[Federal Register Volume 69, Number 100 (Monday, May 24, 2004)]
[Notices]
[Pages 29566-29567]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-11599]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Proposed Information Collection: Request for Public Comment: 30-
Day Notice

AGENCY: Indian Health Service, HHS.

ACTION: Request for public comment: 30 day proposed information 
collection: IHS Scholarship Program Application.

-----------------------------------------------------------------------

SUMMARY: In compliance with Section 3506(c)(2)(A) of the Paperwork 
Reduction Act of 1995, for opportunity for public comment on proposed 
information collection projects, the Indian Health Service (IHS) has 
submitted to the Office of Management and Budget (OMB) a request to 
review and approve the information collection listed below. This 
proposed information collection project was previously published in the 
Federal Register (66 FR 66912) on February 24, 2004 and allowed 60-days 
for public comment. No public comment was received in response to the 
notice. The purpose of this notice is to allow 30-days for public 
comment to be submitted directly to OMB.
    Proposed Collection: Title: 0917-0006, ``IHS Scholarship Program 
Application.'' Type of Information Collection Request: Previously 
Approved Collection. Form Number(s): IHS-856, 856-2, through 856-8, 
IHS-815, IHS-816, IHS-817, IHS-818, D-02, F-02, F-04, G-02, G-04, H-07, 
H-08, J-04, J-05, K-03, K-04, and L-03. Reporting formats are contained 
in an IHS Scholarship Program application booklet. Need and Use of 
Information Collection: The IHS Scholarship Branch needs this 
information for program administration and uses the information to 
solicit, process and award IHS Pre-graduate, Preparatory and/or Health 
Professions Scholarship grantees and monitor the academic performance 
of awardees, to place awardees at payback sites, and for awardees to 
request additional program. The IHS Scholarship Program plan to 
streamline the application to reduce the time needed by applicants to 
complete and provide the information and the plan to use information 
technology to make the application electronically available on the 
internet have been delayed. Affected Public: Individuals, not-for-
profit institutions and State, local or Tribal Government. Type of 
Respondents: Students pursuing health care professions.
    The table below provides: Types of data collection instruments, 
Estimated number of respondents, Number of responses per respondent, 
Annual number of responses, Average burden hour per response, and Total 
annual burden hour(s).

----------------------------------------------------------------------------------------------------------------
                                                                                                          Annual
       Data collection instruments(s)           Number of   Response per  Total annual  Burden hour per   burden
                                               respondents   respondent     response       response *     hours
----------------------------------------------------------------------------------------------------------------
Scholarship Application (IHS-856)...........          1500             1          1500    1.00 (60 min)     1500
Checklist (856-2)...........................          1500             1          1500     0.13 (8 min)      195
Course Verification (856-3).................          1500             1          1500    0.70 (42 min)     1050
Faculty/Employer Application (856-4)........          1500             2          3000    0.83 (50 min)     2490
Justification (856-5).......................          1500             1          1500    0.75 (45 min)     1125
Federal Debt (856-6)........................          1500             1          1500     0.13 (8 min)      195
MPH only (856-7)............................            25             1            25    0.83 (50 min)       21
Accept/Decline (856-8)......................           650             1           650     0.13 (8 min)       84
Receipt of Application (815)................          1500             1          1500     0.03 (2 min)       45
Address Change Notice (816).................            25             1            25     0.02 (1 min)     5525
Scholarship Program Agreement (817).........           850             1           850     0.05 (3 min)       43
Stipend Checks (D-02).......................           100             1           100     0.13 (8 min)       13
Enrollment (F-02)...........................          1300             1          1300     0.13 (8 min)      169
Academic Problem/Change (F-04)..............            50             1            50     0.13 (8 min)        6
Request Assistance (G-02)...................           217             1           217     0.13 (8 min)       28
Summer School (G-04)........................           193             1           193     0.10 (6 min)       19
Health Professions Contract (818)...........           850             1           850     0.05 (3 min)       33
Placement (H-07)............................           250             1           250    0.18 (11 min)       45
Graduation (H-08)...........................           250             1           250    0.17 (10 min)       43
Site Preference (J-04)......................           150             1           150     0.13 (8 min)       20
Travel Reimb (J-05).........................           150             1           150     0.10 (6 min)       15
Status Report (K-03)........................           250             1           250    0.25 (15 min)       63
Preferred Assignment (K-04).................           200             1           200    0.75 (45 min)      150
Request of Deferment (L-03).................            20             1            20     0.13 (8 min)        3
                                             ---------------
    Total...................................        15,830  ............  ............  ...............   7,380
----------------------------------------------------------------------------------------------------------------
*For ease of understanding, burden hours are also provided in actual minutes.


[[Page 29567]]

    There are no Capital Costs, Operating Costs and/or Maintenance 
Costs to report.
    Request for Comments: Your written comments and/or suggestions are 
invited on one or more of the following points: (a) Whether the 
information collection activity is necessary to carry out an agency 
function: (b) whether the agency processes the information collected in 
a useful and timely fashion; (c) the accuracy of public burden estimate 
(the estimated amount of time needed for individual respondents to 
provide the requested information); (d) whether the methodology and 
assumptions used to determine the estimate are logical; (e) ways to 
enhance the quality, utility, and clarity of the information being 
collected; and (f) ways to minimize the public burden through the use 
of automated, electronic, mechanical, or other technological collection 
techniques or other forms of information technology.
    Direct Comments To OMB: Send your written comments and suggestions 
regarding the proposed information collection contained in this notice, 
especially regarding the estimated public burden and associated 
response time, to: Office of Management and Budget, Office of 
Regulatory Affairs, New Executive Office Building, Room 10235, 
Washington, DC 20503, Attention: Desk Officer for IHS.
    To request more information on the proposed collection or to obtain 
a copy of the data collection instrument(s) and/or instruction(s), 
contact: Ms. Chris Ingersoll, IHS Reports Clearance Officer, 12300 
Twinbrook Parkway, Suite 350, Rockville, MD 20852-1601, or call non-
toll free (301) 443-5938 or send via facsimile to (301) 443-2316, or 
send your e-mail requests, comments, and return address to: 
[email protected].
    Comment Due Date: Comments regarding this information collection 
are best assured of having their full effect if received within 30-days 
of the date of this publication.

    Dated: April 29, 2004.
Charles W. Grim,
Assistant Surgeon General, Director, Indian Health Service.
[FR Doc. 04-11599 Filed 5-21-04; 8:45 am]
BILLING CODE 4160-16-M