Agency Information Collection Activities: Submission for OMB Review; Comment Request, 81623-81624 [2010-32562]

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 81624 Federal Register / Vol. 75, No. 248 / Tuesday, December 28, 2010 / Notices 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 National Health Service Corps (NHSC) Scholarship Program Application (OMB No. 0915– 0146)—[Revision] The National Health Service Corps (NHSC) Scholarship Program provides the NHSC with the health professionals it requires to carry out its mission of providing primary health care to populations residing in areas of greatest need. Under this program, health professions students are awarded scholarships in return for service in a federally designated Health Professional Shortage Area (HPSA). Students are supported who are well qualified to participate in the NHSC Scholarship Program and who want to assist the NHSC in its mission, both during and after their period of obligated service. The NHSC Scholarship Program forms are used to collect relevant information necessary to make award determinations. Scholars are selected for these competitive awards based on the information provided in the application, forms, and supporting documentation. Awards are made to applicants who demonstrate a high potential for providing quality primary health care Number of respondents Instrument Responses/ respondent services in HPSAs. The program forms include the following: The NHSC Scholarship Program Application, Academic and Non-Academic Evaluation Letters (formerly Letters of Recommendation), the Authorization to Release Information, the Verification of Acceptance/Good Standing Report, the Receipt of Exceptional Financial Need Scholarship, the Verification Regarding Disadvantaged Background and the Acceptance/Declination Form. Also included are the Data Collection Worksheet, which is completed by the schools of program participants, the Deferment Request Form, which is completed by program participants and the Six-Month Service Obligation Verification Form, which is completed by program participants and their sites. The annual estimate of burden for applicants is as follows: Total responses Hours per response Total burden hours NHSC Scholarship Program Application ............................. Evaluation Letters ................................................................ Authorization to Release Information .................................. Verification of Acceptance/Good Standing Report .............. Receipt of Exceptional Financial Need Scholarship ............ Verification Regarding Disadvantaged Background ............ Acceptance/Declination Form .............................................. 1,800 1,800 1,800 1,800 100 300 250 1 2 1 1 1 1 1 1,800 3,600 1,800 1,800 100 300 250 2.0 .50 .10 .25 .25 .25 .10 3,600 1,800 180 450 25 75 25 Total .............................................................................. ........................ ........................ 9,400 ........................ 6,155 Number of respondents Responses/ respondent The annual estimate of burden for participants/schools/sites is as follows: Instrument Total responses Hours per response Total burden hours Data Collection Worksheet .................................................. Deferment Request Form .................................................... Six-Month Service Obligation Verification Form .................. 400 60 700 1 1 2 400 60 1,400 1.0 .25 .50 400 15 700 Total .............................................................................. ........................ ........................ 1,860 ........................ 1,115 emcdonald on DSK2BSOYB1PROD with NOTICES 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. 2010–32562 Filed 12–27–10; 8:45 am] BILLING CODE 4165–15–P VerDate Mar<15>2010 22:37 Dec 27, 2010 Jkt 223001 DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Service Administration Advisory Committee on Interdisciplinary, Community-Based Linkages; Notice of Meeting In accordance with section 10(a)(2) of the Federal Advisory Committee Act (Pub. L. 92–463), notice is hereby given of the following meeting: Name: Advisory Committee on Interdisciplinary, Community-Based Linkages (ACICBL). Dates and Times: January 27, 2011, 8:30 a.m. to 5 p.m., EST. January 28, 2011, 8:30 a.m. to 4 p.m., EST. PO 00000 Frm 00065 Fmt 4703 Sfmt 4703 Place: Hilton Washington DC/ Rockville Executive Meeting Center, 1750 Rockville Pike, Rockville, MD 20852. Telephone: 301–468–1100. Status: The meeting will be open to the public. Purpose: The members of the ACICBL will advance the planning required to develop their 11th Annual Report for the Secretary of the Department of Health and Human Services (the Secretary) and Congress, using the working topic, Continuing Education, Professional Development and Lifelong Learning for the 21st Century Health Care Workforce. The meeting will provide the planning and writing subcommittees with the opportunity to review the urgent issues related to the E:\FR\FM\28DEN1.SGM 28DEN1

Agencies

[Federal Register Volume 75, Number 248 (Tuesday, December 28, 2010)]
[Notices]
[Pages 81623-81624]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-32562]


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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)

[[Page 81624]]

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 National Health Service Corps (NHSC) Scholarship 
Program Application (OMB No. 0915-0146)--[Revision]

    The National Health Service Corps (NHSC) Scholarship Program 
provides the NHSC with the health professionals it requires to carry 
out its mission of providing primary health care to populations 
residing in areas of greatest need. Under this program, health 
professions students are awarded scholarships in return for service in 
a federally designated Health Professional Shortage Area (HPSA). 
Students are supported who are well qualified to participate in the 
NHSC Scholarship Program and who want to assist the NHSC in its 
mission, both during and after their period of obligated service. The 
NHSC Scholarship Program forms are used to collect relevant information 
necessary to make award determinations. Scholars are selected for these 
competitive awards based on the information provided in the 
application, forms, and supporting documentation. Awards are made to 
applicants who demonstrate a high potential for providing quality 
primary health care services in HPSAs. The program forms include the 
following: The NHSC Scholarship Program Application, Academic and Non-
Academic Evaluation Letters (formerly Letters of Recommendation), the 
Authorization to Release Information, the Verification of Acceptance/
Good Standing Report, the Receipt of Exceptional Financial Need 
Scholarship, the Verification Regarding Disadvantaged Background and 
the Acceptance/Declination Form. Also included are the Data Collection 
Worksheet, which is completed by the schools of program participants, 
the Deferment Request Form, which is completed by program participants 
and the Six-Month Service Obligation Verification Form, which is 
completed by program participants and their sites.
    The annual estimate of burden for applicants is as follows:

----------------------------------------------------------------------------------------------------------------
                                     Number of      Responses/         Total         Hours per     Total burden
           Instrument               respondents     respondent       responses       response          hours
----------------------------------------------------------------------------------------------------------------
NHSC Scholarship Program                   1,800               1           1,800             2.0           3,600
 Application....................
Evaluation Letters..............           1,800               2           3,600             .50           1,800
Authorization to Release                   1,800               1           1,800             .10             180
 Information....................
Verification of Acceptance/Good            1,800               1           1,800             .25             450
 Standing Report................
Receipt of Exceptional Financial             100               1             100             .25              25
 Need Scholarship...............
Verification Regarding                       300               1             300             .25              75
 Disadvantaged Background.......
Acceptance/Declination Form.....             250               1             250             .10              25
                                 -------------------------------------------------------------------------------
    Total.......................  ..............  ..............           9,400  ..............           6,155
----------------------------------------------------------------------------------------------------------------

    The annual estimate of burden for participants/schools/sites is as 
follows:

----------------------------------------------------------------------------------------------------------------
                                     Number of      Responses/         Total         Hours per     Total burden
           Instrument               respondents     respondent       responses       response          hours
----------------------------------------------------------------------------------------------------------------
Data Collection Worksheet.......             400               1             400             1.0             400
Deferment Request Form..........              60               1              60             .25              15
Six-Month Service Obligation                 700               2           1,400             .50             700
 Verification Form..............
                                 -------------------------------------------------------------------------------
    Total.......................  ..............  ..............           1,860  ..............           1,115
----------------------------------------------------------------------------------------------------------------

    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. 2010-32562 Filed 12-27-10; 8:45 am]
BILLING CODE 4165-15-P