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