80_FR_43584 80 FR 43444 - Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request

80 FR 43444 - Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration

Federal Register Volume 80, Issue 140 (July 22, 2015)

Page Range43444-43444
FR Document2015-17882

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.

Federal Register, Volume 80 Issue 140 (Wednesday, July 22, 2015) 
[Federal Register Volume 80, Number 140 (Wednesday, July 22, 2015)]
[Notices]
[Page 43444]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-17882]


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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

AGENCY: Health Resources and Services Administration, HHS.

ACTION: Notice.

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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 August 21, 
2015.

ADDRESSES: Submit your comments, including the Information Collection 
Request Title, to the desk officer for HRSA, either by email to 
[email protected] 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 [email protected] or call (301) 443-
1984.

SUPPLEMENTARY INFORMATION: 
    Information Collection Request Title: Faculty Loan Repayment 
Program. OMB No. 0915-0150--Revision
    Abstract: Under the Health Resources and Services Administration 
(HRSA) Faculty Loan Repayment Program, degree-trained health 
professionals from disadvantaged health backgrounds may enter into a 
contract under which the Department of Health and Human Services will 
make payments on eligible educational loans in exchange for a minimum 
of 2 years of service as a full-time or part-time faculty member of an 
accredited health professions college or university.
    Need and Proposed Use of the Information: The Faculty Loan 
Repayment Program needs to collect data to determine an applicant's 
eligibility for the program. Information is collected from the 
applicants and/or the educational institutions which includes general 
applicant data, applicant educational loan history, employment status, 
and information regarding the educational institution which employs the 
applicant.
    Likely Respondents: Faculty Loan Repayment Program applicants and 
institutions providing employment to the applicants.
    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
----------------------------------------------------------------------------------------------------------------
                                                     Number of                    Average burden
            Form name                Number of     responses per       Total       per response    Total burden
                                    respondents     respondent       responses      (in hours)         hours
----------------------------------------------------------------------------------------------------------------
Eligible Applications...........             111               1             111               1             111
Institution/Loan Repayment                 * 111             * 1             111               1             111
 Employment Form................
Authorization to Release                     111               1             111             .25           27.75
 Information Form...............
                                 -------------------------------------------------------------------------------
    Total.......................             222  ..............  ..............  ..............          249.75
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* Respondent for this form is the institution for the applicant.


Jackie Painter,
Director, Division of the Executive Secretariat.
[FR Doc. 2015-17882 Filed 7-21-15; 8:45 am]
BILLING CODE 4165-15-P

43444 Federal Register / Vol. 80, No. 140 / Wednesday, July 22, 2015 / Notices should be sent to Dr. Joan Weiss, DEPARTMENT OF HEALTH AND Faculty Loan Repayment Program, Designated Federal Official, using the HUMAN SERVICES degree-trained health professionals from address and phone number below. disadvantaged health backgrounds may Individuals who plan to participate in- Health Resources and Services enter into a contract under which the person or on the conference call or Administration Department of Health and Human webinar should notify Dr. Weiss at least Services will make payments on eligible Agency Information Collection educational loans in exchange for a 3 days prior to the meeting, using the Activities: Submission to OMB for address and phone number below. minimum of 2 years of service as a full- Review and Approval; Public Comment time or part-time faculty member of an Members of the public will have the Request opportunity to provide comments. accredited health professions college or Interested parties should refer to the AGENCY: Health Resources and Services university. meeting subject as the HRSA Advisory Administration, HHS. Need and Proposed Use of the Committee on Training in Primary Care ACTION: Notice. Information: The Faculty Loan Medicine and Dentistry. Repayment Program needs to collect SUMMARY: In compliance with Section data to determine an applicant’s The conference call-in number is 800– 3507(a)(1)(D) of the Paperwork eligibility for the program. Information 619–2521. The passcode is: 9271697. Reduction Act of 1995, the Health is collected from the applicants and/or The webinar link is https:// Resources and Services Administration the educational institutions which hrsa.connectsolutions.com/actpcmd_ (HRSA) has submitted an Information includes general applicant data, aug2015/. Collection Request (ICR) to the Office of applicant educational loan history, Management and Budget (OMB) for employment status, and information CONTACT: Anyone requesting review and approval. Comments regarding the educational institution information regarding the ACTPCMD submitted during the first public review which employs the applicant. should contact Dr. Joan Weiss, of this ICR will be provided to OMB. Likely Respondents: Faculty Loan Designated Federal Official within the OMB will accept further comments from Repayment Program applicants and Bureau of Health Workforce, Health the public during the review and institutions providing employment to Resources and Services Administration, approval period. the applicants. in one of three ways: (1) Send a request DATES: Comments on this ICR should be Burden Statement: Burden in this to the following address: Dr. Joan Weiss, received no later than August 21, 2015. context means the time expended by Designated Federal Official, Bureau of ADDRESSES: Submit your comments, persons to generate, maintain, retain, Health Workforce, Health Resources and including the Information Collection disclose or provide the information Services Administration, Parklawn Request Title, to the desk officer for requested. This includes the time Building, Room 12C–05, 5600 Fishers HRSA, either by email to OIRA_ needed to review instructions; to Lane, Rockville, Maryland 20857; (2) submission@omb.eop.gov or by fax to develop, acquire, install and utilize call (301) 443–0430; or (3) send an email 202–395–5806. technology and systems for the purpose to jweiss@hrsa.gov. FOR FURTHER INFORMATION CONTACT: To of collecting, validating and verifying request a copy of the clearance requests information, processing and Jackie Painter, submitted to OMB for review, email the maintaining information, and disclosing Director, Division of Executive Secretariat. HRSA Information Collection Clearance and providing information; to train [FR Doc. 2015–17885 Filed 7–21–15; 8:45 am] Officer at paperwork@hrsa.gov or call personnel and to be able to respond to BILLING CODE 4165–15–P (301) 443–1984. a collection of information; to search SUPPLEMENTARY INFORMATION: data sources; to complete and review Information Collection Request Title: the collection of information; and to Faculty Loan Repayment Program. OMB transmit or otherwise disclose the No. 0915–0150—Revision information. The total annual burden Abstract: Under the Health Resources hours estimated for this ICR are and Services Administration (HRSA) summarized in the table below. TOTAL ESTIMATED ANNUALIZED BURDEN—HOURS Average Number of Number of Total burden per Total burden Form name responses per respondents responses response hours respondent (in hours) Eligible Applications ............................................................. 111 1 111 1 111 Institution/Loan Repayment Employment Form .................. * 111 *1 111 1 111 Authorization to Release Information Form ......................... 111 1 111 .25 27.75 Total .............................................................................. 222 ........................ ........................ ........................ 249.75 * Respondent for this form is the institution for the applicant. tkelley on DSK3SPTVN1PROD with NOTICES Jackie Painter, Director, Division of the Executive Secretariat. [FR Doc. 2015–17882 Filed 7–21–15; 8:45 am] BILLING CODE 4165–15–P VerDate Sep<11>2014 21:07 Jul 21, 2015 Jkt 235001 PO 00000 Frm 00059 Fmt 4703 Sfmt 4703 E:\FR\FM\22JYN1.SGM 22JYN1


Document Created: 2015-12-15 12:55:03
Document Modified: 2015-12-15 12:55:03
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesComments on this ICR should be received no later than August 21, 2015.
ContactTo request a copy of the clearance requests submitted to OMB for review, email the HRSA Information Collection Clearance Officer at [email protected] or call (301) 443- 1984.
FR Citation80 FR 43444 
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