Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; The National Health Service Corps Loan Repayment Program, 1352-1353 [2016-31723]
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Federal Register / Vol. 82, No. 3 / Thursday, January 5, 2017 / Notices
FDA received 7,265 cancellations of
prior notices through ABI/ACS during
2014; 7,910 during 2015; and 5,948
during 2016. Based on this experience,
the Agency estimates that
approximately 7,040 users of ABI/ACS
will submit an average of 1 cancellation
annually, for a total of 7,040
cancellations received annually through
ABI/ACS. FDA estimates the reporting
burden for a cancellation submitted
through ABI/ACS to be 15 minutes, or
0.25 hour, per cancellation, for a total
burden of 1,760 hours.
FDA received 36,324 cancellations of
prior notices through PNSI during 2014;
39,553 during 2015; and 29,743 during
2016. Based on this experience, the
Agency estimates that approximately
35,208 registered users of PNSI will
submit an average of 1 cancellation
annually, for a total of 35,208
cancellations received annually. FDA
estimates the reporting burden for a
cancellation submitted through PNSI to
be 15 minutes, or 0.25 hour, per
cancellation, for a total burden of 8,802
hours.
FDA has not received any requests for
review under § 1.283(d) or § 1.285(j) in
the last 3 years; therefore, the Agency
estimates that one or fewer requests for
review will be submitted annually. FDA
estimates that it will take a requestor
about 8 hours to prepare the factual and
legal information necessary to prepare a
request for review. Thus, the Agency
has estimated a total reporting burden of
8 hours.
FDA received 235 post-hold
submissions under § 1.285(i) during
2014; 218 during 2015; and 337 during
2016. Based on this experience, the
Agency estimates that 263 post-hold
submissions under § 1.285(i) will be
submitted annually. FDA estimates that
it will take about 1 hour to prepare the
written notification described in
§ 1.285(i)(2)(i). Thus, the Agency
estimates a total reporting burden of 263
hours.
Dated: December 30, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016–32030 Filed 1–4–17; 8:45 am]
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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; The National Health Service
Corps Loan Repayment Program
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services.
ACTION: Notice.
AGENCY:
In compliance with Section
3507(a)(1)(D) of the Paperwork
Reduction Act of 1995, 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 February 6, 2017.
ADDRESSES: Submit your comments,
including the ICR 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: When
submitting comments or requesting
information, please include the
information request collection title for
reference.
Information Collection Request Title:
The National Health Service Corps Loan
Repayment Program.
OMB No. 0915–0127 Revision.
Abstract: The National Health Service
Corps (NHSC) Loan Repayment Program
(LRP) was established to assure an
adequate supply of trained primary care
health professionals to provide services
in the neediest Health Professional
Shortage Areas (HPSAs) of the United
States. Under this program, the
Department of Health and Human
Services agrees to repay the qualifying
educational loans of selected primary
care health professionals. In return, the
health professionals agree to serve for a
specified period of time in an NHSCapproved site located in a federallydesignated HPSA approved by the
Secretary for LRP participants. The
forms used by the LRP include the
SUMMARY:
PO 00000
Frm 00043
Fmt 4703
Sfmt 4703
following: The NHSC LRP Application,
the Authorization for Disclosure of Loan
Information form, the Privacy Act
Release Authorization form, and if
applicable, the Verification of
Disadvantaged Background form and the
Private Practice Option form. The first
four of the aforementioned NHSC LRP
forms collect information that is needed
for selecting participants and repaying
qualifying educational loans. The last
referenced form, the Private Practice
Option Form, is needed to collect
information for all participants who
have applied for that service option.
