[Federal Register Volume 77, Number 245 (Thursday, December 20, 2012)]
[Notices]
[Page 75440]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-30690]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Submission for OMB 
Review and Approval; Public Comment Request

ACTION: Notice.

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SUMMARY: In compliance with section 3506(c)(2)(A) of the Paperwork 
Reduction Act of 1995 (44 U.S.C. Chapter 35), the Health Resources and 
Services Administration (HRSA) will submit an Information Collection 
Request (ICR) to the Office of Management and Budget (OMB). Comments 
submitted during the first public review of this ICR will be provided 
to OMB. OMB will accept further comments from the public during the 
review and approval period. To request a copy of the clearance requests 
submitted to OMB for review, email [email protected] or call the HRSA 
Reports Clearance Office at 301-443-1984.

Information Collection Request Title: National Health Service Corps 
Travel Request Worksheet (OMB No. 0915-0278)--Revision

    Abstract: Clinicians participating in the HRSA National Health 
Service Corps (NHSC) Scholarship Program use the online Travel Request 
Worksheet to request travel funds from the Federal Government to 
perform pre-employment interviews at sites on the NHSC's Opportunities 
List. The travel approval process is initiated when a scholar notifies 
the NHSC of an impending interview at one or more NHSC approved 
practice sites. The Travel Request Worksheet is also used to initiate 
the relocation process after a NHSC scholar has successfully been 
matched to an approved practice site. Upon receipt of the Travel 
Request Worksheet, the NHSC will review and approve or disapprove the 
request and promptly notify the scholar and the NHSC logistics 
contractor regarding travel arrangements and authorization of the 
funding for the site visit or relocation.
    Burden Statement: Burden in this context means the time expended by 
persons to generate, maintain, retain, disclose or provide the 
information requested. This includes the time needed to review 
instructions, to develop, acquire, install and utilize technology and 
systems for the purpose of collecting, validating and verifying 
information, processing and maintaining information, and disclosing and 
providing information, to train personnel and to be able to respond to 
a collection of information, to search data sources, to complete and 
review the collection of information, and to transmit or otherwise 
disclose the information. The total annual burden hours estimated for 
this Information Collection Request are summarized in the table below.
    The annual estimate of burden is as follows:

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                                     Number of     Responses per       Total         Hours per     Total burden
           Instrument               respondents     respondent       responses       response          hours
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Scholar Travel Request Worksheet             180               2             360           .0667              24
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    Total.......................             180               2             360           .0667              24
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ADDRESSES: Submit your comments to the desk officer for HRSA, either by 
email to [email protected] or by fax to 202-395-5806. Please 
direct all correspondence to the ``attention of the desk officer for 
HRSA.''
    Deadline: Comments on this ICR should be received within 30 days of 
this notice.

    Dated: December 14, 2012.
Bahar Niakan,
Director, Division of Policy and Information Coordination.
[FR Doc. 2012-30690 Filed 12-19-12; 8:45 am]
BILLING CODE 4165-15-P