Agency Information Collection Activities: Proposed Collection: Public Comment Request Information Collection Request Title: Application and Other Forms Used by the National Health Service Corps (NHSC) Scholarship Program (SP), the NHSC Students to Service Loan Repayment Program (S2S LRP), and the Native Hawaiian Health Scholarship Program (NHHSP), OMB No. 0915-0146-Revision, 13662-13664 [2020-04762]
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jbell on DSKJLSW7X2PROD with NOTICES
13662
Federal Register / Vol. 85, No. 46 / Monday, March 9, 2020 / Notices
policy, program development, and other
matters of significance concerning the
activities under 42 U.S.C. Section 217a,
Section 222 of the Public Health Service
Act, as amended, and 42 CFR 121.12.
ACOT advises the Secretary, through
the HRSA Administrator, on all aspects
of organ donation, procurement,
allocation, and transplantation, and on
such other matters that the Secretary
determines; advises the Secretary on
federal efforts to maximize the number
of deceased donor organs made
available for transplantation and to
support the safety of living organ
donation; at the request of the Secretary,
reviews significant proposed Organ
Procurement and Transplantation
Network policies submitted for the
Secretary’s approval to recommend
whether they should be made
enforceable; and provides expert input
on the latest advances in the science of
transplantation.
During the April 7, 2020, meeting,
ACOT will discuss issues related to the
recent HHS National Survey of Organ
Donation Attitudes and Behaviors and
efforts to increase organ transplantation.
Agenda items are subject to change as
priorities dictate. Refer to the ACOT
website for any updated information
concerning the meeting.
Members of the public will have the
opportunity to provide comments.
Public participants may submit written
statements in advance of the scheduled
meeting. Oral comments will be
honored in the order they are requested
and may be limited as time allows.
Requests to submit a written statement
or make oral comments to ACOT should
be sent to Robert Walsh, DFO, using the
contact information above at least 3
business days prior to the meeting.
Individuals who plan to attend and
need special assistance or another
reasonable accommodation should
notify Robert Walsh at the address and
phone number listed above at least 10
business days prior to the meeting.
Since this meeting occurs in a federal
government building, attendees must go
through a security check to enter the
building. Non-U.S. Citizen attendees
must notify HRSA of their planned
attendance at least 20 business days
prior to the meeting in order to facilitate
their entry into the building. All
attendees are required to present
government-issued identification prior
to entry.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2020–04744 Filed 3–6–20; 8:45 am]
BILLING CODE 4165–15–P
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Jkt 250001
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Agency Information Collection
Activities: Proposed Collection: Public
Comment Request Information
Collection Request Title: Application
and Other Forms Used by the National
Health Service Corps (NHSC)
Scholarship Program (SP), the NHSC
Students to Service Loan Repayment
Program (S2S LRP), and the Native
Hawaiian Health Scholarship Program
(NHHSP), OMB No. 0915–0146—
Revision
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services.
ACTION: Notice.
AGENCY:
In compliance with the
requirement for opportunity for public
comment on proposed data collection
projects of the Paperwork Reduction Act
of 1995, HRSA announces plans to
submit an Information Collection
Request (ICR), described below, to the
Office of Management and Budget
(OMB). Prior to submitting the ICR to
OMB, HRSA seeks comments from the
public regarding the burden estimate,
below, or any other aspect of the ICR.
DATES: Comments on this ICR should be
received no later than May 8, 2020.
ADDRESSES: Submit your comments to
paperwork@hrsa.gov or mail the HRSA
Information Collection Clearance
Officer, Room 14N136B, 5600 Fishers
Lane, Rockville, MD 20857.
FOR FURTHER INFORMATION CONTACT: To
request more information on the
proposed project or to obtain a copy of
the data collection plans and draft
instruments, email paperwork@hrsa.gov
or call Lisa Wright-Solomon, the HRSA
Information Collection Clearance Officer
at (301) 443–1984.
SUPPLEMENTARY INFORMATION: When
submitting comments or requesting
information, please include the
information request collection title for
reference.
Information Collection Request Title:
Application and Other Forms Used by
NHSC Scholarship Program (SP), 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 Health Workforce, the NHSC
SP, NHSC S2S LRP, and the NHHSP
provide scholarships or loan repayment
to qualified students who are pursuing
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Frm 00041
Fmt 4703
Sfmt 4703
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 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
information from program applications,
forms, and supporting documentation is
used to select the best qualified
candidates for these competitive
awards, and to monitor program
participants’ enrollment in school,
postgraduate training, and compliance
with program requirements.
