[Federal Register Volume 78, Number 28 (Monday, February 11, 2013)]
[Notices]
[Pages 9704-9705]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-02998]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities; Proposed Collection, 
Comment Request

ACTION: Notice.

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SUMMARY: 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.
    HRSA especially requests comments on: (1) The necessity and utility 
of the proposed information collection for the proper performance of 
the agency's functions, (2) the accuracy of the estimated burden, (3) 
ways to enhance the quality, utility, and clarity of the information to 
be collected, and (4) the use of automated collection techniques or 
other forms of information technology to minimize the information 
collection burden.
    Information Collection Request Title: Corps Community Day Event 
Form--NEW
    Abstract: Corps Community Day was created in 2011 and celebrates 
the National Health Service Corps (NHSC) every October during National 
Primary Care Week. The NHSC is a program administered by the Bureau of 
Clinician Recruitment and Service (BCRS) within HRSA. The goals of 
Corps Community Day encompass the following: increase awareness of the 
NHSC to potential applicants and the greater primary health community; 
create a sense of community and connectedness among NHSC program 
participants, alumni, partners, and staff; and underscore the NHSC's 
role in bringing primary health care services to the nation's neediest 
communities. Current program participants, alumni, NHSC Ambassadors, 
sites, primary care organizations, and professional associations plan 
events and report the details of their events to BCRS so that they can 
be added to the state-by-state map of events. In order to avoid 
duplication of effort, eliminate confusion regarding allowable event 
dates, avoid data entry errors, and implement a brief post-event 
satisfaction survey, BCRS would like to implement a standard form that 
event planners will use to report to BCRS. The fillable form will be 
available online and will have less than 20 fields for event planners 
to populate to submit for inclusion on the map. There will also be 
approximately five fields to populate following the event to measure 
satisfaction. Both the pre-event and post-event data fields will be 
held in one form.
    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                    Average burden
            Form name                Number of     responses per       Total       per response    Total burden
                                    respondents     respondent       responses      (in hours)         hours
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Corps Community Day Event                    300               1             300             .20              60
 Planning Form..................
Corps Community Day Event                    300               1             300             .05              15
 Satisfaction Form..............
 
    Total.......................             300               1             300             .25              75
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ADDRESSES: Submit your comments to [email protected] or mail the HRSA 
Reports Clearance Officer, Room 10-29, Parklawn Building, 5600 Fishers 
Lane, Rockville, MD 20857.
    Deadline: Comments on this Information Collection Request must be 
received within 60 days of this notice.

    Dated: February 5, 2013.
Bahar Niakan,
Director, Division of Policy and Information Coordination.
[FR Doc. 2013-02998 Filed 2-8-13; 8:45 am]
BILLING CODE 4165-15-P