Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request, 16013-16015 [2014-06337]
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Federal Register / Vol. 79, No. 56 / Monday, March 24, 2014 / Notices
any safety issues that may occur; (7) any
other pediatric issue or pediatric
labeling dispute involving FDA
regulated products; (8) research
involving children as subjects; and (9)
any other matter involving pediatrics for
which FDA has regulatory
responsibility. The Committee also
advises and makes recommendations to
the Secretary directly or to the Secretary
through the Commissioner on research
involving children as subjects that is
conducted or supported by the
Department of Health and Human
Services.
F. Psychopharmacologic Drugs Advisory
Committee
Reviews and evaluates data
concerning the safety and effectiveness
of marketed and investigational human
drug products for use in the practice of
psychiatry and related fields.
G. Reproductive Health Drugs Advisory
Committee
Reviews and evaluates data on the
safety and effectiveness of marketed and
investigational human drugs for use in
the practice of obstetrics, gynecology,
and related specialties.
WREIER-AVILES on DSK5TPTVN1PROD with NOTICES
II. Criteria for Members
Persons nominated for membership as
consumer representatives on
committees or panels should meet the
following criteria: (1) Demonstrate ties
to consumer and community-based
organizations; (2) be able to analyze
technical data; (3) understand research
design; (4) discuss benefits and risks;
and (5) evaluate the safety and efficacy
of products under review. The
consumer representative should be able
to represent the consumer perspective
on issues and actions before the
advisory committee; serve as a liaison
between the committee and interested
consumers, associations, coalitions, and
consumer organizations; and facilitate
dialogue with the advisory committees
on scientific issues that affect
consumers.
III. Selection Procedures
Selection of members representing
consumer interests is conducted
through procedures that include the use
of organizations representing the public
interest and public advocacy groups.
These organizations recommend
nominees for the Agency’s selection.
Representatives from the consumer
health branches of Federal, State, and
local governments also may participate
in the selection process. Any consumer
organization interested in participating
in the selection of an appropriate voting
or nonvoting member to represent
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14:29 Mar 21, 2014
Jkt 232001
consumer interests should send a letter
stating that interest to FDA (see
ADDRESSES) within 30 days of
publication of this document.
Within the subsequent 30 days, FDA
will compile a list of consumer
organizations that will participate in the
selection process and will forward to
each such organization a ballot listing at
least two qualified nominees selected by
the Agency based on the nominations
received, together with each nominee’s
current curriculum vitae or resume.
Ballots are to be filled out and returned
to FDA within 30 days. The nominee
receiving the highest number of votes
ordinarily will be selected to serve as
the member representing consumer
interests for that particular advisory
committee or panel.
IV. Nomination Procedures
Any interested person or organization
may nominate one or more qualified
persons to represent consumer interests
on the Agency’s advisory committees or
panels. Self-nominations are also
accepted. Nominations should include a
cover letter and a current curriculum
´
´
vitae or resume for each nominee,
including a current business and/or
home address, telephone number, and
email address if available, and a list of
consumer or community-based
organizations for which the candidate
can demonstrate active participation.
Nominations should also specify the
advisory committee(s) or panel(s) for
which the nominee is recommended. In
addition, nominations should include
confirmation that the nominee is aware
of the nomination and is willing to serve
as a member of the advisory committee
or panel if selected, and appears to have
no conflicts of interest. FDA will ask
potential candidates to provide detailed
information concerning such matters as
financial holdings, employment, and
research grants and/or contracts to
permit evaluation of possible sources of
conflicts of interest. Members will be
invited to serve for terms up to 4 years.
FDA will review all nominations
received within the specified
timeframes and prepare a ballot
containing the names of qualified
nominees. Names not selected will
remain on a list of eligible nominees
and be reviewed periodically by FDA to
determine continued interest. Upon
selecting qualified nominees for the
ballot, FDA will provide those
consumer organizations that are
participating in the selection process
with the opportunity to vote on the
listed nominees. Only organizations
vote in the selection process. Persons
who nominate themselves to serve as
voting or nonvoting consumer
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16013
representatives will not participate in
the selection process.
Dated: March 18, 2014.
Jill Hartzler Warner,
Acting Associate Commissioner for Special
Medical Programs.
[FR Doc. 2014–06326 Filed 3–21–14; 8:45 am]
BILLING CODE 4160–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Agency Information Collection
Activities: Submission to OMB for
Review and Approval; Public Comment
Request
Health Resources and Services
Administration, HHS.
ACTION: Notice.
