Document
Agency Information Collection Activities: Proposed Collection: Public Comment Request; Information Collection Request Title: Faculty Loan Repayment Program; OMB No. 0915-0150-Extension
In compliance with the requirement for opportunity for public comment on proposed data collection projects of the Paperwork Reduction Act of 1995, HRSA announces plans to submit...
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), the Paperwork Reduction Act of 1995.
Information Collection Request Title:
Faculty Loan Repayment Program; OMB No. 0915-0150—Extension.
Abstract:
HRSA administers the Faculty Loan Repayment Program (FLRP). FLRP provides degree-trained health professionals from disadvantaged backgrounds based on environmental and/or economic factors the opportunity to enter into a contract with HHS in exchange for the repayment of qualifying educational loans for a minimum of 2 years of service as a full-time or part-time faculty member at eligible health professions schools.
Need and Proposed Use of the Information:
The information collected will be used to evaluate applicants' eligibility to participate in FLRP and to monitor FLRP-related activities.
Likely Respondents:
FLRP 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
| Form name |
Number of
respondents |
Number of
responses per
respondent |
Total
responses |
Average
burden per
response
(in hours) |
Total
burden 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. |
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,
Acting Director, Division of the Executive Secretariat.