82 FR 27513 - Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; Information Collection Request Title: Application and Other Forms Utilized 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
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration Federal Register Volume 82, Issue 114 (June 15, 2017)
Health Resources and Services Administration
Federal Register Volume 82, Issue 114 (June 15, 2017)
| Page Range | 27513-27515 | |
| FR Document | 2017-12382 |
[Federal Register Volume 82, Number 114 (Thursday, June 15, 2017)] [Notices] [Pages 27513-27515] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-12382] ----------------------------------------------------------------------- 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; Information Collection Request Title: Application and Other Forms Utilized 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 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 July 17, 2017. 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 the HRSA Information Collection Clearance Officer at paperwork@hrsa.gov or call (301) 443- 1984. SUPPLEMENTARY INFORMATION: When submitting comments or requesting information, please include the information request collection title for reference, in compliance with Section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995. Information Collection Request Title: Application and Other Forms Utilized 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 Abstract: Administered by HRSA's Bureau of Health Workforce (BHW), 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. The revisions to this information collection request include the removal of two forms for the NHSC S2S LRP application section. 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 (also 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. 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 will enable BHW to make selection determinations for the competitive awards, and to monitor compliance with program requirements. Likely Respondents: Qualified students who are pursuing education and training in primary care health professions education and training, 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 revision contributes to a reduction of burden of approximately 100 hours. The total annual burden hours estimated for this ICR are summarized in the table below. Total Estimated Annualized Burden--Hours [[Page 27514]] 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 1,800 1 1,800 2.0 3,600 Application.................... Letters of Recommendation....... 1,800 2 3,600 .50 1,800 Authorization to Release 1,800 1 1,800 .10 180 Information.................... Acceptance/Verification of Good 1,800 1 1,800 .25 450 Standing Report................ Receipt of Exceptional Financial 200 1 200 .25 50 Need Scholarship............... Verification of Disadvantaged 300 1 300 .25 75 Background Status.............. ------------------------------------------------------------------------------- Total....................... * 1,800 .............. 9,500 .............. 6,155 ---------------------------------------------------------------------------------------------------------------- * 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 1.0 400 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 100 1 100 2.0 200 Repayment Program Application.. Letters of Recommendation....... 100 2 200 .50 100 Authorization to Release 100 1 100 .10 10 Information.................... Acceptance/Verification of Good 100 1 100 .25 25 Standing Report................ Verification of Disadvantaged 25 1 25 .25 6.25 Background Status.............. ------------------------------------------------------------------------------- Total....................... * 150 .............. 525 .............. 341.25 ---------------------------------------------------------------------------------------------------------------- * 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 250 1 250 1.0 250 Scholarship Program Application Letters of Recommendation....... 250 2 500 .25 125 Authorization to Release 250 1 250 .25 62.50 Information.................... Acceptance/Verification of Good 30 12 360 .25 90 Standing Report................ ------------------------------------------------------------------------------- Total....................... * 250 .............. 1,360 .............. 527.50 ---------------------------------------------------------------------------------------------------------------- * Certain documents are submitted by a subset of respondents consistent with program requirements. [[Page 27515]] Jason E. Bennett, Director, Division of the Executive Secretariat. [FR Doc. 2017-12382 Filed 6-14-17; 8:45 am] BILLING CODE 4165-15-P
![Federal Register / Vol. 82, No. 114 / Thursday, June 15, 2017 / Notices 27513
TABLE 1—ESTIMATED ANNUAL REPORTING BURDEN 1
Number of Average
Number of Total annual
Form FDA No. responses per burden per Total hours
respondents responses
respondent response
3728 ........................................................................... 20 2 40 .08 (5 minutes) ........ 3.2
