[Federal Register Volume 77, Number 94 (Tuesday, May 15, 2012)]
[Notices]
[Page 28607]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-11627]


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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, email [email protected] or 
call the HRSA Reports Clearance Officer at (301) 443-1984.
    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: Faculty Loan Repayment Program (OMB No. 0915-0150)--
[Revision]

    Under the Health Resources and Services Administration (HRSA) 
Faculty Loan Repayment Program, degree-trained health professionals 
from disadvantaged backgrounds may enter into a contract under which 
the Department of Health and Human Services will make payments on 
eligible educational loans in exchange for a minimum of two years of 
service as a full-time or part-time faculty member of an accredited 
health professions college or university. Applicants must complete an 
application and provide all other required documentation, including 
information on all eligible educational loans.
    The annual estimate of burden is as follows:

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                                                                                                        Total
                Instrument                   Number of    Responses  per      Total      Hours per      burden
                                            respondents     respondent      responses     response      hours
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Online Application........................          304                 1          304         1.00          304
Institution/Loan Repayment Employment Form        * 304               * 1          304         1.00          304
Authorization to Release Information Form.          304                 1          304         0.25           76
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    Total.................................          912  ................  ...........  ...........          684
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* Respondent for this form is the institution for the applicant.

    Email comments to [email protected] or mail the HRSA Reports 
Clearance Officer, Room 10-29, Parklawn Building, 5600 Fishers Lane, 
Rockville, MD 20857. Written comments should be received within 60 days 
of this notice.

    Dated: May 9, 2012.
Reva Harris,
Acting Director, Division of Policy and Information Coordination.
[FR Doc. 2012-11627 Filed 5-14-12; 8:45 am]
BILLING CODE 4165-15-P