81 FR 59229 - Agency Information Collection Activities: Proposed Collection: Public Comment Request; the National Health Service Corps Loan Repayment Program
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration Federal Register Volume 81, Issue 167 (August 29, 2016)
Health Resources and Services Administration
Federal Register Volume 81, Issue 167 (August 29, 2016)
| Page Range | 59229-59230 | |
| FR Document | 2016-20584 |
[Federal Register Volume 81, Number 167 (Monday, August 29, 2016)] [Notices] [Pages 59229-59230] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-20584] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency Information Collection Activities: Proposed Collection: Public Comment Request; the National Health Service Corps Loan Repayment Program AGENCY: Health Resources and Services Administration, HHS. ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: In compliance with the requirement for opportunity for public comment on proposed data collection projects (Section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995), the Health Resources and Services Administration (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 must be received no later than October 28, 2016. ADDRESSES: Submit your comments to [email protected] or mail the HRSA Information Collection Clearance Officer, 5600 Fishers Lane, Room 14N- 39, 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 the HRSA Information Collection Clearance Officer at (301) 443-1984. SUPPLEMENTARY INFORMATION: When submitting comments or requesting information, please include the ICR 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 a NHSC-approved site located in a federally-designated HPSA approved by the Secretary for LRP participants. The forms utilized 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). In order 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 in order 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 the NHSC. 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 OMB control number 0915-0230 (NHSC Site Application) and adding a new form to the ICR entitled 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 to 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 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 a community-based setting that provides 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 will be used. NHSC sites that do not directly offer all required behavioral health services must demonstrate a [[Page 59230]] formal affiliation with a comprehensive, community-based primary behavioral health setting or facility to provide these services. Likely Respondents: Likely respondents include the following: Licensed primary care medical, dental, and mental 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; 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 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 ---------------------------------------------------------------------------------------------------------------- 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....................... 23,575 .............. 23,575 .............. 11,577.50 ---------------------------------------------------------------------------------------------------------------- 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. Jason E. Bennett, Director, Division of the Executive Secretariat. [FR Doc. 2016-20584 Filed 8-26-16; 8:45 am] BILLING CODE 4165-15-P
![Federal Register / Vol. 81, No. 167 / Monday, August 29, 2016 / Notices 59229
Families is soliciting public comment ICR to OMB, HRSA seeks comments review and approval. Existing NHSC-
on the specific aspects of the from the public regarding the burden approved sites are required to complete
information collection described above. estimate, below, or any other aspect of a Site Recertification Application in
Copies of the proposed collection of the ICR. order to maintain their NHSC-approved
information can be obtained and DATES: Comments on this ICR must be status. Both the NHSC Site Application
comments may be forwarded by writing received no later than October 28, 2016. and Site Recertification Application
to the Administration for Children and ADDRESSES: Submit your comments to request information on the clinical
Families, Office of Planning, Research paperwork@hrsa.gov or mail the HRSA service site, sponsoring agency,
and Evaluation, 370 L’Enfant Information Collection Clearance recruitment contact, staffing levels,
Promenade SW., Washington, DC 20447, Officer, 5600 Fishers Lane, Room 14N– service users, charges for services,
Attn: ACF Reports Clearance Officer. 39, Rockville, MD 20857. employment policies, and fiscal
Email address: infocollection@ management capabilities. Assistance in
FOR FURTHER INFORMATION CONTACT: To
acf.hhs.gov. All requests should be completing these applications may be
request more information on the
identified by the title of the information obtained through the appropriate State
proposed project or to obtain a copy of
collection. Primary Care Offices and the NHSC. The
the data collection plans and draft
The Department specifically requests information collected on the
instruments, email paperwork@hrsa.gov
comments on: (a) Whether the proposed applications is used for determining the
or call the HRSA Information Collection
collection of information is necessary eligibility of sites for the assignment of
Clearance Officer at (301) 443–1984.
for the proper performance of the NHSC health professionals and to verify
functions of the agency, including SUPPLEMENTARY INFORMATION: When the need for NHSC clinicians. NHSC
whether the information shall have submitting comments or requesting service site approval is valid for 3 years.
practical utility; (b) the accuracy of the information, please include the ICR title Sites wishing to remain eligible for the
agency’s estimate of the burden of the for reference. assignment of NHSC providers, must
proposed collection of information; (c) Information Collection Request Title: submit a Site Recertification
the quality, utility, and clarity of the The National Health Service Corps Loan Application every 3 years.
information to be collected; and (d) Repayment Program. The proposed ICR is a revision to
OMB No.: 0915–0127—Revision. OMB control number 0915–0127 (NHSC
ways to minimize the burden
Abstract: The National Health Service LRP) by combining OMB control
information to be collected; and (d)
Corps (NHSC) Loan Repayment Program number 0915–0230 (NHSC Site
ways to minimize the burden of the
(LRP) was established to assure an Application) and adding a new form to
collection of information on
adequate supply of trained primary care the ICR entitled the NHSC
respondents, including through the use
health professionals to provide services Comprehensive Behavioral Health
of automated collection techniques or
in the neediest Health Professional Services Checklist.
other forms of information technology.
