Notice2023-03109
Agency Information Collection Activities: Proposed Collection; Public Comment Request; Application and Other Forms Used by the National Health Service Corps Scholarship Program, the NHSC Students to Service Loan Repayment Program, and the Native Hawaiian Health Scholarship Program
Primary source
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Published
February 14, 2023
Issuing agencies
Health and Human Services DepartmentHealth Resources and Services Administration
Abstract
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 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.
Full Text
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<title>Federal Register, Volume 88 Issue 30 (Tuesday, February 14, 2023)</title>
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[Federal Register Volume 88, Number 30 (Tuesday, February 14, 2023)]
[Notices]
[Pages 9525-9526]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-03109]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Proposed Collection;
Public Comment Request; Application and Other Forms Used by the
National Health Service Corps Scholarship Program, the NHSC Students to
Service Loan Repayment Program, and the Native Hawaiian Health
Scholarship Program
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services.
ACTION: Notice.
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SUMMARY: 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 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 should be received no later than April 17,
2023.
ADDRESSES: Submit your comments to <a href="/cdn-cgi/l/email-protection#ec9c8d9c899e9b839e87ac849e9f8dc28b839a"><span class="__cf_email__" data-cfemail="89f9e8f9ecfbfee6fbe2c9e1fbfae8a7eee6ff">[email protected]</span></a> or mail the HRSA
Information Collection Clearance Officer, Room 14N136B, 5600 Fishers
Lane, Rockville, Maryland 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 <a href="/cdn-cgi/l/email-protection#0e7e6f7e6b7c79617c654e667c7d6f20696178"><span class="__cf_email__" data-cfemail="3d4d5c4d584f4a524f567d554f4e5c135a524b">[email protected]</span></a> or call Samantha Miller,
the acting HRSA Information Collection Clearance Officer, at 301-594-
4394.
SUPPLEMENTARY INFORMATION:
Information Collection Request Title: Application and Other Forms
Used 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, 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 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.
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 academic standing report. The NHHSP is
not seeking to change or add any forms or documentation.
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 and schools that enable
HRSA to make selection determinations for the competitive awards and
monitor compliance (via training programs and sites) with program
requirements.
Likely Respondents: Qualified students who are pursuing education
and training in primary care health professions and are interested in
working in health professional shortage areas and schools at which such
students are enrolled.
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
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Number of Average burden
Form name Number of responses per Total per response Total burden
respondents respondent responses (in hours) hours
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NHSC Scholarship Program Application
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NHSC Scholarship Program 2,575 1 2,575 2.00 5150.00
Application....................
Letters of Recommendation....... 2,575 2 5,150 1.00 5150.00
Authorization to Release 2,575 1 2,575 .10 257.50
Information....................
[[Page 9526]]
Acceptance/Verification of Good 2,575 1 2,575 .25 643.75
Standing Report................
Verification of Disadvantaged 615 1 615 .25 153.75
Background Status..............
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Total....................... * 2,575 .............. 13,490 .............. 11,355.00
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NHSC awardees/schools/post graduate training programs/sites
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Data Collection Worksheet....... 400 1 400 1.00 400
Post Graduate Training 100 1 100 .50 50
Verification Form..............
Enrollment Verification Form.... 600 2 1,200 .50 600
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Total....................... * 600 .............. 1,700 .............. 1,050
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NHSC Students to Service Loan Repayment Program Application
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NHSC Students to Service Loan 284 1 284 2.00 568.00
Repayment Program Application..
Letters of Recommendation....... 284 2 284 1.00 568.00
Authorization to Release 284 1 284 .10 28.40
Information....................
Acceptance/Verification of Good 284 1 284 .25 71.00
Standing Report................
Verification of Disadvantaged 84 1 84 .25 21.00
Background Status..............
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Total....................... * 284 .............. 1,220 .............. 1,256.40
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Native Hawaiian Health Scholarship Program Application
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Native Hawaiian Health 310 1.00 310 2.00 620.00
Scholarship Program Application
Letters of Recommendation....... 310 2.00 620 .25 155.00
Authorization to Release 310 1.00 310 .25 77.50
Information....................
Acceptance/Verification of Good 40 1.00 40 .25 10.00
Standing Report................
Scholar Enrollment Verification 40 7.50 300 .50 150.00
Form...........................
Change in Program Curriculum 40 2.00 80 .25 20.00
Form...........................
NHHSP Graduation Documentation 40 1.00 40 .25 10.00
Form...........................
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Total....................... * 310 .............. 1700 .............. 1042.50
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* Certain documents are submitted by a subset of respondents consistent with program requirements.
** Please note that the same group of respondents may complete each form as necessary.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2023-03109 Filed 2-13-23; 8:45 am]
BILLING CODE 4165-15-P
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