[Federal Register Volume 75, Number 162 (Monday, August 23, 2010)]
[Notices]
[Pages 51821-51822]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-20763]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

    Periodically, the Health Resources and Services Administration 
(HRSA) publishes abstracts of information collection requests under 
review by the Office of Management and Budget (OMB), in compliance with 
the Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35). To request 
a copy of the clearance requests submitted to OMB for review, e-mail 
[email protected] or call the HRSA Reports Clearance Office on (301) 
443-1129.
    The following request has been submitted to the Office of 
Management and Budget for review under the Paperwork Reduction Act of 
1995:

Proposed Project: The National Health Service Corps Loan Repayment 
Program (OMB No. 0915-0127)--Extension

    The National Health Service Corps (NHSC) Loan Repayment Program 
(LRP) was established to assure an adequate supply of trained primary 
care health care professionals to provide services in the neediest 
Health Professional Shortage Areas (HPSAs) of the United States. Under 
this program, the Department of Health and Human Services agrees to 
repay the educational loans of the primary care health

[[Page 51822]]

professionals. In return, the health professionals agree to serve for a 
specified period of time in a federally designated HPSA approved by the 
Secretary for LRP participants. The NHSC LRP forms collect information 
that is needed for selecting participants and repaying qualifying loans 
for education. The LRP forms include the following: The NHSC LRP 
Application, the Loan Information and Verification form, the Employment 
Verification and Community Site Information form, the Payment 
Information Form, the Authorization to Release Information form and the 
Self-Certification Form. Once health professionals complete NHSC 
service basic contact information such as name, phone number, e-mail 
address, State (of residence and/or employment), discipline and 
specialty will be collected and maintained in a database to enable HRSA 
to communicate with NHSC alumni.
    The annual estimate of burden is as follows:

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                                     Number of     Responses per       Total         Hours per     Total burden
           Instrument               respondents     respondent       responses       response          hours
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NHSC LRP Application............           5,175               1           5,175             .30           1,553
Payment Information Form........           5,175               1           5,175             .20           1,035
Employment Verification and                5,175               1           5,175             .75           3,881
 Community Site Information Form
Loan Information and                       5,175               3          15,525             .30           4,658
 Verification Form..............
Authorization to Release                   5,175               1           5,175             .10             518
 Information....................
Self-Certification Form.........           5,175               1           5,175             .10             518
NHSC Alumni Database............           5,000               1           5,000             .20           1,000
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    Total.......................  ..............  ..............          46,400  ..............          13,163
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    Written comments and recommendations concerning the proposed 
information collection should be sent within 30 days of this notice to 
the OMB desk officer for HRSA, either by e-mail to [email protected] or by fax to 202-395-6974. Please direct all 
correspondence to the ``attention of the OMB desk officer for HRSA.''

    Dated: August 16, 2010.
Sahira Rafiullah,
Director, Division of Policy and Information Coordination.
[FR Doc. 2010-20763 Filed 8-20-10; 8:45 am]
BILLING CODE 4165-15-P