[Federal Register Volume 75, Number 172 (Tuesday, September 7, 2010)]
[Notices]
[Page 54342]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-22233]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Proposed Collection: 
Comment Request

    In compliance with the requirement for opportunity for public 
comment on proposed data collection projects (section 3506(c)(2)(A) of 
Title 44, United States Code, as amended by the Paperwork Reduction Act 
of 1995, Pub. L. 104-13), the Health Resources and Services 
Administration (HRSA) publishes periodic summaries of proposed projects 
being developed for submission to the Office of Management and Budget 
(OMB) under the Paperwork Reduction Act of 1995. To request more 
information on the proposed project or to obtain a copy of the data 
collection plans and draft instruments, e-mail [email protected] or 
call the HRSA Reports Clearance Officer at (301) 443-1129.
    Comments are invited on: (a) The proposed collection of information 
for the proper performance of the functions of the agency; (b) the 
accuracy of the agency's estimate of the burden of the proposed 
collection of information; (c) ways to enhance the quality, utility, 
and clarity of the information to be collected; and (d) ways to 
minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques or other 
forms of information technology.

Proposed Project: National Health Service Corps Information Follow-up 
Form--[New]

    The National Health Service Corps (NHSC) of the Bureau of Clinician 
Recruitment and Service, HRSA, is committed to improving the health of 
the Nation's underserved by uniting communities in need with caring 
health professionals and by supporting communities' efforts to build 
better systems of care.
    The NHSC Information Follow-up Form, which NHSC will use when 
exhibiting at national and regional conferences as well as when 
presenting on campuses to health profession students, is an optional 
form that a health profession student, licensed clinician, faculty 
member, or clinical site administrator can fill out. Individuals who 
submit the form to NHSC, may ask questions and/or sign up to receive 
periodic program updates and other general information regarding 
opportunities with the NHSC via e-mail. An individual is free to 
discontinue receiving communication from NHSC at anytime by e-mailing 
[email protected]. Completed forms will contain information such as, 
the names of the individuals, their e-mail address(es), their city and 
State, their phone number, the organization where they are employed (or 
the school which they attend), the year they intend to graduate (if 
applicable), how they heard about NHSC, which NHSC programs they are 
interested in, etc. Assistance in completing the form will be given by 
the BCRS staff person (or BCRS representative) who is present at the 
event. Based on the FY10 exhibit and presentation schedule, NHSC could 
have gathered information from 2,400 individuals. Using this as a guide 
for future years, the estimated annual burden is as follows:

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                                                Total
                     Form                          Number of     Responses per     Total                   Hours per response                   burden
                                                  respondents     respondent     responses                                                      hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
Information Follow-up Form....................           2,400               1        2,400  .025 (90 seconds).............................           60
                                               ---------------------------------------------------------------------------------------------------------
    Total.....................................           2,400               1        2,400  .025 (90 seconds).............................           60
--------------------------------------------------------------------------------------------------------------------------------------------------------

    E-mail comments to [email protected] or mail the HRSA Reports 
Clearance Officer, Room 10-33, Parklawn Building, 5600 Fishers Lane, 
Rockville, MD 20857. Written comments should be received within 60 days 
of this notice.

    Dated: September 1, 2010.
Sahira Rafiullah,
Director, Division of Policy and Information Coordination.
[FR Doc. 2010-22233 Filed 9-3-10; 8:45 am]
BILLING CODE 4165-15-P