Agency Information Collection Activity Under OMB Review: (VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Programs), 89576-89577 [2016-29667]
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[Federal Register Volume 81, Number 238 (Monday, December 12, 2016)] [Notices] [Pages 89576-89577] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 2016-29667] ----------------------------------------------------------------------- DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900-0793] Agency Information Collection Activity Under OMB Review: (VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Programs) AGENCY: Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501-3521), this notice announces that the Veterans Health Administration (VHA), Department of Veterans Affairs, will submit the collection of information abstracted below to the Office of Management and Budget (OMB) for review and comment. The PRA submission describes the nature of the information collection and its expected cost and burden; it includes the actual data collection instrument. DATES: Comments must be submitted on or before January 11, 2017. ADDRESSES: Submit written comments on the collection of information through www.Regulations.gov, or to Office of Information and Regulatory Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 17th St. NW., Washington, DC 20503 or sent through electronic mail to oira_submission@omb.eop.gov. Please refer to ``OMB Control No. 2900- 0793'' in any correspondence. FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420, (202) 461-5870 or email cynthia.harvey-pryor@va.gov. Please refer to ``OMB Control No. 2900- 0793.'' SUPPLEMENTARY INFORMATION: Titles 1. Academic Verification, VA Form 10-0491. 2. Addendum to Application, VA Form 10-0491a. 3. Annual VA Employment Deferment Verification, VA Form 10-0491c. 4. Education Program Completion Notice Service Obligation Placement, VA Form 10-0491d. 5. Evaluation Recommendation Form, VA Form 10-0491e. 6. HPSP Agreement, VA Form 10-0491f. 7. HPSP/OMPSP Application, VA Form 10-0491g. 8. Notice of Approaching Graduation, VA Form 10-0491h. 9. Notice of Change and/or Annual Academic Status Report, VA Form 10-0491i. 10. Request for Deferment for Advanced Education, VA Form 10-0491j. 11. VA Scholarship Offer Response, VA Form 10-0491k. 12. VIOMPSP Agreement, VA Form 10-0491l. OMB Control Number: 2900-0793. Type of Review: Revision of a currently approved collection. Abstract The information required determines the eligibility or suitability of an applicant desiring to receive an award under the provisions of 38 U.S.C. 7601 through 7619, and 38 U.S.C. 7501 through 7505. The information is needed to apply for the VA Health Professional Scholarship Program or Visual Impairment and Orientation and Mobility Professional Scholarship Program. The VA Health Professional Scholarship Program awards scholarships to students receiving education or training in a direct or indirect healthcare services discipline to assist in providing an adequate supply of such personnel for VA and for the United States. The Visual Impairment and Orientation and Mobility Professional Scholarship Program awards scholarships to students pursuing a program of study leading to a degree in visual impairment or orientation and mobility in order to increase the supply of qualified blind rehabilitation specialists for VA and the Nation. The Federal Register Notice with a 60-day comment period soliciting comments on this collection of information was published at Vol. 81, No. 195, FR 69904 on Friday, October 7, 2016. Affected Public: Individuals or households. Estimate of the Hour Burden for the Collection of Information Applicants ---------------------------------------------------------------------------------------------------------------- Number of x Number of x Number of Equals Number of VA Forms respondents responses Equals minutes (minutes) / by 60 = hours ---------------------------------------------------------------------------------------------------------------- 10-0491g--Application....... 1,500 1 1,500 60 90,000 ......... 1,500 10-0491--Academic 1,500 1 1,500 60 90,000 ......... 1,500 Verification............... 10-0491e--Evaluations & 1,500 2 3,000 50 150,000 ......... 2,500 Recommendations (2)........ 10-0491a--Addendum to 450 (30%) 1 450 10 4,500 ......... 75 Application................ ----------------------------------------------------------------------------------- Total................... ........... ........... ......... ........... ......... ......... 