[Federal Register Volume 75, Number 208 (Thursday, October 28, 2010)]
[Notices]
[Page 66380]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-27284]
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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
hrsa.gov">paperwork@hrsa.gov 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: 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
NHSCupdate@hrsa.gov. Completed forms will contain information such as,
the names of the individuals, their email 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:
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Number of Responses per Total Total burden
Form respondents respondent responses Hours per response hours
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Information Follow-up Form..................... 2400 1 2400 .025 (90 seconds)...................... 60
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Total...................................... 2400 1 2400 .025 (90 seconds)...................... 60
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Written comments and recommendations concerning the proposed
information collection should be sent within 30 days of this notice to
the 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 desk officer for HRSA.''
Dated: October 20, 2010.
Robert Hendricks,
Director, Division of Policy and Information Coordination.
[FR Doc. 2010-27284 Filed 10-27-10; 8:45 am]
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