[Federal Register Volume 78, Number 69 (Wednesday, April 10, 2013)]
[Notices]
[Pages 21380-21381]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-08348]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Submission to OMB for 
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: Corps Community Day Event 
Form (OMB No. 0915-xxxx)--[NEW]
    Abstract: Corps Community Day was created in 2011 and celebrates 
the

[[Page 21381]]

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 5 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 ICR 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
            Form name               respondents     respondent       responses       response          hours
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Corps Community Day Event                    300               1             300            .066              20
 Planning Form..................
Corps Community Day Event                    300               1             300            .033              10
 Satisfaction Form..............
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    Total.......................             300  ..............             300  ..............        30 hours
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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: April 4, 2013.
Bahar Niakan,
Director, Division of Policy and Information Coordination.
[FR Doc. 2013-08348 Filed 4-9-13; 8:45 am]
BILLING CODE 4165-15-P