[Federal Register Volume 75, Number 248 (Tuesday, December 28, 2010)]
[Notices]
[Pages 81623-81624]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-32562]


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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)

[[Page 81624]]

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 (NHSC) Scholarship 
Program Application (OMB No. 0915-0146)--[Revision]

    The National Health Service Corps (NHSC) Scholarship Program 
provides the NHSC with the health professionals it requires to carry 
out its mission of providing primary health care to populations 
residing in areas of greatest need. Under this program, health 
professions students are awarded scholarships in return for service in 
a federally designated Health Professional Shortage Area (HPSA). 
Students are supported who are well qualified to participate in the 
NHSC Scholarship Program and who want to assist the NHSC in its 
mission, both during and after their period of obligated service. The 
NHSC Scholarship Program forms are used to collect relevant information 
necessary to make award determinations. Scholars are selected for these 
competitive awards based on the information provided in the 
application, forms, and supporting documentation. Awards are made to 
applicants who demonstrate a high potential for providing quality 
primary health care services in HPSAs. The program forms include the 
following: The NHSC Scholarship Program Application, Academic and Non-
Academic Evaluation Letters (formerly Letters of Recommendation), the 
Authorization to Release Information, the Verification of Acceptance/
Good Standing Report, the Receipt of Exceptional Financial Need 
Scholarship, the Verification Regarding Disadvantaged Background and 
the Acceptance/Declination Form. Also included are the Data Collection 
Worksheet, which is completed by the schools of program participants, 
the Deferment Request Form, which is completed by program participants 
and the Six-Month Service Obligation Verification Form, which is 
completed by program participants and their sites.
    The annual estimate of burden for applicants is as follows:

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                                     Number of      Responses/         Total         Hours per     Total burden
           Instrument               respondents     respondent       responses       response          hours
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NHSC Scholarship Program                   1,800               1           1,800             2.0           3,600
 Application....................
Evaluation Letters..............           1,800               2           3,600             .50           1,800
Authorization to Release                   1,800               1           1,800             .10             180
 Information....................
Verification of Acceptance/Good            1,800               1           1,800             .25             450
 Standing Report................
Receipt of Exceptional Financial             100               1             100             .25              25
 Need Scholarship...............
Verification Regarding                       300               1             300             .25              75
 Disadvantaged Background.......
Acceptance/Declination Form.....             250               1             250             .10              25
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    Total.......................  ..............  ..............           9,400  ..............           6,155
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    The annual estimate of burden for participants/schools/sites is as 
follows:

----------------------------------------------------------------------------------------------------------------
                                     Number of      Responses/         Total         Hours per     Total burden
           Instrument               respondents     respondent       responses       response          hours
----------------------------------------------------------------------------------------------------------------
Data Collection Worksheet.......             400               1             400             1.0             400
Deferment Request Form..........              60               1              60             .25              15
Six-Month Service Obligation                 700               2           1,400             .50             700
 Verification Form..............
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    Total.......................  ..............  ..............           1,860  ..............           1,115
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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: December 21, 2010.
Robert Hendricks,
Director, Division of Policy and Information Coordination.
[FR Doc. 2010-32562 Filed 12-27-10; 8:45 am]
BILLING CODE 4165-15-P