Shortage Areas (HPSAs) of the United Need and Proposed Use of the
Consideration will be given to
States. Under this program, the Information: The need and purpose of
comments and suggestions submitted
Department of Health and Human this information collection is to obtain
within 60 days of this publication.
Services agrees to repay the qualifying information that is used to assess an
Robert Sargis, educational loans of selected primary LRP applicant’s eligibility and
Reports Clearance Officer. care health professionals. In return, the qualifications for the LRP and to obtain
[FR Doc. 2016–20610 Filed 8–26–16; 8:45 am] health professionals agree to serve for a information for NHSC site applicants.
BILLING CODE 4184–01–P specified period of time in a NHSC- Clinicians interested in participating in
approved site located in a federally- the NHSC LRP must submit an
designated HPSA approved by the application to the NHSC to participate
DEPARTMENT OF HEALTH AND Secretary for LRP participants. The in the program, and health care facilities
HUMAN SERVICES forms utilized by the LRP include the located in HPSAs must submit an NHSC
following: The NHSC LRP Application, Site Application and Site Recertification
Health Resources and Services the Authorization for Disclosure of Loan Application to determine the eligibility
Administration Information form, the Privacy Act of sites to participate in the NHSC as an
Release Authorization form, and if approved service site. The NHSC LRP
Agency Information Collection applicable, the Verification of participant application asks for
Activities: Proposed Collection: Public Disadvantaged Background form and the personal, professional and financial
Comment Request; the National Health Private Practice Option form. The first information needed to determine the
Service Corps Loan Repayment four of the aforementioned NHSC LRP applicant’s eligibility to participate in
Program forms collect information that is needed the NHSC LRP. In addition, applicants
AGENCY: Health Resources and Services for selecting participants and repaying must provide information regarding the
Administration, HHS. qualifying educational loans. The last loans for which repayment is being
ACTION: Notice. referenced form, the Private Practice requested. NHSC policy requires
Option Form, is needed to collect behavioral health providers to practice
SUMMARY: In compliance with the information for all participants who in a community-based setting that
requirement for opportunity for public have applied for that service option. provides access to comprehensive
comment on proposed data collection NHSC-approved sites are health care behavioral health services. Accordingly,
projects (Section 3506(c)(2)(A) of the facilities that provide comprehensive for those sites seeking to be assigned
jstallworth on DSK7TPTVN1PROD with NOTICES
Paperwork Reduction Act of 1995), the outpatient, ambulatory, primary health behavioral health NHSC participants,
Health Resources and Services care services to populations residing in additional site information collected
Administration (HRSA) announces HPSAs. Related in-patient services may from an NHSC Comprehensive
plans to submit an Information be provided by NHSC-approved Critical Behavioral Health Services Checklist
Collection Request (ICR), described Access Hospitals (CAHs). In order to will be used. NHSC sites that do not
below, to the Office of Management and become an NHSC-approved site, new directly offer all required behavioral
Budget (OMB). Prior to submitting the sites must submit a Site Application for health services must demonstrate a
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![59230 Federal Register / Vol. 81, No. 167 / Monday, August 29, 2016 / Notices
formal affiliation with a comprehensive, providing behavioral health care technology and systems for the purpose
community-based primary behavioral services directly, or through a formal of collecting, validating and verifying
health setting or facility to provide these affiliation with a comprehensive information, processing and
services. community-based primary behavioral maintaining information, and disclosing
Likely Respondents: Likely health setting or facility providing and providing information; to train
respondents include the following: comprehensive behavioral health personnel and to be able to respond to
Licensed primary care medical, dental, services. a collection of information; to search
and mental and behavioral health Burden Statement: Burden in this data sources; to complete and review
providers who are employed or seeking context means the time expended by
the collection of information; and to
employment, and are interested in persons to generate, maintain, retain,
transmit or otherwise disclose the
serving underserved populations; health disclose or provide the information
care facilities interested in participating requested. This includes the time information. The total annual burden
in the NHSC and becoming an NHSC- needed to review instructions; to hours estimated for this ICR are
