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.

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

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 
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: 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
----------------------------------------------------------------------------------------------------------------
* 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




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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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