Although some program forms vary
from program to program (see programspecific burden charts below), required
forms generally include: A program
application, academic and nonacademic 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 (applicable for NHSC
S2S LRP 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. For this ICR, the NHHSP
program proposes to add 3 new forms
including the scholar enrollment
verification, change in program
curriculum and graduation
documentation forms. These forms will
be completed by the grantee on behalf
of the participant and the educational
institution to verify the participant’s
enrollment status for each academic
term, to provide notice of any change in
the participant’s program curriculum,
and to verify that NHHSP has met its
financial obligation to pay tuition and
related fees or to hold additional funds
to cover any tuition balance or fees on
the participant’s student account.
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 enable HRSA to make
selection determinations for the
competitive awards and monitor
compliance with program requirements.
E:\FR\FM\09MRN1.SGM
09MRN1
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Federal Register / Vol. 85, No. 46 / Monday, March 9, 2020 / Notices
Likely Respondents: Qualified
students who are pursuing education
and training in primary care health
professions and are interested in
working in health professional shortage
areas.
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 APPLICATION
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 ..............
Verification of Disadvantaged Background Status ..............
1,889
1,889
1,889
1,889
547
1
2
1
1
1
1,889
3,778
1,889
1,889
547
2.00
1.00
.10
.25
.25
3,778.00
3,778.00
188.90
472.25
136.75
Total ..............................................................................
* 1,889
........................
9,992
........................
8,353.9
* Certain documents are submitted by a subset of respondents consistent with program requirements.
NHSC AWARDEES/SCHOOLS/POST GRADUATE TRAINING PROGRAMS/SITES
Number of
respondents
Form name
Number of
responses
per
respondent
Average
burden per
response
(in hours)
Total
responses
Total burden
hours
Data Collection Worksheet ..................................................
Post Graduate Training Verification Form ...........................
Enrollment Verification Form ...............................................
400
100
600
1
1
2
400
100
1,200
1.00
.50
.50
400
50
600
Total ..............................................................................
* 600
........................
1,700
........................
1,050
* Please note that the same group of respondents may complete each form as necessary.
NHSC STUDENTS TO SERVICE LOAN REPAYMENT PROGRAM APPLICATION
Number of
respondents
Form name
Number of
responses
per
respondent
Average
burden per
response
(in hours)
Total
responses
Total burden
hours
NHSC Students to Service Loan Repayment Program Application ............................................................................
Letters of Recommendation .................................................
Authorization to Release Information ..................................
Acceptance/Verification of Good Standing Report ..............
Verification of Disadvantaged Background Status ..............
Post Graduate Training Verification Form ...........................
200
200
200
200
70
150
1
2
1
1
1
1
200
400
200
200
70
150
2.00
1.00
.10
.25
.25
.50
400
400
20
50
17.5
75
Total ..............................................................................
* 150
........................
1,220
........................
962.5
* Certain documents are submitted by a subset of respondents consistent with program requirements.
NATIVE HAWAIIAN HEALTH SCHOLARSHIP PROGRAM APPLICATION
Number of
respondents
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Form name
Native Hawaiian Health Scholarship Program Application ..
Letters of Recommendation .................................................
Authorization to Release Information ..................................
Acceptance/Verification of Good Standing Report ..............
Scholar Enrollment Verification Form ..................................
Change in Program Curriculum Form .................................
NHHSP Graduation Documentation Form ...........................
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PO 00000
Frm 00042
Number of
responses
per
respondent
310
310
310
30
30
30
30
Fmt 4703
Sfmt 4703
Total
responses
1
2
1
1
7.5
2
1
E:\FR\FM\09MRN1.SGM
310
620
310
30
225
60
30
09MRN1
Average
burden per
response
(in hours)
2.00
.25
.25
.25
0.50
.25
0.25
Total burden
hours
620.0
155.0
77.5
7.5
112.5
15.0
7.5
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Federal Register / Vol. 85, No. 46 / Monday, March 9, 2020 / Notices
NATIVE HAWAIIAN HEALTH SCHOLARSHIP PROGRAM APPLICATION—Continued
Number of
respondents
Form name
Total ..............................................................................
* 310
Number of
responses
per
respondent
Average
burden per
response
(in hours)
Total
responses
........................
1,585
........................
Total burden
hours
995
* Certain documents are submitted by a subset of respondents consistent with program requirements.
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.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2020–04762 Filed 3–6–20; 8:45 am]
BILLING CODE 4165–15–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; Nurse Corps Scholarship
Program (NCSP), OMB No. 0915–
0301—Revision
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services.
ACTION: Notice.
AGENCY:
In compliance with the
Paperwork Reduction Act of 1995,
HRSA 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 April 8, 2020.
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 Lisa
Wright-Solomon, the HRSA Information
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SUMMARY:
VerDate Sep<11>2014
17:47 Mar 06, 2020
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Collection Clearance Officer at
paperwork@hrsa.gov or call (301) 443–
1984.