5,575 ---------------------------------------------------------------------------------------------------------------- [[Page 89577]] Applicants Selected To Receive a Scholarship ---------------------------------------------------------------------------------------------------------------- Number of x Number of x Number of Equals Number of VA Forms respondents responses Equals minutes (minutes) / by 60 = hours ---------------------------------------------------------------------------------------------------------------- 10-0491L--Agreement for the 30 1 30 15 450 ......... 8 VIOMPSP.................... 10-0491k--VA Scholarship 30 1 30 10 300 ......... 5 Offer Response............. 10-0491i--Notice of Change 30 1 30 20 600 ......... 10 and/or Annual Academic Status Report.............. 10-0491h--Notice of 30 1 30 10 300 ......... 5 Approaching Graduation..... 10-0491d--Education Program 30 1 30 20 600 ......... 10 Completion Notice/Service Obligation Placement....... 10-0491j--Request for 6 1 6 10 60 ......... 1 Deferment for Advanced Education.................. 10-0491c--Annual VA 30 1 24 10 240 ......... 4 Employment/Deferment Verification............... ----------------------------------------------------------------------------------- Total................... ........... ........... ......... ........... ......... ......... 43 ----------------------------------------------------------------------------------- Grand Total for ........... ........... ......... ........... ......... ......... 5,618 VIOMPSP............ ---------------------------------------------------------------------------------------------------------------- Health Professional Scholarship Program (HPSP) Applicants ---------------------------------------------------------------------------------------------------------------- Number of x Number of x Number of Equals Number of VA Forms respondents responses Equals minutes (minutes) / by 60 = hours ---------------------------------------------------------------------------------------------------------------- 10-0491g--Application....... 5,000 1 5,000 60 300,000 ......... 5,000 10-0491--Academic 5,000 1 5,000 60 300,000 ......... 5,000 Verification............... 10-0491e--Evaluations & 5,000 2 10,000 50 500,000 ......... 8,333 Recommendations (2)........ 10-0491a--Addendum to 1500 (30%) 1 1500 10 15,000 ......... 250 Application................ ----------------------------------------------------------------------------------- Total................... ........... ........... ......... ........... ......... ......... 18,583 ---------------------------------------------------------------------------------------------------------------- Applicants Selected To Receive a Scholarship ---------------------------------------------------------------------------------------------------------------- Numnrt of x Number of x Number of Equals Number of VA Forms respondents responses Equals minutes (minutes) / by 60 = hours ---------------------------------------------------------------------------------------------------------------- 10-0491f--Agreement for the 100 1 100 15 1,500 ......... 25 HPSP....................... 10-0491k--VA Scholarship 100 1 100 10 1,000 ......... 17 Offer Response............. 10-0491i--Notice of Change 100 1 100 20 2,000 ......... 33 and/or Annual Academic Status Report.............. 10-0491h--Notice of 100 1 100 10 1,000 ......... 17 Approaching Graduation..... 10-0491d--Education Program 100 1 100 20 2,000 ......... 33 Completion Notice/Service Obligation Placement....... 10-0491j--Request for 20 1 20 10 200 ......... 3 Deferment for Advanced Education.................. 10-0491c--Annual VA 80 1 80 10 800 ......... 13 Employment/Deferment Verification............... ----------------------------------------------------------------------------------- Total................... ........... ........... ......... ........... ......... ......... 141 ----------------------------------------------------------------------------------- Grand Total for HPSP ........... ........... ......... ........... ......... ......... 18,724 ----------------------------------------------------------------------------------- Grand Total for ........... ........... ......... ........... ......... ......... 24,342 Both VIOMPSP and HPSP....... ---------------------------------------------------------------------------------------------------------------- Frequency of Response: Annually. By direction of the Secretary. Cynthia Harvey-Pryor, Program Specialist, Office of Privacy and Records Management, Department of Veterans Affairs. [FR Doc. 2016-29667 Filed 12-9-16; 8:45 am] BILLING CODE 8320-01-P
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