Notice2025-23581

Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; Substance Use Disorder Treatment and Recovery Loan Repayment Program and the Pediatric Specialty Loan Repayment Program-OMB No. 0906-0058-Revision

Primary source

Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.

Published
December 22, 2025

Issuing agencies

Health and Human Services DepartmentHealth Resources and Services Administration

Abstract

In compliance with the Paperwork Reduction Act of 1995, HRSA 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. OMB may act on HRSA's ICR only after the 30-day comment period for this notice has closed.

Full Text

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<title>Federal Register, Volume 90 Issue 243 (Monday, December 22, 2025)</title>
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[Federal Register Volume 90, Number 243 (Monday, December 22, 2025)]
[Notices]
[Pages 59841-59843]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-23581]


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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; Substance Use Disorder 
Treatment and Recovery Loan Repayment Program and the Pediatric 
Specialty Loan Repayment Program--OMB No. 0906-0058--Revision

AGENCY: Health Resources and Services Administration (HRSA), Department 
of Health and Human Services.

ACTION: Notice.

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SUMMARY: In compliance with the Paperwork Reduction Act of 1995, HRSA 
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. OMB may act on HRSA's ICR only after the 30-day 
comment period for this notice has closed.

DATES: Comments on this ICR should be received no later than January 
21, 2026.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. Find this particular 
information collection by selecting ``Currently under Review--Open for 
Public Comments'' or by using the search function.

FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance 
requests submitted to OMB for review, email Samantha Miller, the HRSA 
Information Collection Clearance Officer, at <a href="/cdn-cgi/l/email-protection#2c5c4d5c495e5b435e476c445e5f4d024b435a"><span class="__cf_email__" data-cfemail="047465746176736b766f446c7677652a636b72">[email&#160;protected]</span></a> or call 
(301) 443-3983.

SUPPLEMENTARY INFORMATION: 
    Information Collection Request Title: Substance Use Disorder 
Treatment and Recovery Loan Repayment Program and the Pediatric 
Specialty Loan Repayment Program, OMB No. 0906-0058--Revision.
    Abstract: The Substance Use Disorder Treatment and Recovery (STAR) 
Loan Repayment Program (LRP) is authorized by section 781 of the Public 
Health Service Act (42 U.S.C. 295h). This program allows HRSA to 
provide the repayment of eligible education loans to individuals 
working in an eligible full-time substance use disorder treatment job 
that involves direct treatment or recovery support of patients with or 
in recovery from a substance use disorder and which is located in 
either a Health Professional Shortage Area (HPSA) designated for Mental 
Health, or a county (or municipality, if not contained within any 
county) where the average drug overdose death rate per 100,000 people 
over the past 3 years for which official data is available from the 
state, is higher than the most recent available national average 
overdose death rate per 100,000 people, as reported by the Centers for 
Disease Control and Prevention. The Pediatric Specialty (PS) LRP is 
authorized by section 775 of the Public Health Service Act (42 U.S.C. 
295f). This program allows HRSA to provide the repayment of education 
loans to eligible providers working full-time in or serving a HPSA, 
medically underserved area (MUA), or medically underserved population 
(MUP).
    The Department of Health and Human Services agrees to make payment 
of up to $250,000 for the repayment of eligible educational loans in 
return for 6 years of obligated service through the STAR LRP, and up to 
$100,000 in return for 3 years of obligated service through the PS LRP.
    Eligible disciplines for the STAR LRP include, but are not limited 
to physicians, psychologists, psychiatric nurses, marriage and family 
therapists, social workers, counselors, and substance use disorder 
counselors. The PS LRP may make awards to applicants participating in 
an accredited pediatric medical subspecialty, pediatric surgical 
specialty, and child and adolescent mental health subspecialty 
residency or fellowship employed as a pediatric medical subspecialist, 
pediatric surgical specialist, or child and adolescent mental health 
professional.
    Eligible facilities or sites for the STAR LRP and PS LRP include, 
but are not limited to: School-Based Clinics, Community Health Centers, 
Inpatient Programs/Rehabilitation Centers, Federally Qualified Health 
Centers, Centers for Medicare & Medicaid Services-approved Critical 
Access Hospitals, Rural Emergency Hospitals, American Indian Health 
Facilities (Indian Health Service Facilities, Tribally-Operated 638 
Health Programs, and Urban Indian Health Programs), inpatient 
rehabilitation centers, and psychiatric facilities. STAR LRP facilities 
must be located in a mental health HPSA or a county where the average 
drug overdose death rate exceeds the national average, as described 
above. PS LRP sites must provide pediatric medical subspecialty care, 
pediatric surgical specialty care, or child and adolescent mental and 
behavioral health care in or to a HPSA, MUA, or MUP. HRSA will approve 
and activate sites for the PS LRP if:
    (1) The facility is already approved for the National Health 
Service Corps, Nurse Corps, or STAR LRP and located in or serves a 
HPSA, MUA or MUP; or
    (2) During the PS LRP application cycle, the facility submits to 
HRSA the site type and the point of contact(s) to 
<a href="/cdn-cgi/l/email-protection#4f1f1c10031d1f101c263b2a3c0f273d3c2e61282039"><span class="__cf_email__" data-cfemail="97c7c4c8dbc5c7c8c4fee3f2e4d7ffe5e4f6b9f0f8e1">[email&#160;protected]</span></a>.
    HRSA will review and approve eligible new facilities during the 
respective application cycle for the STAR LRP and the PS LRP, or upon 
request by a STAR LRP participant. New facilities must submit to HRSA 
the facility type and the recruitment contact(s). HRSA will use the 
information collected to determine eligibility of the facility for 
participants in the respective program.

