[Federal Register Volume 77, Number 140 (Friday, July 20, 2012)]
[Notices]
[Pages 42748-42749]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-17776]


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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, email 
[email protected] or call the HRSA Reports Clearance Office on (301) 
443-1984.
    The following request has been submitted to the Office of 
Management and Budget for review under the Paperwork Reduction Act of 
1995:

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 2 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:

----------------------------------------------------------------------------------------------------------------
                                   Number of      Responses per        Total         Hours per     Total burden
          Instrument              respondents      respondent        responses       response          hours
----------------------------------------------------------------------------------------------------------------
Online Application............             304                 1             304               1             304
Institution/Loan Repayment               * 304               * 1             304               1             304
 Employment Form..............
Authorization to Release                   304                 1             304             .25              76
 Information Form.............
                               ---------------------------------------------------------------------------------
    Total.....................             912  ................  ..............  ..............             684
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*Respondent for this form is the institution for the applicant.

    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 email to [email protected] or by fax to 202-395-6974. Please direct all 
correspondence to the ``attention of the desk officer for HRSA.''


[[Page 42749]]


    Dated: July 12, 2012.
Jennifer Riggle,
Deputy Director, Office of Management.
[FR Doc. 2012-17776 Filed 7-19-12; 8:45 am]
BILLING CODE 4165-15-P