1 There are no capital costs or operating and maintenance costs associated with this collection of information.
Respondents to this collection of OIRA_submission@omb.eop.gov or by forms generally include: A program
information are new generic animal fax to 202–395–5806. application, academic and non-
drug applicants. Based on Agency data FOR FURTHER INFORMATION CONTACT: To academic letters of recommendation, the
for the past 3 years, FDA estimates there request a copy of the clearance requests authorization to release information,
are approximately 40 submissions submitted to OMB for review, email the and the acceptance/verification of good
annually and a total of 3.2 burden HRSA Information Collection Clearance standing report. Additional forms for
hours. The burden for this information Officer at paperwork@hrsa.gov or call the NHSC SP include the data collection
collection has not changed since the last (301) 443–1984. worksheet, which is completed by the
OMB approval. SUPPLEMENTARY INFORMATION: When educational institutions of program
Dated: June 12, 2017. submitting comments or requesting participants; the post graduate training
Anna K. Abram, information, please include the verification form (also applicable for
information request collection title for NHSC S2S LRP participants), which is
Deputy Commissioner for Policy, Planning,
Legislation, and Analysis. reference, in compliance with Section completed by program participants and
3506(c)(2)(A) of the Paperwork their residency director; and the
[FR Doc. 2017–12432 Filed 6–14–17; 8:45 am]
Reduction Act of 1995. enrollment verification form, which is
BILLING CODE 4164–01–P
Information Collection Request Title: completed by program participants and
Application and Other Forms Utilized the educational institution for each
DEPARTMENT OF HEALTH AND by the National Health Service Corps academic term.
HUMAN SERVICES (NHSC) Scholarship Program (SP), the Need and Proposed Use of the
NHSC Students to Service Loan Information: The NHSC SP, S2S LRP,
Health Resources and Services Repayment Program (S2S LRP), and the and NHHSP applications, forms, and
Administration Native Hawaiian Health Scholarship supporting documentation are used to
Program (NHHSP), OMB No. 0915– collect necessary information from
Agency Information Collection 0146—Revision applicants that will enable BHW to
Activities: Submission to OMB for Abstract: Administered by HRSA’s make selection determinations for the
Review and Approval; Public Comment Bureau of Health Workforce (BHW), the competitive awards, and to monitor
Request; Information Collection NHSC SP, NHSC S2S LRP, and the compliance with program requirements.
Request Title: Application and Other NHHSP provide scholarships or loan Likely Respondents: Qualified
Forms Utilized by the National Health repayment to qualified students who are students who are pursuing education
Service Corps (NHSC) Scholarship pursuing primary care health and training in primary care health
Program (SP), the NHSC Students To professions education and training. In professions education and training, and
Service Loan Repayment Program return, students agree to provide are interested in working in health
(S2S LRP), and the Native Hawaiian primary health care services in professional shortage areas.
Health Scholarship Program (NHHSP), medically underserved communities Burden Statement: Burden in this
OMB No. 0915–0146—Revision located in federally designated Health context means the time expended by
Professional Shortage Areas once they persons to generate, maintain, retain,
AGENCY: Health Resources and Services are fully trained and licensed health disclose or provide the information
Administration (HRSA), Department of professionals. Awards are made to requested. This includes the time
Health and Human Services. applicants who demonstrate the greatest needed to review instructions; to
ACTION: Notice. potential for successful completion of develop, acquire, install and utilize
their education and training as well as technology and systems for the purpose
SUMMARY: In compliance with the commitment to provide primary health of collecting, validating and verifying
Paperwork Reduction Act of 1995, care services to communities of greatest information, processing and
HRSA has submitted an Information need. The information from program maintaining information, and disclosing
Collection Request (ICR) to the Office of applications, forms, and supporting and providing information; to train
Management and Budget (OMB) for documentation is used to select the best personnel and to be able to respond to
review and approval. Comments qualified candidates for these a collection of information; to search
submitted during the first public review competitive awards, and to monitor data sources; to complete and review
of this ICR will be provided to OMB. program participants’ enrollment in the collection of information; and to
OMB will accept further comments from school, postgraduate training, and transmit or otherwise disclose the
the public during the review and compliance with program requirements. information. The revision contributes to
pmangrum on DSK3GDR082PROD with NOTICES
approval period. The revisions to this information a reduction of burden of approximately
collection request include the removal 100 hours. The total annual burden
DATES: Comments on this ICR should be
of two forms for the NHSC S2S LRP hours estimated for this ICR are
received no later than July 17, 2017. application section. summarized in the table below.