NHSC-approved sites are health care
facilities that provide comprehensive
outpatient, ambulatory, primary health
care services to populations residing in
HPSAs. Related in-patient services may
be provided by NHSC-approved Critical
Access Hospitals (CAHs). To become an
NHSC-approved site, new sites must
submit a Site Application for review
and approval. Existing NHSC-approved
sites are required to complete a Site
Recertification Application to maintain
their NHSC-approved status. Both the
NHSC Site Application and Site
Recertification Application request
information on the clinical service site,
sponsoring agency, recruitment contact,
staffing levels, service users, charges for
services, employment policies, and
fiscal management capabilities.
Assistance in completing these
applications may be obtained through
the appropriate State Primary Care
Offices and HRSA’s NHSC program
office. The information collected on the
applications is used for determining the
eligibility of sites for the assignment of
NHSC health professionals and to verify
the need for NHSC clinicians. NHSC
service site approval is valid for 3 years.
Sites wishing to remain eligible for the
assignment of NHSC providers must
submit a Site Recertification
Application every 3 years.
The proposed ICR is a revision to
OMB control number 0915–0127 (NHSC
LRP) by combining previously approved
OMB number 0915–0230 (NHSC Site
Application and Site Recertification
Application forms) and adding a new
form to the ICR called the NHSC
Comprehensive Behavioral Health
Services Checklist.
Need and Proposed Use of the
Information: The need and purpose of
this information collection is to obtain
information that is used to assess an
LRP applicant’s eligibility and
qualifications for the LRP and obtain
information for NHSC site applicants.
Clinicians interested in participating in
the NHSC LRP must submit an
application to the NHSC to participate
in the program, and health care facilities
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05JAN1
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Federal Register / Vol. 82, No. 3 / Thursday, January 5, 2017 / Notices
located in HPSAs must submit an NHSC
Site Application and Site Recertification
Application to determine the eligibility
of sites to participate in the NHSC as an
approved service site. The NHSC LRP
participant application asks for
personal, professional, and financial
information needed to determine the
applicant’s eligibility to participate in
the NHSC LRP. In addition, applicants
must provide information regarding the
loans for which repayment is being
requested. NHSC policy requires
behavioral health providers to practice
in community-based settings that
provide access to comprehensive
behavioral health services. Accordingly,
for those sites seeking to be assigned
behavioral health NHSC participants,
additional site information collected
from an NHSC Comprehensive
Behavioral Health Services Checklist is
used. NHSC sites that do not directly
offer all required behavioral health
services must demonstrate a formal
affiliation with a comprehensive,
community-based primary behavioral
health setting or facility to provide these
services.
Likely Respondents: Likely
respondents include: Licensed primary
care medical, dental, and behavioral
health providers who are employed or
seeking employment, and are interested
in serving underserved populations;
health care facilities interested in
participating in the NHSC and becoming
an NHSC-approved service site; and
NHSC sites providing behavioral health
care services directly or through a
formal affiliation with a comprehensive
community-based primary behavioral
health setting or facility providing
comprehensive behavioral health
services.
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 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 Information
Collection Request are summarized in
the table below.
TOTAL ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Form name
Number of
responses per
respondent
Total
responses
Average
burden per
response
(in hours)
Total burden
hours
NHSC LRP Application ........................................................
Authorization for Disclosure of Loan Information Form .......
Privacy Act Release Authorization Form .............................
Verification of Disadvantaged Background Form ................
Private Practice Option Form ..............................................
NHSC Comprehensive Behavioral Health Services Checklist .....................................................................................
NHSC Site Application (including recertification) ................
8,200
6,500
275
600
300
1
1
1
1
1
8,200
6,500
275
600
300
1
.10
.10
.50
.10
8,200
650
27.5
300
30
* 4,000
* 3,700
1
1
4,000
3,700
.13
.5
520
1,850
Total ..............................................................................
19,875
........................
19,875
........................
11,577.50
* The same respondents are completing the NHSC Comprehensive Behavioral Services Checklist and the NHSC Site Application.
HRSA specifically requests comments
on (1) the necessity and utility of the
proposed information collection for the
proper performance of the agency’s
functions, (2) the accuracy of the
estimated burden, (3) ways to enhance
the quality, utility, and clarity of the
information to be collected, and (4) the
use of automated collection techniques
or other forms of information
technology to minimize the information
collection burden.