approved service site; NHSC sites develop, acquire, install and utilize 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)
NHSC LRP Application ........................................................ 8,200 1 8,200 1 8,200
Authorization for Disclosure of Loan Information Form ....... 6,500 1 6,500 .10 650
Privacy Act Release Authorization Form ............................. 275 1 275 .10 27.5
Verification of Disadvantaged Background Form ................ 600 1 600 .50 300
Private Practice Option Form .............................................. 300 1 300 .10 30
NHSC Comprehensive Behavioral Health Services Check-
list ..................................................................................... 4,000 1 4,000 .13 520
NHSC Site Application (including recertification) ................ 3,700 1 3,700 .5 1,850
Total .............................................................................. 23,575 ........................ 23,575 ........................ 11,577.50
HRSA specifically requests comments confidential trade secrets or commercial DEPARTMENT OF HEALTH AND
on (1) the necessity and utility of the property such as patentable material, HUMAN SERVICES
proposed information collection for the and personal information concerning
proper performance of the agency’s individuals associated with the grant National Institutes of Health
functions, (2) the accuracy of the applications, the disclosure of which
estimated burden, (3) ways to enhance would constitute a clearly unwarranted Center for Scientific Review; Notice of
the quality, utility, and clarity of the invasion of personal privacy. Closed Meetings
information to be collected, and (4) the Name of Committee: National Human Pursuant to section 10(d) of the
use of automated collection techniques Genome Research Institute Special Emphasis Federal Advisory Committee Act, as
or other forms of information Panel; Kids First Conflict Review. amended (5 U.S.C. App.), notice is
technology to minimize the information Date: September 9, 2016. hereby given of the following meetings.
collection burden. Time: 1:00 p.m. to 2:00 p.m. The meetings will be closed to the
Agenda: To review and evaluate grant public in accordance with the
Jason E. Bennett, applications. provisions set forth in sections
Director, Division of the Executive Secretariat. Place: Embassy Suites at the Chevy Chase 552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
[FR Doc. 2016–20584 Filed 8–26–16; 8:45 am] Pavilion, 4300 Military Road NW.,
as amended. The grant applications and
BILLING CODE 4165–15–P Washington, DC 20015, (Telephone
Conference Call).
the discussions could disclose
Contact Person: Rudy O. Pozzatti, Ph.D., confidential trade secrets or commercial
Scientific Review Officer, Scientific Review property such as patentable material,
DEPARTMENT OF HEALTH AND
Branch, National Human Genome Research and personal information concerning
HUMAN SERVICES
Institute, 5635 Fishers Lane, Suite 4076, MSC individuals associated with the grant
National Institutes of Health 9306, Rockville, MD 20852, (301) 402–0838, applications, the disclosure of which
pozzattr@mail.nih.gov. would constitute a clearly unwarranted
National Human Genome Research This notice is being published less than 15 invasion of personal privacy.
days prior to the meeting due to the timing
Institute; Notice of Closed Meeting Name of Committee: Center for Scientific
limitations imposed by the review and
funding cycle. Review Special Emphasis Panel; PAR Panel:
Pursuant to section 10(d) of the High Throughput Screening.
Federal Advisory Committee Act, as (Catalogue of Federal Domestic Assistance Date: September 22, 2016.
amended (5 U.S.C. App.), notice is Program Nos. 93.172, Human Genome Time: 8:00 a.m. to 6:00 p.m.
jstallworth on DSK7TPTVN1PROD with NOTICES
Research, National Institutes of Health, HHS) Agenda: To review and evaluate grant
hereby given of the following meeting.
The meeting will be closed to the Dated: August 22, 2016. applications.
Sylvia L. Neal, Place: Hilton Garden Inn Bethesda, 7301
public in accordance with the Waverly Street, Bethesda, MD 20814.
provisions set forth in sections Program Analyst, Office of Federal Advisory
Contact Person: David Filpula, Ph.D.,
552b(c)(4) and 552b(c)(6), title 5 U.S.C., Committee Policy.
Scientific Review Officer, Center for
as amended. The grant applications and [FR Doc. 2016–20558 Filed 8–26–16; 8:45 am] Scientific Review, National Institutes of
the discussions could disclose BILLING CODE 4140–01–P Health, 6701 Rockledge Drive, Room 6181,
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Document Created: 2016-08-26 23:49:58
Document Modified: 2016-08-26 23:49:58
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Dates | Comments on this ICR must be received no later than October 28, 2016. | |
| 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 the HRSA Information Collection Clearance Officer at (301) 443-1984. | |
| FR Citation | 81 FR 59229 |
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