AGENCY:
In compliance with Section
3507(a)(1)(D) of the Paperwork
Reduction Act of 1995, the Health
Resources and Services Administration
(HRSA) has submitted an Information
Collection Request (ICR) to the Office of
Management and Budget (OMB) for
review and approval. Comments
submitted during the first public review
of this ICR will be provided to OMB.
OMB will accept further comments from
the public during the review and
approval period.
DATES: Comments on this ICR should be
received within 30 days of this notice.
ADDRESSES: Submit your comments,
including the Information Collection
Request Title, to the desk officer for
HRSA, either by email to OIRA_
submission@omb.eop.gov or by fax to
202–395–5806.
FOR FURTHER INFORMATION CONTACT: To
request a copy of the clearance requests
submitted to OMB for review, email the
HRSA Information Collection Clearance
Officer at paperwork@hrsa.gov or call
(301) 443–1984.
SUPPLEMENTARY INFORMATION:
Information Collection Request Title:
Application and Other Forms utilized
by the National Health Service Corps
Scholarship Program, the NHSC
Students to Service Loan Repayment
Program, and the Native Hawaiian
Health Scholarship Program.
SUMMARY:
OMB No. 0915–0146—Revision
Abstract: Administered by HRSA’s
Bureau of Clinician Recruitment and
Service (BCRS), the National Health
Service Corps (NHSC) Scholarship
Program (SP), NHSC Students to Service
Loan Repayment Program (S2S LRP),
E:\FR\FM\24MRN1.SGM
24MRN1
16014
Federal Register / Vol. 79, No. 56 / Monday, March 24, 2014 / Notices
and the Native Hawaiian Health
Scholarship Program (NHHSP), provide
scholarships or loan repayment to
qualified students who are pursuing
primary care health professions
education and training. In return,
students agree to provide primary health
care services in medically underserved
communities located in federally
designated Health Professional Shortage
Areas (HPSAs) once they are fully
trained and licensed health
professionals. Awards are made to
applicants who demonstrate the greatest
potential for successful completion of
their education and training as well as
commitment to provide primary health
care services to communities of greatest
need. The program applications, forms,
and supporting documentation are used
to collect necessary information from
applicants and participants that will
facilitate in the selection of the best
qualified candidates for these
competitive awards, and to monitor
participants’ enrollment in school or in
postgraduate training.
Although some program forms vary
(see program-specific burden charts
below), general forms include: The
Program Application, Academic and
Non-Academic Letters of
Recommendation, the Authorization to
Release Information, and the
Acceptance/Verification of Good
Standing Report. Additional forms for
the NHSC SP, include the Data
Collection Worksheet, which is
completed by the educational
institutions of program participants, the
Post Graduate Training Verification
Form (formerly the Deferment Request
Form and applicable for S2S
participants), which is completed by
program participants and their
residency director, and the Enrollment
Verification Form, which is completed
by program participants and the
educational institution for each
academic term of the program.
Need and Proposed Use of the
Information: The NHSC SP, S2S LRP,
and NHHSP applications, forms, and
supporting documentation are used to
collect necessary information from
applicants that will enable BCRS to
make determinations about the
competitive awards.
Likely Respondents: Qualified
students who are pursuing primary care
health professions education and
training, and are interested in working
with underserved populations.
Burden Statement: Burden in this
context means the time expended by
persons to generate, maintain, retain,
disclose or provide the information
requested. This includes the time
needed to review instructions; to
develop, acquire, install and utilize
technology and systems for the purpose
of collecting, validating and verifying
information, processing and
maintaining information, and disclosing
and providing information; to train
personnel and to be able to respond to
a collection of information; to search
data sources; to complete and review
the collection of information; and to
transmit or otherwise disclose the
information. The total annual burden
hours estimated for this ICR are
summarized in the table below.
Total Estimated Annualized Burden—
Hours
NHSC SCHOLARSHIP PROGRAM
Number of
respondents
Form name
Number of
responses per
respondent
Average
burden per
response
(in hours)
Total
responses
Total burden
hours
NHSC Scholarship Program Application .............................
Letters of Recommendation .................................................
Authorization to Release Information ..................................
Acceptance/Verification of Good Standing Report ..............
Receipt of Exceptional Financial Need Scholarship ............
Verification of Disadvantaged Background Status ..............
1800
1800
1800
1800
200
300
1
2
1
1
1
1
1800
3600
1800
1800
200
300
2.00
.50
.10
.25
.25
.25
3600
1800
180
450
50
75
Total ..............................................................................
........................
........................
9500
........................