ADDRESSES: Submit your comments, Although some program forms vary
including the ICR Title, to the desk from program to program (see program- Total Estimated Annualized Burden—
officer for HRSA, either by email to specific burden charts below), required Hours
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![Federal Register / Vol. 82, No. 114 / Thursday, June 15, 2017 / Notices 27515
Jason E. Bennett, Name of Committee: Center for Scientific Fellowships: Risk, Prevention, and Health
Director, Division of the Executive Secretariat. Review Special Emphasis Panel; PAR Panel: Behavior.
Mammalian Models for Translational Date: July 10–11, 2017.
[FR Doc. 2017–12382 Filed 6–14–17; 8:45 am]
Research. Time: 8:00 a.m. to 5:00 p.m.
BILLING CODE 4165–15–P Date: June 27, 2017. Agenda: To review and evaluate grant
Time: 1:00 p.m. to 6:00 p.m. applications.
Agenda: To review and evaluate grant Place: Embassy Suites at the Chevy Chase
DEPARTMENT OF HEALTH AND applications. Pavilion, 4300 Military Road NW.,
HUMAN SERVICES Place: National Institutes of Health, 6701 Washington, DC 20015.
Rockledge Drive, Bethesda, MD 20892 Contact Person: Martha M. Faraday, Ph.D.,
National Institutes of Health (Virtual Meeting). Scientific Review Officer, Center for
Contact Person: Sharon K. Gubanich, Scientific Review, National Institutes of
National Cancer Institute; Amended Ph.D., Scientific Review Officer, Center for Health, 6701 Rockledge Drive, Room 3110,
Notice of Meeting Scientific Review, National Institutes of MSC 7808, Bethesda, MD 20892, (301) 435–
Health, 6701 Rockledge Drive, Room 6195D, 3575, faradaym@csr.nih.gov.
Notice is hereby given of a change in MSC 7804, Bethesda, MD 20892, (301) 408–
the meeting of the joint meeting of the Name of Committee: Center for Scientific
9512, gubanics@csr.nih.gov.
National Cancer Advisory Board and Review Special Emphasis Panel; Member
This notice is being published less than 15 Conflict: Neurocognition, Attention, and
NCI Board of Scientific Advisors, June days prior to the meeting due to the timing Motor Function in Aging.
19, 2017, 5:30 p.m. to June 21, 2017, limitations imposed by the review and Date: July 10, 2017.
5:00 p.m., National Institutes of Health, funding cycle. Time: 3:00 p.m. to 5:00 p.m.
Building 31, 31 Center Drive, C Wing, Name of Committee: AIDS and Related Agenda: To review and evaluate grant
6th Floor, Conference Room 10, Research Integrated Review Group; applications.
Bethesda, MD, 20892 which was Behavioral and Social Science Approaches to Place: National Institutes of Health, 6701
published in the Federal Register on Preventing HIV/AIDS Study Section. Rockledge Drive, Bethesda, MD 20892
Date: July 6–7, 2017. (Telephone Conference Call).
May 24, 2017, 82 FR 23816.
Time: 8:00 a.m. to 5:00 p.m. Contact Person: Samantha Smith, Ph.D.,
The meeting notice is being amended Agenda: To review and evaluate grant
to change the start time of the joint Scientific Review Officer, Center for
applications. Scientific Review, National Institutes of
meeting of the National Cancer Place: Ritz Carlton Hotel, 1150 22nd Street Health, 6701 Rockledge Drive, Room 3170,
Advisory Board and NCI Board of NW., Washington, DC 20037. Bethesda, MD 20892, 301–827–5491,
Scientific Advisors meeting on June 21, Contact Person: Jose H. Guerrier, Ph.D., samanthasmith@csr.nih.gov.
