Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request, 70826 [2015-29140]

Agencies

• DEPARTMENT OF HEALTH AND HUMAN SERVICES
• Health Resources and Services Administration

[Federal Register Volume 80, Number 220 (Monday, November 16, 2015)]
[Notices]
[Page 70826]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-29140]


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

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 no later than December 
16, 2015.

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: National Health Service Corps 
Scholar/Students to Service Travel Worksheet.
    OMB No. 0915-0278--Extension.
    Abstract: Clinicians participating in the HRSA National Health 
Service Corps (NHSC) Scholarship Program and the Students to Service 
(S2S) Loan Repayment Program use the online Travel Request Worksheet to 
receive travel funds from the federal government to visit eligible NHSC 
sites to which they may be assigned in accordance with the Public 
Health Service Act (PHSA), section 331(c)(1).
    The travel approval process is initiated when an NHSC scholar or 
S2S participant notifies the NHSC of an impending interview at one or 
more NHSC-approved practice sites. The Travel Request Worksheet is also 
used to initiate the relocation process after an NHSC scholar or S2S 
participant has successfully been matched to an approved practice site 
in accordance with the PHSA, section 331(c)(3). Upon receipt of the 
Travel Request Worksheet, the NHSC will review and approve or 
disapprove the request and promptly notify the scholar or S2S 
participant, and the NHSC logistics contractor regarding travel 
arrangements and authorization of the funding for the site visit or 
relocation.
    Need and Proposed Use of the Information: This information will 
facilitate NHSC scholar and S2S clinicians' receipt of federal travel 
funds that are used to visit high-need NHSC sites. The Travel Request 
Worksheet is also used to initiate the relocation process after an NHSC 
scholar or S2S participant has successfully been matched to an approved 
practice site. This information will be used by the NHSC in order to 
make travel arrangements for NHSC scholar and S2S clinicians to 
potential practice sites and to assist them in relocation arrangements 
once clinicians have secured employment at one of these sites.
    Likely Respondents: Clinicians participating in the National Health 
Service Corps Scholarship Program and the Students to Service Loan 
Repayment Program
    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
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                     Number of       Number of         Total        burden per     Total burden
            Form name               respondents    responses per     responses     response  (in       hours
                                                    respondent                        hours)
----------------------------------------------------------------------------------------------------------------
Travel Request Worksheet........             250               2             500           .0667              33
Total...........................             250               2             500           .0667              33
----------------------------------------------------------------------------------------------------------------


Jackie Painter,
Director, Division of the Executive Secretariat.
[FR Doc. 2015-29140 Filed 11-13-15; 8:45 am]
BILLING CODE 4165-15-P