6155
Number of
respondents
Number of
responses per
respondent
The annual estimate of burden for
participants/schools/residency
programs is as follows:
Form name
Average
burden per
response
(in hours)
Total
responses
Total burden
hours
400
200
600
1
1
2
400
200
1200
1.00
.50
.50
400
100
600
Total ..............................................................................
WREIER-AVILES on DSK5TPTVN1PROD with NOTICES
Data Collection Worksheet ..................................................
Post Graduate Training Verification Form ...........................
Enrollment Verification Form ...............................................
........................
........................
1800
........................
1100
NHSC STUDENTS TO SERVICE LOAN REPAYMENT PROGRAM
NHSC Students to Service Program Application ..............
Letters of Recommendation ...............................................
Authorization to Release Information ................................
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14:29 Mar 21, 2014
Jkt 232001
Number of
responses per
respondent
Number of
respondents
Form name
PO 00000
Frm 00082
100
100
100
Fmt 4703
Sfmt 4703
Total
responses
1
2
1
E:\FR\FM\24MRN1.SGM
100
200
100
24MRN1
Average
burden per
response
(in hours)
2.00
.50
.10
Total burden
hours
200
100
10
16015
Federal Register / Vol. 79, No. 56 / Monday, March 24, 2014 / Notices
NHSC STUDENTS TO SERVICE LOAN REPAYMENT PROGRAM—Continued
Number of
responses per
respondent
Number of
respondents
Form name
Average
burden per
response
(in hours)
Total
responses
Total burden
hours
Acceptance/Verification of Good Standing Report ............
Receipt of Exceptional Financial Need Scholarship ..........
Verification of Disadvantaged Background Status ............
Post Graduate Training Verification Form .........................
100
4
25
150
1
1
1
1
100
4
25
150
.25
.25
.25
.50
25
1
6.25
75
Total ............................................................................
........................
........................
679
........................
417.25
NATIVE HAWAIIAN HEALTH SCHOLARSHIP PROGRAM
Number of
responses per
respondent
Number of
respondents
Form name*
Average
burden per
response
(in hours)
Total
responses
Native Hawaiian Health Scholarship Program Application
(includes Forms A–E: Applicant Resume Instructions
and Guidelines; NHHSP Questionnaire and Narrative
Statement; Conflicting Federal Service Memo; Debarment, Suspension, Disqualification and Related Matters Certification; and Delinquent Federal Debt) ...........
Letters of Recommendation (includes Forms H and I:
Academic Faculty/Advisor Evaluation of Applicant and
Employer Evaluation of Applicant) .................................
Authorization to Release Information (Form F) .................
Acceptance/Verification of Good Standing Report (includes Form G: Course Curriculum Worksheet) ............
250
1
250
1.00
250
250
2
1
500
250
.25
.25
30
12
360
.25
Total ............................................................................
........................
........................
1360
........................
Total burden
hours
250
125
62.50
90
527.50
* Please note that the forms listed above account for supporting documentation which may be uploaded as part of the application or associated
with the supplemental forms.
Dated: March 18, 2014.
Jackie Painter,
Deputy Director, Division of Policy and
Information Coordination.
[FR Doc. 2014–06337 Filed 3–21–14; 8:45 am]
BILLING CODE 4165–15–P
DEPARTMENT OF HOMELAND
SECURITY
Office of the Secretary
[Docket No. DHS–2014–0011]
Privacy Act of 1974; Department of
Homeland Security, Federal
Emergency Management Agency—009
Hazard Mitigation, Disaster Public
Assistance, and Disaster Loan
Programs System of Records
Privacy Office, Department of
Homeland Security.
ACTION: Notice of Privacy Act System of
Records.
WREIER-AVILES on DSK5TPTVN1PROD with NOTICES
AGENCY:
In accordance with the
Privacy Act of 1974, the Department of
Homeland Security/Federal Emergency
Management Agency proposes to
consolidate a current system of records
titled, ‘‘Department of Homeland
Security/Federal Emergency
SUMMARY:
VerDate Mar<15>2010
14:29 Mar 21, 2014
Jkt 232001
Management Agency—005 Temporary
and Permanent Relocation and Personal
and Real Property Acquisition and
Relocation Files System of Records’’ (73
FR 77750, December 19, 2008) into the
existing system of records titled,
‘‘Department of Homeland Security/
Federal Emergency Management
Agency—009 Hazard Mitigation
Assistance Grant Programs System of
Records’’ (77 FR 17783, July 23, 2012).