SUPPLEMENTARY INFORMATION:
Information Collection Request Title:
Nurse Corps Scholarship Program OMB
No. 0915–0301—Revision.
Abstract: The NCSP, administered by
the Bureau of Health Workforce in
HRSA, provides scholarships to nursing
students in exchange for a minimum 2year full-time service commitment (or
part-time equivalent) at an eligible
health care facility with a critical
shortage of nurses (i.e., Critical Shortage
Facility (CSF)). The scholarship consists
of payment of tuition, fees, other
reasonable educational costs, and a
monthly support stipend. Program
recipients are required to fulfill NCSP
service commitments at CSFs located in
the 50 States, the District of Columbia,
Guam, the Commonwealth of Puerto
Rico, the Northern Mariana Islands, the
U.S. Virgin Islands, American Samoa,
the Federated States of Micronesia, the
Republic of the Marshall Islands, and
the Republic of Palau.
A 60-day notice was published in the
Federal Register on October, 04, 2019,
vol. 84, No. 193; pp. 53158–160. No
comments were received.
Need and Proposed Use of the
Information: The NCSP collects data to
determine an applicant’s eligibility for
the program, monitor a participant’s
continued enrollment in a school of
nursing, monitor the participant’s
compliance with the NCSP service
obligation, and prepare annual reports
to Congress. Generally, the following
information is collected (1) from the
schools of nursing, on a quarterly
basis—general applicant and nursing
school data such as full name, location,
tuition/fees, and enrollment status; (2)
from the schools of nursing, on an
annual basis—data concerning tuition/
fees and overall student enrollment
status; and (3) from the participants and
their employing CSF, on a biannual
basis—data concerning the participant’s
employment status, work schedule and
leave usage. In addition, this notice
includes one additional form,
Verification of Academic Standing, to be
completed by the academic institution
to verify that the participant remains in
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Frm 00043
Fmt 4703
Sfmt 4703
good academic standing under the
policies of the institution. The form was
not included in the 60 day notice but
due to programmatic need, it is now
being included in this notice.
The Employment Verification Form
has been updated to include two
questions about participants who work
at multiple sites. The In-Service
Verification form has been updated to
include questions on telehealth and
mental health services provided by
NCSP participants. Additionally, the
application will include an essay
question about participation in other
federal pipeline programs.
The revised information collection
request includes updates to existing
forms for the Nurse Corps SP in order
to expand the service options for
awarded participants, promote the use
of telehealth for delivering care
throughout the nation especially in rural
areas, and to reduce the application
burden on respondents.
Updated Form #1—The Participant
Semi-Annual Employment In-Service
Verification Form will be updated to
include additional information about
the participant’s service including
information about telehealth services.
This form is also being requested for
providers that work at multiple CSF
sites. Telehealth helps expand the reach
of providers especially in rural areas
where medical service sites are more
remote. The information collected will
assist Program with determining the
impact and utilization of telehealth
services in various health care settings
which will be used to inform our
telehealth policies. Enabling service at
multiple CSF sites will also allow
greater flexibility for providers who
rotate or split time between multiple
sites which benefits both the
participants and the underserved
communities—especially in our
Federally Qualified Health Centers
(FQHC), which support many of our
Nurse Corps Nurse Practitioners.
Updated Form #2—The Nurse Corps
SP application will include questions
for applicants to provide information
regarding telehealth services, multiple
CSF sites, and verification of base salary
to determine the debt to salary ratio
used to rank applicant’s for award
E:\FR\FM\09MRN1.SGM
09MRN1
Agencies
[Federal Register Volume 85, Number 46 (Monday, March 9, 2020)]
[Notices]
[Pages 13662-13664]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-04762]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Proposed Collection:
Public Comment Request Information Collection Request Title:
Application and Other Forms Used by the National Health Service Corps
(NHSC) Scholarship Program (SP), the NHSC Students to Service Loan
Repayment Program (S2S LRP), and the Native Hawaiian Health Scholarship
Program (NHHSP), OMB No. 0915-0146--Revision
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: In compliance with the requirement for opportunity for public
comment on proposed data collection projects of the Paperwork Reduction
Act of 1995, HRSA announces plans to submit an Information Collection
Request (ICR), described below, to the Office of Management and Budget
(OMB). Prior to submitting the ICR to OMB, HRSA seeks comments from the
public regarding the burden estimate, below, or any other aspect of the
ICR.
DATES: Comments on this ICR should be received no later than May 8,
2020.
ADDRESSES: Submit your comments to [email protected] or mail the HRSA
Information Collection Clearance Officer, Room 14N136B, 5600 Fishers
Lane, Rockville, MD 20857.