Amy McNulty,
Deputy Director, Division of the Executive
Secretariat.
[FR Doc. 2016–31723 Filed 1–4–17; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Proposed Changes to the Black Lung
Clinics Program for Consideration for
the FY 2017 Funding Opportunity
Announcement Development
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services.
ACTION: Response to comments.
AGENCY:
The Federal Office of Rural
Health Policy (FORHP) in HRSA
published a 30-day public notice in the
Federal Register on August 22, 2016
soliciting feedback on a range of issues
pertaining to the Black Lung Clinics
Program (BLCP). In particular, FORHP
requested feedback on how to best
determine the needs of coal miners and
their families, given the available data,
and how to better equip future BLCP
SUMMARY:
PO 00000
Frm 00044
Fmt 4703
Sfmt 4703
grantees to meet those needs. This
notice responds to the comments
received during this 30-day public
notice.
ADDRESSES: Further information on the
Black Lung clinics program is available
at https://www.hrsa.gov/gethealthcare/
conditions/blacklung/.
FOR FURTHER INFORMATION CONTACT:
Allison Hutchings, Program
Coordinator, Black Lung Clinics
Program, Federal Office of Rural Health
Policy, Health Resources and Services
Administration, blacklung@hrsa.gov.
SUPPLEMENTARY INFORMATION: The
Federal Office of Rural Health Policy
(FORHP) in HRSA published a 30-day
public notice in the Federal Register on
August 22, 2016 (Federal Register
volume 81, number 162, pp. 56660–
56662) soliciting feedback on a range of
issues pertaining to the Black Lung
Clinics Program (BLCP). In particular,
FORHP requested feedback on how to
best determine the needs of coal miners
and their families, given the available
E:\FR\FM\05JAN1.SGM
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Agencies
[Federal Register Volume 82, Number 3 (Thursday, January 5, 2017)]
[Notices]
[Pages 1352-1353]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-31723]
-----------------------------------------------------------------------
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; The National Health
Service Corps Loan Repayment Program
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: In compliance with Section 3507(a)(1)(D) of the Paperwork
Reduction Act of 1995, 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 February
6, 2017.
ADDRESSES: Submit your comments, including the ICR 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: When submitting comments or requesting
information, please include the information request collection title
for reference.
Information Collection Request Title: The National Health Service
Corps Loan Repayment Program.
OMB No. 0915-0127 Revision.
Abstract: The National Health Service Corps (NHSC) Loan Repayment
Program (LRP) was established to assure an adequate supply of trained
primary care health professionals to provide services in the neediest
Health Professional Shortage Areas (HPSAs) of the United States. Under
this program, the Department of Health and Human Services agrees to
repay the qualifying educational loans of selected primary care health
professionals. In return, the health professionals agree to serve for a
specified period of time in an NHSC-approved site located in a
federally-designated HPSA approved by the Secretary for LRP
participants. The forms used by the LRP include the following: The NHSC
LRP Application, the Authorization for Disclosure of Loan Information
form, the Privacy Act Release Authorization form, and if applicable,
the Verification of Disadvantaged Background form and the Private
Practice Option form. The first four of the aforementioned NHSC LRP
forms collect information that is needed for selecting participants and
repaying qualifying educational loans. The last referenced form, the
Private Practice Option Form, is needed to collect information for all
participants who have applied for that service option.
NHSC-approved sites are health care facilities that provide
comprehensive outpatient, ambulatory, primary health care services to
populations residing in HPSAs. Related in-patient services may be
provided by NHSC-approved Critical Access Hospitals (CAHs). To become
an NHSC-approved site, new sites must submit a Site Application for
review and approval. Existing NHSC-approved sites are required to
complete a Site Recertification Application to maintain their NHSC-
approved status. Both the NHSC Site Application and Site
Recertification Application request information on the clinical service
site, sponsoring agency, recruitment contact, staffing levels, service
users, charges for services, employment policies, and fiscal management
capabilities. Assistance in completing these applications may be
obtained through the appropriate State Primary Care Offices and HRSA's
NHSC program office. The information collected on the applications is
used for determining the eligibility of sites for the assignment of
NHSC health professionals and to verify the need for NHSC clinicians.