The Department of Homeland Security/
Federal Emergency Management Agency
also proposes to update this system of
records to include all disaster-related
grant and loan programs including
public assistance program, and rename
the system of records as ‘‘Department of
Homeland Security/Federal Emergency
Management Agency—009 Hazard
Mitigation, Disaster Public Assistance,
and Disaster Loan Programs System of
Records’’ to reflect the changes. The
consolidated and updated system of
records allows the Department of
Homeland Security/Federal Emergency
Management Agency to collect and
maintain records from points of contact
from states, tribes, local governments,
and other entities applying for all grant
money programs through the Federal
Emergency Management Agency’s
PO 00000
Frm 00083
Fmt 4703
Sfmt 4703
public assistance grants program,
disaster loan program, and the Hazard
Mitigation Assistance grant programs.
This system of records also allows
information collection from individuals
who may receive public assistance
through these grants. This system of
records notice includes personally
identifiable information collected from
individual property owners and/or
occupants whose properties are
identified in applications for public
assistance, hazard mitigation assistance,
and other disaster-related assistance or
who have been identified by the Federal
Emergency Management Agency as
candidates for such assistance. The
Federal Emergency Management Agency
tracks the progress of the grants to the
survivors, to ensure proper delivery of
service, prevent duplication of benefits,
and recoup any improper payment of
public assistance funds. As a result of
the review records have been updated
within the: (1) System name; (2) system
location; (3) categories of individuals;
(4) categories of records; (5) authority
for maintenance; (6) purpose; (7) routine
uses; (8) retrievability; and (9) retention
and disposal. Additionally, this notice
includes non-substantive changes to
simplify the formatting and text of the
E:\FR\FM\24MRN1.SGM
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]]>Agencies
[Federal Register Volume 79, Number 56 (Monday, March 24, 2014)]
[Notices]
[Pages 16013-16015]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-06337]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Submission to OMB for
Review and Approval; Public Comment Request
AGENCY: Health Resources and Services Administration, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: In compliance with Section 3507(a)(1)(D) of the Paperwork
Reduction Act of 1995, the Health Resources and Services Administration
(HRSA) has submitted an Information Collection Request (ICR) to the
Office of Management and Budget (OMB) for review and approval. Comments
submitted during the first public review of this ICR will be provided
to OMB. OMB will accept further comments from the public during the
review and approval period.
DATES: Comments on this ICR should be received within 30 days of this
notice.
ADDRESSES: Submit your comments, including the Information Collection
Request Title, to the desk officer for HRSA, either by email to OIRA_submission@omb.eop.gov or by fax to 202-395-5806.
FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance
requests submitted to OMB for review, email the HRSA Information
Collection Clearance Officer at paperwork@hrsa.gov or call (301) 443-
1984.
SUPPLEMENTARY INFORMATION:
Information Collection Request Title: Application and Other Forms
utilized by the National Health Service Corps Scholarship Program, the
NHSC Students to Service Loan Repayment Program, and the Native
Hawaiian Health Scholarship Program.
OMB No. 0915-0146--Revision
Abstract: Administered by HRSA's Bureau of Clinician Recruitment
and Service (BCRS), the National Health Service Corps (NHSC)
Scholarship Program (SP), NHSC Students to Service Loan Repayment
Program (S2S LRP),
[[Page 16014]]
and the Native Hawaiian Health Scholarship Program (NHHSP), provide
scholarships or loan repayment to qualified students who are pursuing
primary care health professions education and training. In return,
students agree to provide primary health care services in medically
underserved communities located in federally designated Health
Professional Shortage Areas (HPSAs) once they are fully trained and
licensed health professionals. Awards are made to applicants who
demonstrate the greatest potential for successful completion of their
education and training as well as commitment to provide primary health
care services to communities of greatest need. The program
applications, forms, and supporting documentation are used to collect
necessary information from applicants and participants that will
facilitate in the selection of the best qualified candidates for these
competitive awards, and to monitor participants' enrollment in school
or in postgraduate training.
Although some program forms vary (see program-specific burden
charts below), general forms include: The Program Application, Academic
and Non-Academic Letters of Recommendation, the Authorization to
Release Information, and the Acceptance/Verification of Good Standing
Report. Additional forms for the NHSC SP, include the Data Collection
Worksheet, which is completed by the educational institutions of
program participants, the Post Graduate Training Verification Form
(formerly the Deferment Request Form and applicable for S2S
participants), which is completed by program participants and their
residency director, and the Enrollment Verification Form, which is
completed by program participants and the educational institution for
each academic term of the program.
Need and Proposed Use of the Information: The NHSC SP, S2S LRP, and
NHHSP applications, forms, and supporting documentation are used to
collect necessary information from applicants that will enable BCRS to
make determinations about the competitive awards.