2017 to 9:00 a.m. Additionally, the BSA Scientific Review Officer, Center for
Scientific Review, National Institutes of (Catalogue of Federal Domestic Assistance
Ad Hoc Subcommittee on HIV and AIDS Program Nos. 93.306, Comparative Medicine;
Malignancy meeting on June 21, 2017 Health, 6701 Rockledge Drive, Room 5222,
MSC 7852, Bethesda, MD 20892, 301–435– 93.333, Clinical Research, 93.306, 93.333,
will now be held in Conference Room 93.337, 93.393–93.396, 93.837–93.844,
1137, guerriej@csr.nih.gov.
7 at National Institutes of Health, 93.846–93.878, 93.892, 93.893, National
Building 31, 31 Center Drive, Bethesda, Name of Committee: Center for Scientific
Institutes of Health, HHS)
Review Special Emphasis Panel; PAR Panel:
MD 20892 and will adjourn at 7:00 p.m. Physical Activity and Weight Control Dated: June 9, 2017.
Dated: June 12, 2017. Interventions Among Cancer Survivors: Anna Snouffer,
Melanie J. Pantoja, Effects on Biomarkers of Prognosis and Deputy Director, Office of Federal Advisory
Program Analyst, Office of Federal Advisory Survival. Committee Policy.
Committee Policy. Date: July 7, 2017.
[FR Doc. 2017–12364 Filed 6–14–17; 8:45 am]
Time: 12:00 p.m. to 2:00 p.m.
[FR Doc. 2017–12386 Filed 6–14–17; 8:45 am]
Agenda: To review and evaluate grant BILLING CODE 4140–01–P
BILLING CODE 4140–01–P applications.
Place: National Institutes of Health, 6701
Rockledge Drive, Bethesda, MD 20892 DEPARTMENT OF HEALTH AND
DEPARTMENT OF HEALTH AND (Telephone Conference Call). HUMAN SERVICES
HUMAN SERVICES Contact Person: Denise Wiesch, Ph.D.,
Scientific Review Officer, Center for National Institutes of Health
National Institutes of Health Scientific Review, National Institutes of
Health, 6701 Rockledge Drive, Room 3138, National Institute on Aging; Notice of
Center for Scientific Review; Notice of MSC 7770, Bethesda, MD 20892, (301) 437– Closed Meeting
Closed Meetings 3478, wieschd@csr.nih.gov.
Name of Committee: Center for Scientific Pursuant to section 10(d) of the
Pursuant to section 10(d) of the Review Special Emphasis Panel; Member
Federal Advisory Committee Act, as Federal Advisory Committee Act, as
Conflict: Addictions, Depression, Bipolar amended (5 U.S.C. App.), notice is
amended (5 U.S.C. App.), notice is Disorder, and Schizophrenia.
hereby given of the following meetings. hereby given of the following meeting.
Date: July 10, 2017.
The meetings will be closed to the Time: 8:00 a.m. to 6:00 p.m. The meeting will be closed to the
public in accordance with the Agenda: To review and evaluate grant public in accordance with the
provisions set forth in sections applications. provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C., Place: National Institutes of Health, 6701 552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and Rockledge Drive, Bethesda, MD 20892 as amended. The grant applications and
(Virtual Meeting).
pmangrum on DSK3GDR082PROD with NOTICES
the discussions could disclose the discussions could disclose
Contact Person: Kristin Kramer, Ph.D.,
confidential trade secrets or commercial Scientific Review Officer, Center for confidential trade secrets or commercial
property such as patentable material, Scientific Review, National Institutes of property such as patentable material,
and personal information concerning Health, 6701 Rockledge Drive, Room 5205, and personal information concerning
individuals associated with the grant MSC 7846, Bethesda, MD 20892, (301) 437– individuals associated with the grant
applications, the disclosure of which 0911, kramerkm@csr.nih.gov. applications, the disclosure of which
would constitute a clearly unwarranted Name of Committee: Center for Scientific would constitute a clearly unwarranted
invasion of personal privacy. Review Special Emphasis Panel; invasion of personal privacy.
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Document Created: 2017-06-15 01:03:27
Document Modified: 2017-06-15 01:03:27
| 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 July 17, 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 27513 |
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