NHSC service site approval is valid for 3 years. Sites wishing to
remain eligible for the assignment of NHSC providers must submit a Site
Recertification Application every 3 years.
The proposed ICR is a revision to OMB control number 0915-0127
(NHSC LRP) by combining previously approved OMB number 0915-0230 (NHSC
Site Application and Site Recertification Application forms) and adding
a new form to the ICR called the NHSC Comprehensive Behavioral Health
Services Checklist.
Need and Proposed Use of the Information: The need and purpose of
this information collection is to obtain information that is used to
assess an LRP applicant's eligibility and qualifications for the LRP
and obtain information for NHSC site applicants. Clinicians interested
in participating in the NHSC LRP must submit an application to the NHSC
to participate in the program, and health care facilities
[[Page 1353]]
located in HPSAs must submit an NHSC Site Application and Site
Recertification Application to determine the eligibility of sites to
participate in the NHSC as an approved service site. The NHSC LRP
participant application asks for personal, professional, and financial
information needed to determine the applicant's eligibility to
participate in the NHSC LRP. In addition, applicants must provide
information regarding the loans for which repayment is being requested.
NHSC policy requires behavioral health providers to practice in
community-based settings that provide access to comprehensive
behavioral health services. Accordingly, for those sites seeking to be
assigned behavioral health NHSC participants, additional site
information collected from an NHSC Comprehensive Behavioral Health
Services Checklist is used. NHSC sites that do not directly offer all
required behavioral health services must demonstrate a formal
affiliation with a comprehensive, community-based primary behavioral
health setting or facility to provide these services.
Likely Respondents: Likely respondents include: Licensed primary
care medical, dental, and behavioral health providers who are employed
or seeking employment, and are interested in serving underserved
populations; health care facilities interested in participating in the
NHSC and becoming an NHSC-approved service site; and NHSC sites
providing behavioral health care services directly or through a formal
affiliation with a comprehensive community-based primary behavioral
health setting or facility providing comprehensive behavioral health
services.
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 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 Information Collection Request are summarized in the table below.
Total Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Form name Number of responses per Total per response Total burden
respondents respondent responses (in hours) hours
----------------------------------------------------------------------------------------------------------------
NHSC LRP Application............ 8,200 1 8,200 1 8,200
Authorization for Disclosure of 6,500 1 6,500 .10 650
Loan Information Form..........
Privacy Act Release 275 1 275 .10 27.5
Authorization Form.............
Verification of Disadvantaged 600 1 600 .50 300
Background Form................
Private Practice Option Form.... 300 1 300 .10 30
NHSC Comprehensive Behavioral * 4,000 1 4,000 .13 520
Health Services Checklist......
NHSC Site Application (including * 3,700 1 3,700 .5 1,850
recertification)...............
-------------------------------------------------------------------------------
Total....................... 19,875 .............. 19,875 .............. 11,577.50
----------------------------------------------------------------------------------------------------------------
* The same respondents are completing the NHSC Comprehensive Behavioral Services Checklist and the NHSC Site
Application.
HRSA specifically requests comments on (1) the necessity and
utility of the proposed information collection for the proper
performance of the agency's functions, (2) the accuracy of the
estimated burden, (3) ways to enhance the quality, utility, and clarity
of the information to be collected, and (4) the use of automated
collection techniques or other forms of information technology to
minimize the information collection burden.
Amy McNulty,
Deputy Director, Division of the Executive Secretariat.
[FR Doc. 2016-31723 Filed 1-4-17; 8:45 am]
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