Likely Respondents: Qualified students who are pursuing primary
care health professions education and training, and are interested in
working with underserved populations.
Burden Statement: Burden in this context means the time expended by
persons to generate, maintain, retain, disclose or provide the
information requested. This includes the time needed to review
instructions; to develop, acquire, install and utilize technology and
systems for the purpose of collecting, validating and verifying
information, processing and maintaining information, and disclosing and
providing information; to train personnel and to be able to respond to
a collection of information; to search data sources; to complete and
review the collection of information; and to transmit or otherwise
disclose the information. The total annual burden hours estimated for
this ICR are summarized in the table below.
Total Estimated Annualized Burden--Hours
NHSC Scholarship Program
----------------------------------------------------------------------------------------------------------------
Average
Number of Number of Total burden per Total burden
Form name respondents responses per responses response (in hours
respondent hours)
----------------------------------------------------------------------------------------------------------------
NHSC Scholarship Program 1800 1 1800 2.00 3600
Application....................
Letters of Recommendation....... 1800 2 3600 .50 1800
Authorization to Release 1800 1 1800 .10 180
Information....................
Acceptance/Verification of Good 1800 1 1800 .25 450
Standing Report................
Receipt of Exceptional Financial 200 1 200 .25 50
Need Scholarship...............
Verification of Disadvantaged 300 1 300 .25 75
Background Status..............
-------------------------------------------------------------------------------
Total....................... .............. .............. 9500 .............. 6155
----------------------------------------------------------------------------------------------------------------
The annual estimate of burden for participants/schools/residency
programs is as follows:
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Form name Number of responses per Total per response Total burden
respondents respondent responses (in hours) hours
----------------------------------------------------------------------------------------------------------------
Data Collection Worksheet....... 400 1 400 1.00 400
Post Graduate Training 200 1 200 .50 100
Verification Form..............
Enrollment Verification Form.... 600 2 1200 .50 600
-------------------------------------------------------------------------------
Total....................... .............. .............. 1800 .............. 1100
----------------------------------------------------------------------------------------------------------------
NHSC Students to Service Loan Repayment Program
----------------------------------------------------------------------------------------------------------------
Average
Number of Number of Total burden per Total burden
Form name respondents responses per responses response (in hours
respondent hours)
----------------------------------------------------------------------------------------------------------------
NHSC Students to Service Program 100 1 100 2.00 200
Application....................
Letters of Recommendation....... 100 2 200 .50 100
Authorization to Release 100 1 100 .10 10
Information....................
[[Page 16015]]
Acceptance/Verification of Good 100 1 100 .25 25
Standing Report................
Receipt of Exceptional Financial 4 1 4 .25 1
Need Scholarship...............
Verification of Disadvantaged 25 1 25 .25 6.25
Background Status..............
Post Graduate Training 150 1 150 .50 75
Verification Form..............
-------------------------------------------------------------------------------
Total....................... .............. .............. 679 .............. 417.25
----------------------------------------------------------------------------------------------------------------
Native Hawaiian Health Scholarship Program
----------------------------------------------------------------------------------------------------------------
Average
Number of Number of Total burden per Total burden
Form name* respondents responses per responses response (in hours
respondent hours)
----------------------------------------------------------------------------------------------------------------
Native Hawaiian Health 250 1 250 1.00 250
Scholarship Program Application
(includes Forms A-E: Applicant
Resume Instructions and
Guidelines; NHHSP Questionnaire
and Narrative Statement;
Conflicting Federal Service
Memo; Debarment, Suspension,
Disqualification and Related
Matters Certification; and
Delinquent Federal Debt).......
Letters of Recommendation 250 2 500 .25 125
(includes Forms H and I:
Academic Faculty/Advisor
Evaluation of Applicant and
Employer Evaluation of
Applicant).....................
Authorization to Release 250 1 250 .25 62.50
Information (Form F)...........
Acceptance/Verification of Good 30 12 360 .25 90
Standing Report (includes Form
G: Course Curriculum Worksheet)
-------------------------------------------------------------------------------
Total....................... .............. .............. 1360 .............. 527.50
----------------------------------------------------------------------------------------------------------------
* Please note that the forms listed above account for supporting documentation which may be uploaded as part of
the application or associated with the supplemental forms.
Dated: March 18, 2014.
Jackie Painter,
Deputy Director, Division of Policy and Information Coordination.
[FR Doc. 2014-06337 Filed 3-21-14; 8:45 am]
BILLING CODE 4165-15-P
