[Federal Register Volume 74, Number 141 (Friday, July 24, 2009)]
[Notices]
[Pages 36714-36715]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-17454]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Request for Public Comment: 60-Day Proposed Information
Collection: Application for Participation in the IHS Scholarship
Program
AGENCY: Indian Health Service.
ACTION: Notice.
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SUMMARY: In compliance with Section 3506(c)(2)(A) of the Paperwork
Reduction Act of 1995 which requires to provide a 60-days advance
opportunity for public comment on proposed information collection
projects, the Indian Health Service (IHS) is publishing for comment a
summary of a proposed information collection to be submitted to the
Office of Management and Budget (OMB) for review.
Proposed Collection: Title: 0917-0006, ``Application for
Participation in the IHS Scholarship Program.'' Type of Information
Collection Request: Three year extension, with change of currently
approved information collection, 0917-0006, ``Application for
Participation in the IHS Scholarship Program.'' Form Number(s): IHS-
856, 856-2 through 856-24, IHS-815, IHS-816, IHS-817, and JHS-818.
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
information. The IHS Scholarship Program is streamlining the
application to reduce the time needed by applicants to complete and
provide the information and plans on using information technology to
make the application electronically available on the Internet. Affected
Public: Individuals, not-for-profit institutions and State, local or
Tribal Governments. 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 hours.
[[Page 36715]]
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Number of Responses per Total annual Annual burden
Data collection instrument(s) respondents respondent response Burden hour per response* hours
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Scholarship Application Bubble Sheet (IHS-856). 1,500 1 1,500 1.00 (60 min)...................... 1,500
Application Checklist (IHS-856-2).............. 1,500 1 1,500 0.13 (8 min)....................... 195
Faculty/Employer Evaluation (IHS-856-3)........ 1,500 2 3,000 0.83 (50 min)...................... 2,490
Narrative Statements (IHS-856-4)............... 1,500 1 1,500 0.75 (45 min)...................... 1,125
Delinquent Federal Debt (IHS-856-5)............ 1,500 1 1,500 0.13 (8 min)....................... 195
Course Curriculum Verification (IHS-856-6)..... 1,500 1 1,500 0.70 (42 min)...................... 1,050
Verification of Acceptance or Decline of Award 650 1 650 0.13 (8 min)....................... 84
(IHS-856-7).
Recipient's Initial Program Progress Report 1,300 1 1,300 0.13 (8 min)....................... 169
(IHS-856-8).
Notification of Academic Problem (IHS-856-9)... 50 1 50 0.13 (8 min)....................... 6
Change of Status (IHS-856-10).................. 50 1 50 0.45 (25 min)...................... 6
Request for Approval of Deferment (IHS-856-11). 20 1 20 0.13 (8 min)....................... 3
Preferred Placement (IHS-856-12)............... 200 1 200 0.75 (45 min)...................... 150
Notice of Impending Graduation (IHS-856-13).... 250 1 250 0.17 (10 min)...................... 43
Notification of Deferment Program (IHS-856-14). 20 1 20 0.13 (8 min)....................... 3
Placement Update (IHS-856-15).................. 250 1 250 0.18 (11 min)...................... 45
Annual Status Report (IHS-856-16).............. 250 1 250 0.25 (15 min)...................... 63
Extem Site Preference Request (IHS-856-17)..... 150 1 150 0.13 (8 min)....................... 20
Request for Extern Travel Reimbursement (IHS- 150 1 150 0.10 (6 min)....................... 15
856-18).
Lost Stipend Payment (IHS-856-19).............. 100 1 100 0.13 (8 min)....................... 13
Request for Tutorial Assistance (IHS-856-20)... 217 1 217 0.13 (8 min)....................... 28
Summer School Request (IHS-856-21)............. 193 1 193 0.10 (6 min)....................... 19
Change of Name or Address (IHS-856-22)......... 20 1 20 0.13 (8 min)....................... 6
Request for Credit Validation (IHS-856-23)..... 150 1 150 0.10 (6 min)....................... 20
Faculty/Advisor Evaluation (IHS-856-24)........ 1,500 2 3,000 0.83 (50 min)...................... 2,490
Acknowledgment Card (IHS-815).................. 1,500 1 1,500 0.03 (2 min)....................... 45
Address Change Notice (IHS-816)................ 25 1 25 0.02 (1 min)....................... 25
Scholarship Program Agreement (IHS-817)........ 850 1 850 0.05 (3 min)....................... 43
Health Professions Contract (IHS-818).......... 850 1 850 0.05 (3 min)....................... 33
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Total...................................... 17,745 ............... ............... ................................... 9,884
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* For ease of understanding, burden hours are also provided in actual minutes.
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.
Send Comments and Requests for Further Information: Send your
written comments and requests for more information on the proposed
collection or requests to obtain a copy of the data collection
instrument(s) and instructions to: Ms. Betty Gould, Regulations
Officer, 801 Thompson Avenue, TMP, Suite 450, Rockville, MD, 20852,
call non-toll free (301) 443-7899, send via facsimile to (301) 443-
9879, or send your e-mail requests, comments, and return address to:
[email protected]. Comment Due Date: Your comments regarding this
information collection are best assured of having full effect if
received within 60 days of the date of this publication.
Dated: July 17, 2009.
Yvette Roubideaux,
Director, Indian Health Service.
[FR Doc. E9-17454 Filed 7-23-09; 8:45 am]
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