    Note: Despite the similarity in the titles, the STAR LRP is not 
the existing National Health Service Corps Substance Use Disorder 
Workforce LRP (OMB #0915-0127), which is authorized under Title III 
of the Public Health Service Act. The STAR LRP is authorized under 
Title VII of the Public

[[Page 59842]]

Health Service Act and has different service requirements, loan 
repayment protocols, and authorized employment facilities.

    A 60-day notice was published in the Federal Register on August 13, 
2025, vol. 90, No. 154; pp. 38983-85. HRSA received one public comment. 
Below is a summary of key themes raised and HRSA's response:
    <bullet> The commenter expressed concern with data captured in the 
PS LRP's application and the employment verification forms regarding 
their alignment with current program guidance and statutory 
requirements.
    <bullet> The commenter also expressed support for the STAR/PS LRP 
application and employment verification forms as well as provided ways 
in which to streamline the application submission to ensure maximum 
benefit for eligible applicants.
    HRSA acknowledges the concerns and recommendations in the comment 
and will consider them, as appropriate, in the development of 
information collection activities for these programs. HRSA responded 
directly to the stakeholder who submitted the comments, acknowledging 
the recommendations raised. HRSA appreciates the views shared and the 
willingness to support the PS LRP and STAR LRP.
    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 applicant's eligibility and qualifications for the STAR LRP 
and the PS LRP, and to obtain information for eligible facilities or 
sites. Clinicians interested in participating in the STAR LRP or the PS 
LRP must apply to the applicable program to participate. The forms 
utilized by the STAR LRP and the PS LRP include the following: the STAR 
LRP or PS LRP Application, respectively, the Authorization for 
Disclosure of Loan Information form, the Privacy Act Release 
Authorization form, and the electronic Employment Verification form, if 
applicable. The forms collect information needed for selecting 
participants and repaying eligible educational loans.
    Additionally, health care facilities located in high overdose death 
rate areas or mental health HPSAs must submit the facility type and the 
site point(s) of contact for HRSA to determine the facility's 
eligibility to participate in the STAR LRP. Similarly, sites located in 
or serving a HPSA, MUA, or MUP must submit the site type and the site 
point(s) of contact for HRSA to determine the sites' eligibility to 
participate in the PS LRP. The STAR LRP and the PS LRP application ask 
for personal, professional, and financial information needed to 
determine the applicant's eligibility to participate in either of the 
programs. In addition, applicants must provide information regarding 
the loans for which repayment is being requested.
    Likely Respondents: Licensed medical, mental, and behavioral health 
providers who are employed or seeking employment and are interested in 
serving underserved populations; and health care facilities or sites 
interested in becoming approved for the STAR LRP and/or the PS LRP.
    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 for the STAR LRP:

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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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STAR LRP Application............           1,700               1           1,700            0.50             850
Authorization for Disclosure of            1,700               1           1,700            0.50             850
 Loan Information Form..........
Privacy Act Release                        1,700               1           1,700            0.50             850
 Authorization Form.............
Employment Verification Form....           1,700               1           1,700            0.50             850
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    Total.......................           1,700  ..............           6,800  ..............           3,400
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    Total Estimated Annualized Burden Hours for the PS LRP:

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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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Pediatric Specialty LRP                      500               1             500            0.50             250
 Application....................
Authorization for Disclosure of              500               1             500            0.50             250
 Loan Information Form..........
Privacy Act Release                          500               1             500            0.50             250
 Authorization Form.............
Employment Verification Form....             500               1             500            0.50             250
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    Total.......................             500  ..............           2,000  ..............           1,000
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[[Page 59843]]

Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2025-23581 Filed 12-19-25; 8:45 am]
BILLING CODE 4165-15-P


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