service Act, as amended by Public Law 107-205, August 1, 
2002 and Public Law 111-148, March 23, 2010).
    Under the NELRP, registered nurses and nurse faculty are offered 
the opportunity to enter into a contractual agreement with the 
Secretary to receive loan repayment for up to 85 percent of their 
qualifying educational loan balance as follows: 30 percent each year 
for the first 2 years and 25 percent for the optional third year. In 
exchange, the nurses agree to serve full-time for a minimum of 2 years 
as a registered nurse at a health care facility with a critical 
shortage of nurses or as nurse faculty at an eligible school of 
nursing. The NELRP forms provide information that is needed for 
selecting participants, repaying qualifying loans for education, and 
monitoring compliance with service requirements. The NELRP forms 
include the following: The NELRP Application, the Loan Information and 
Verification form, the Employment Verification and Critical Shortage 
Facility form, the Employment Verification for Nurse Faculty 
Appointment, the Authorization for Release of Employment Information 
form, the Authorization to Release Information form, the Certification 
Regarding Debarment, Suspension, Disqualification and Related Matters 
form, the Certification of Accreditation Status for School of Nursing 
Education Programs form, the NELRP Application Checklist and Self-
Certification form, the Verification of Acceptance or Decline of Award 
form and the Participant Semi-Annual Employment Verification form.
    The estimates of reporting burden for Applicants are as follows:

----------------------------------------------------------------------------------------------------------------
                                     Number of      Responses/         Total         Hours per     Total burden
           Instrument               respondents     respondents      responses       response          hours
----------------------------------------------------------------------------------------------------------------
NELRP Application...............           8,000               1           8,000             1.5          12,000
Loan Information and                       8,000               3          24,000               1          24,000
 Verification Form..............
Employment Verification and                7,500               1           7,500             .50           3,750
 Critical Shortage Facility Form
Employment Verification for                  500               1             500             .25             125
 Nurse Faculty Appointment Form.
Authorization for Release of               8,000               1           8,000             .10             800
 Employment Information Form....
Authorization to Release                   8,000               1           8,000             .10             800
 Information Form...............
Certification Regarding                    8,000               1           8,000             .10             800
 Debarment, Suspension,
 Disqualification and Related
 Matters Form...................
Certification Of Accreditation               500               1             500             .10              50
 Status for School of Nursing
 Education Programs Form........
Application Checklist and Self-            8,000               1           8,000             .50           4,000
 Certification Form.............
The Verification of Acceptance             1,200               1           1,200             .25             300
 or Decline of Award form.......
                                 -------------------------------------------------------------------------------
    Total.......................  ..............  ..............          73,700  ..............          46,625
----------------------------------------------------------------------------------------------------------------

    The annual estimate of burden for Participants is as follows:

----------------------------------------------------------------------------------------------------------------
 
----------------------------------------------------------------------------------------------------------------
Participant Semi-Annual                    2,300               2           4,600              .5           2,300
 Employment Verification Form...
                                 -------------------------------------------------------------------------------
    Total.......................           2,300               2           4,600              .5           2,300
----------------------------------------------------------------------------------------------------------------

    Written comments and recommendations concerning the proposed 
information collection should be sent within 30 days of this notice to 
the OMB desk officer for HRSA, either by e-mail to OIRA_submission@omb.eop.gov or by fax to 202-395-6974. Please direct all 
correspondence to the ``attention of the OMB desk officer for HRSA.''

    Dated: December 21, 2010.
Robert Hendricks,
Director, Division of Policy and Information Coordination.
[FR Doc. 2010-32561 Filed 12-27-10; 8:45 am]
BILLING CODE 4165-15-P