82 FR 1352 - Agency Information Collection Activities: Submission to OMB for Review and Approval; 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 82, Issue 3 (January 5, 2017)
Health Resources and Services Administration
Federal Register Volume 82, Issue 3 (January 5, 2017)
| Page Range | 1352-1353 | |
| FR Document | 2016-31723 |
[Federal Register Volume 82, Number 3 (Thursday, January 5, 2017)] [Notices] [Pages 1352-1353] From the Federal Register Online [www.thefederalregister.org] [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 [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: 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] BILLING CODE 4165-15-P
![1352 Federal Register / Vol. 82, No. 3 / Thursday, January 5, 2017 / Notices
FDA received 7,265 cancellations of DEPARTMENT OF HEALTH AND following: The NHSC LRP Application,
prior notices through ABI/ACS during HUMAN SERVICES the Authorization for Disclosure of Loan
2014; 7,910 during 2015; and 5,948 Information form, the Privacy Act
during 2016. Based on this experience, Health Resources and Services Release Authorization form, and if
the Agency estimates that Administration applicable, the Verification of
approximately 7,040 users of ABI/ACS Disadvantaged Background form and the
Agency Information Collection Private Practice Option form. The first
will submit an average of 1 cancellation Activities: Submission to OMB for
annually, for a total of 7,040 four of the aforementioned NHSC LRP
Review and Approval; Public Comment forms collect information that is needed
cancellations received annually through Request; The National Health Service for selecting participants and repaying
ABI/ACS. FDA estimates the reporting Corps Loan Repayment Program qualifying educational loans. The last
burden for a cancellation submitted
AGENCY: Health Resources and Services referenced form, the Private Practice
through ABI/ACS to be 15 minutes, or Option Form, is needed to collect
0.25 hour, per cancellation, for a total Administration (HRSA), Department of
Health and Human Services. information for all participants who
burden of 1,760 hours. have applied for that service option.
ACTION: Notice.
FDA received 36,324 cancellations of NHSC-approved sites are health care
prior notices through PNSI during 2014; SUMMARY: In compliance with Section facilities that provide comprehensive
39,553 during 2015; and 29,743 during 3507(a)(1)(D) of the Paperwork outpatient, ambulatory, primary health
2016. Based on this experience, the Reduction Act of 1995, HRSA has care services to populations residing in
Agency estimates that approximately submitted an Information Collection HPSAs. Related in-patient services may
35,208 registered users of PNSI will Request (ICR) to the Office of be provided by NHSC-approved Critical
submit an average of 1 cancellation Management and Budget (OMB) for Access Hospitals (CAHs). To become an
annually, for a total of 35,208 review and approval. Comments NHSC-approved site, new sites must
submitted during the first public review submit a Site Application for review
cancellations received annually. FDA
of this ICR will be provided to OMB. and approval. Existing NHSC-approved
estimates the reporting burden for a
OMB will accept further comments from sites are required to complete a Site
cancellation submitted through PNSI to Recertification Application to maintain
be 15 minutes, or 0.25 hour, per the public during the review and
approval period. their NHSC-approved status. Both the
cancellation, for a total burden of 8,802 NHSC Site Application and Site
hours. DATES: Comments on this ICR should be
received no later than February 6, 2017. Recertification Application request
FDA has not received any requests for information on the clinical service site,
ADDRESSES: Submit your comments,
review under § 1.283(d) or § 1.285(j) in sponsoring agency, recruitment contact,
including the ICR Title, to the desk staffing levels, service users, charges for
the last 3 years; therefore, the Agency officer for HRSA, either by email to
estimates that one or fewer requests for services, employment policies, and
OIRA_submission@omb.eop.gov or by fiscal management capabilities.
review will be submitted annually. FDA fax to 202–395–5806.
estimates that it will take a requestor Assistance in completing these
FOR FURTHER INFORMATION CONTACT: To applications may be obtained through
about 8 hours to prepare the factual and request a copy of the clearance requests
legal information necessary to prepare a the appropriate State Primary Care
submitted to OMB for review, email the Offices and HRSA’s NHSC program
request for review. Thus, the Agency HRSA Information Collection Clearance office. The information collected on the
has estimated a total reporting burden of Officer at paperwork@hrsa.gov or call applications is used for determining the
8 hours. (301) 443–1984. eligibility of sites for the assignment of
FDA received 235 post-hold SUPPLEMENTARY INFORMATION: When NHSC health professionals and to verify
submissions under § 1.285(i) during submitting comments or requesting the need for NHSC clinicians. NHSC
2014; 218 during 2015; and 337 during information, please include the service site approval is valid for 3 years.
2016. Based on this experience, the information request collection title for Sites wishing to remain eligible for the
Agency estimates that 263 post-hold reference. assignment of NHSC providers must
submissions under § 1.285(i) will be Information Collection Request Title: submit a Site Recertification
submitted annually. FDA estimates that The National Health Service Corps Loan Application every 3 years.
it will take about 1 hour to prepare the Repayment Program. The proposed ICR is a revision to
OMB No. 0915–0127 Revision. OMB control number 0915–0127 (NHSC
written notification described in
Abstract: The National Health Service LRP) by combining previously approved
§ 1.285(i)(2)(i). Thus, the Agency Corps (NHSC) Loan Repayment Program OMB number 0915–0230 (NHSC Site
estimates a total reporting burden of 263 (LRP) was established to assure an Application and Site Recertification
hours. adequate supply of trained primary care Application forms) and adding a new
Dated: December 30, 2016. health professionals to provide services form to the ICR called the NHSC
Leslie Kux, in the neediest Health Professional Comprehensive Behavioral Health
Associate Commissioner for Policy. Shortage Areas (HPSAs) of the United Services Checklist.
