[Federal Register Volume 74, Number 250 (Thursday, December 31, 2009)]
[Notices]
[Pages 69338-69340]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-30947]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Request for Public Comment: 30-Day Proposed Information 
Collection: Application for Participation in the IHS Scholarship 
Program

AGENCY: Indian Health Service, HHS.

ACTION: Notice.

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SUMMARY: In compliance with Section 3506(c)(2)(A) of the Paperwork

[[Page 69339]]

Reduction Act of 1995 which requires a 30-day advance opportunity for 
public comment on the proposed information collection project, 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 (74 FR 36714) on July 
24, 2009 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, ``Application for 
Participation in the IRS Scholarship Program.'' Type of Information 
Collection Request: Previously Approved Collection (Form changes and 
additions). Form Number(s): IHS-856, 856-2 through 856-24, IHS-815, 
IHS-816, IHS-817, and IHS-818. Reporting formats are contained in an 
IT-IS 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, andlor 
Health Professions Scholarship grants 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 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).

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                                                                        Number of      Responses per     Total annual   Burden hour per   Annual burden
                   Data collection instrument(s)                       respondents       respondent        response        response*          hours
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Scholarship Application (IHS-856)..................................             1500                1             1500     1.00 (60 mm)             1500
Application Checklist (IHS-856-2)..................................             1500                1             1500      0.13 (8 mm)              200
Faculty/Employer Evaluation (IHS-856-3)............................             1500                2             3000     0.83 (50 mm)             2500
Narrative Statements (IHS-856-4)...................................             1500                1             1500     0.75 (45 mm)             1125
Delinquent Federal Debt (IHS-856-5)................................             1500                1             1500      0.13 (8 mm)              200
Course Curriculum Verification (IHS-856-6).........................             1500                1             1500     0.70 (42 mm)             1050
Verification of Acceptance (IHS-856-7).............................              400                1              400      0.13 (8 mm)               53
Recipient's Initial Program Progress Report (IHS-856-8)............              400                1              400      0.13 (8 mm)               53
Notification of Academic Problem (IHS-856-9).......................               50                1               50      0.13 (8 mm)                7
Change of Status (IHS-856-10)......................................               50                1               50     0.45 (25 mm)               21
Request for Approval of Deferment (IHS-856-11).....................               50                1               50      0.13 (8 mm)                7
Preferred Placement (IHS-856-12)...................................              200                1              200     0.75 (45 mm)              150
Notice of Impending Graduation (IHS-856-13)........................              200                1              200     0.17 (10 mm)               33
Notification of Deferment Program (IHS-856-14).....................               50                1               50      0.13 (8 mm)                7
Placement Update (IHS-856-15)......................................              200                1              200     0.18 (11 mm)               37
Annual Status Report (IHS-856-16)..................................              200                1              200     0.25 (15 mm)               50
Extern Site Preference Request (IHS-856-17)........................              125                1              125      0.13 (8 mm)               17
Request for Extern Travel Reimbursement (IHS-856-18)...............              125                1              125      0.10 (6 mm)               13
Lost Stipend Checks (IHS-856-19)...................................               50                1               50      0.13 (8 mm)                7
Request for Tutorial Assistance (IHS-856-20).......................              150                1              150      0.13 (8 mm)               20
Summer School Request (IHS-856-21).................................               75                1               75      0.10 (6 mm)                8
Change of Name or Address (IHS-856-22).............................               50                1               50      0.13 (8 mm)                7
Request for Credit Validation (IHS-856-23).........................               30                1               30      0.10 (6 mm)                3
Faculty/Advisor Evaluation (IHS-856-24)............................             1500                2             3000     0.83 (50 mm)             2500
Acknowledgment Card (IHS-8l5)......................................             1500                1             1500      0.03 (2 mm)               50
Address Change Notice (IHS-816)....................................               50                1               50      0.02 (1 mm)                1
Scholarship Program Agreement (IHS-817)............................              175                1              175      0.05 (3 mm)                9
Health Professions Contract (IHS-818)..............................              225                1              225      0.05 (3 mm)               11
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    Total..........................................................  ...............  ...............           17,855  ...............            9,639
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* For ease of understanding, burden hours are also provided in actual minutes.

    There is no direct cost to respondents other than their time to 
voluntarily complete the forms and submit them for consideration. The 
estimated cost in time to respondents, as a group, is $99,355.00 (9639 
burden hours x 2009 GS-3 base pay rate = $10.31 per burden hour). This 
total dollar amount is based upon the number of burden hours per data 
collection instrument, rounded to the nearest dollar.
    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 estimates 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

[[Page 69340]]

time to: Office of Management and Budget, Office of Regulatory Affairs, 
Attention: Desk Officer for IRS, New Executive Office Building, Room 
10235, Washington, DC 20503.
    Send Comments and Requests for Further Information: 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. Betty 
Gould, IHS Reports Clearance 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: Comments regarding this information collection 
are best assured of having full effect if received within 30 days of 
the date of this publication.

    Dated: December 17, 2009.
Randy Grinnell,
Deputy Director, Indian Health Service.
[FR Doc. E9-30947 Filed 12-30-09; 8:45 am]
BILLING CODE 4165-16-M