[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]
BILLING CODE 4165-15-P