States. Under this program, the Need and Proposed Use of the
[FR Doc. 2016–32030 Filed 1–4–17; 8:45 am]
Department of Health and Human Information: The need and purpose of
BILLING CODE 4164–01–P
Services agrees to repay the qualifying this information collection is to obtain
educational loans of selected primary information that is used to assess an
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care health professionals. In return, the LRP applicant’s eligibility and
health professionals agree to serve for a qualifications for the LRP and obtain
specified period of time in an NHSC- information for NHSC site applicants.
approved site located in a federally- Clinicians interested in participating in
designated HPSA approved by the the NHSC LRP must submit an
Secretary for LRP participants. The application to the NHSC to participate
forms used by the LRP include the in the program, and health care facilities
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![Federal Register / Vol. 82, No. 3 / Thursday, January 5, 2017 / Notices 1353
located in HPSAs must submit an NHSC used. NHSC sites that do not directly Burden Statement: Burden in this
Site Application and Site Recertification offer all required behavioral health context means the time expended by
Application to determine the eligibility services must demonstrate a formal persons to generate, maintain, retain,
of sites to participate in the NHSC as an affiliation with a comprehensive, disclose, or provide the information
approved service site. The NHSC LRP community-based primary behavioral requested. This includes the time
participant application asks for health setting or facility to provide these needed to review instructions; to
personal, professional, and financial services. develop, acquire, install, and utilize
information needed to determine the Likely Respondents: Likely technology and systems for the purpose
respondents include: Licensed primary
applicant’s eligibility to participate in of collecting, validating and verifying
care medical, dental, and behavioral
the NHSC LRP. In addition, applicants information, processing and
health providers who are employed or
must provide information regarding the seeking employment, and are interested maintaining information, and disclosing
loans for which repayment is being in serving underserved populations; and providing information; to train
requested. NHSC policy requires health care facilities interested in personnel and be able to respond to a
behavioral health providers to practice participating in the NHSC and becoming collection of information; to search data
in community-based settings that an NHSC-approved service site; and sources; to complete and review the
provide access to comprehensive NHSC sites providing behavioral health collection of information; and to
behavioral health services. Accordingly, care services directly or through a transmit or otherwise disclose the
for those sites seeking to be assigned formal affiliation with a comprehensive information. The total annual burden
behavioral health NHSC participants, community-based primary behavioral hours estimated for this Information
additional site information collected health setting or facility providing Collection Request are summarized in
from an NHSC Comprehensive comprehensive behavioral health the table below.
Behavioral Health Services Checklist is services.
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 .............................................................................. 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 DEPARTMENT OF HEALTH AND grantees to meet those needs. This
on (1) the necessity and utility of the HUMAN SERVICES notice responds to the comments
proposed information collection for the received during this 30-day public
proper performance of the agency’s Health Resources and Services notice.
functions, (2) the accuracy of the Administration ADDRESSES: Further information on the
estimated burden, (3) ways to enhance Black Lung clinics program is available
Proposed Changes to the Black Lung
the quality, utility, and clarity of the at http://www.hrsa.gov/gethealthcare/
Clinics Program for Consideration for
information to be collected, and (4) the the FY 2017 Funding Opportunity conditions/blacklung/.
use of automated collection techniques Announcement Development FOR FURTHER INFORMATION CONTACT:
or other forms of information Allison Hutchings, Program
technology to minimize the information AGENCY: Health Resources and Services Coordinator, Black Lung Clinics
collection burden. Administration (HRSA), Department of Program, Federal Office of Rural Health
Health and Human Services. Policy, Health Resources and Services
Amy McNulty, Administration, blacklung@hrsa.gov.
ACTION: Response to comments.
Deputy Director, Division of the Executive SUPPLEMENTARY INFORMATION: The
Secretariat. SUMMARY: The Federal Office of Rural Federal Office of Rural Health Policy
[FR Doc. 2016–31723 Filed 1–4–17; 8:45 am] Health Policy (FORHP) in HRSA (FORHP) in HRSA published a 30-day
BILLING CODE 4165–15–P published a 30-day public notice in the public notice in the Federal Register on
Federal Register on August 22, 2016 August 22, 2016 (Federal Register
mstockstill on DSK3G9T082PROD with NOTICES
soliciting feedback on a range of issues volume 81, number 162, pp. 56660–
pertaining to the Black Lung Clinics 56662) soliciting feedback on a range of
Program (BLCP). In particular, FORHP issues pertaining to the Black Lung
requested feedback on how to best Clinics Program (BLCP). In particular,
determine the needs of coal miners and FORHP requested feedback on how to
their families, given the available data, best determine the needs of coal miners
and how to better equip future BLCP and their families, given the available
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Document Created: 2018-02-01 14:50:51
Document Modified: 2018-02-01 14:50:51
| 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 should be received no later than February 6, 2017. | |
| 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. | |
| FR Citation | 82 FR 1352 |
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