FOR FURTHER INFORMATION CONTACT: To request more information on the
proposed project or to obtain a copy of the data collection plans and
draft instruments, email [email protected] or call Lisa Wright-
Solomon, the HRSA Information Collection Clearance Officer at (301)
443-1984.
SUPPLEMENTARY INFORMATION: When submitting comments or requesting
information, please include the information request collection title
for reference.
Information Collection Request Title: Application and Other Forms
Used by NHSC Scholarship Program (SP), 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 Health Workforce, the
NHSC SP, NHSC S2S LRP, and the 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 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 information from program
applications, forms, and supporting documentation is used to select the
best qualified candidates for these competitive awards, and to monitor
program participants' enrollment in school, postgraduate training, and
compliance with program requirements.
Although some program forms vary from program to program (see
program-specific burden charts below), required forms generally
include: A 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 (applicable for NHSC S2S LRP
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. For this ICR, the NHHSP program proposes to add 3
new forms including the scholar enrollment verification, change in
program curriculum and graduation documentation forms. These forms will
be completed by the grantee on behalf of the participant and the
educational institution to verify the participant's enrollment status
for each academic term, to provide notice of any change in the
participant's program curriculum, and to verify that NHHSP has met its
financial obligation to pay tuition and related fees or to hold
additional funds to cover any tuition balance or fees on the
participant's student account.
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 enable HRSA to make
selection determinations for the competitive awards and monitor
compliance with program requirements.
[[Page 13663]]
Likely Respondents: Qualified students who are pursuing education
and training in primary care health professions and are interested in
working in health professional shortage areas.
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 Application
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Form name Number of responses per Total per response Total burden
respondents respondent responses (in hours) hours
----------------------------------------------------------------------------------------------------------------
NHSC Scholarship Program 1,889 1 1,889 2.00 3,778.00
Application....................
Letters of Recommendation....... 1,889 2 3,778 1.00 3,778.00
Authorization to Release 1,889 1 1,889 .10 188.90
Information....................
Acceptance/Verification of Good 1,889 1 1,889 .25 472.25
Standing Report................
Verification of Disadvantaged 547 1 547 .25 136.75
Background Status..............
-------------------------------------------------------------------------------
Total....................... * 1,889 .............. 9,992 .............. 8,353.9
----------------------------------------------------------------------------------------------------------------
* Certain documents are submitted by a subset of respondents consistent with program requirements.
NHSC Awardees/Schools/Post Graduate Training Programs/Sites
----------------------------------------------------------------------------------------------------------------
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 100 1 100 .50 50
Verification Form..............
Enrollment Verification Form.... 600 2 1,200 .50 600
-------------------------------------------------------------------------------
Total....................... * 600 .............. 1,700 .............. 1,050
----------------------------------------------------------------------------------------------------------------
* Please note that the same group of respondents may complete each form as necessary.
NHSC Students To Service Loan Repayment Program Application
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Form name Number of responses per Total per response Total burden
respondents respondent responses (in hours) hours
----------------------------------------------------------------------------------------------------------------
NHSC Students to Service Loan 200 1 200 2.00 400
Repayment Program Application..
Letters of Recommendation....... 200 2 400 1.00 400
Authorization to Release 200 1 200 .10 20
Information....................
Acceptance/Verification of Good 200 1 200 .25 50
Standing Report................
Verification of Disadvantaged 70 1 70 .25 17.5
Background Status..............
Post Graduate Training 150 1 150 .50 75
Verification Form..............
-------------------------------------------------------------------------------
Total....................... * 150 .............. 1,220 .............. 962.5
----------------------------------------------------------------------------------------------------------------
* Certain documents are submitted by a subset of respondents consistent with program requirements.
Native Hawaiian Health Scholarship Program Application
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Form name Number of responses per Total per response Total burden
respondents respondent responses (in hours) hours
----------------------------------------------------------------------------------------------------------------
Native Hawaiian Health 310 1 310 2.00 620.0
Scholarship Program Application
Letters of Recommendation....... 310 2 620 .25 155.0
Authorization to Release 310 1 310 .25 77.5
Information....................
Acceptance/Verification of Good 30 1 30 .25 7.5
Standing Report................
Scholar Enrollment Verification 30 7.5 225 0.50 112.5
Form...........................
Change in Program Curriculum 30 2 60 .25 15.0
Form...........................
NHHSP Graduation Documentation 30 1 30 0.25 7.5
Form...........................
-------------------------------------------------------------------------------
[[Page 13664]]
Total....................... * 310 .............. 1,585 .............. 995
----------------------------------------------------------------------------------------------------------------
* Certain documents are submitted by a subset of respondents consistent with program requirements.
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.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2020-04762 Filed 3-6-20; 8:45 am]
BILLING CODE 4165-15-P