[Federal Register Volume 78, Number 113 (Wednesday, June 12, 2013)]
[Notices]
[Page 35286]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-13923]


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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

AGENCY: Health Resources and Services Administration, HHS.

ACTION: Notice.

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SUMMARY: In compliance with Section 3507(a)(1)(D) of the Paperwork 
Reduction Act of 1995, the Health Resources and Services Administration 
(HRSA) has submitted an Information Collection Request (ICR) to the 
Office of Management and Budget (OMB) for review and approval. 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.

DATES: Comments on this ICR should be received within 30 days of this 
notice.

ADDRESSES: Submit your comments, including the Information Collection 
Request Title, to the desk officer for HRSA, either by email to [email protected] or by fax to 202-395-5806.

FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance 
requests submitted to OMB for review, email the HRSA Information 
Collection Clearance Officer at [email protected] or call (301) 443-
1984.

SUPPLEMENTARY INFORMATION:
    Information Collection Request Title: The Health Education 
Assistance Loan (HEAL) Program: Physician's Certification of Borrower's 
Total and Permanent Disability Form (OMB No. 0915-0204)--Extension
    Abstract: The Health Education Assistance Loan (HEAL) program 
provided federally-insured loans to students in schools of allopathic 
medicine, osteopathic medicine, dentistry, veterinary medicine, 
optometry, podiatric medicine, pharmacy, public health, allied health, 
or chiropractic, and graduate students in health administration or 
clinical psychology through September 30, 1998. Eligible lenders, such 
as banks, savings and loan associations, credit unions, pension funds, 
state agencies, HEAL schools, and insurance companies made new 
refinanced HEAL loans which are insured by the federal government 
against loss due to borrower's death, disability, bankruptcy, and 
default. The basic purpose of the program was to assure the 
availability of funds for loans to eligible students who needed to 
borrow money to pay for their educational loans. Currently, the program 
monitors the federal liability and assists in default prevention 
activities.
    The HEAL borrower, the borrower's physician, and the holder of the 
loan completes the Physician's Certification form to certify that the 
HEAL borrower meets the total and permanent disability provisions. The 
Department of Health and Human Services uses this form to obtain 
detailed information about disability claims which includes the 
following: (1) The borrower's consent to release medical records to the 
Department of Health and Human Services and to the holder of the 
borrower's HEAL loans, (2) pertinent information supplied by the 
certifying physician, (3) the physician's certification that the 
borrower is unable to engage in any substantial gainful activity 
because of a medically determinable impairment that is expected to 
continue for a long and indefinite period of time or to result in 
death, and (4) information from the lender on the unpaid balance. 
Failure to submit the required documentation will result in disapproval 
of a disability claim. No changes have been made to the current 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.

                                    Total Estimated Annualized Burden--Hours
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                                                                                      Average
                                     Number of       Number of         Total        burden per     Total burden
       Type of respondent           respondents   responses  per     responses     response  (in       hours
                                                     respondent                       hours)
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Borrower........................              30               1              30             .08               2
Physician.......................              30               1              30             .5               15
Loan Holder.....................              15               2              30             .17               5
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    Total.......................              75  ..............              90  ..............              22
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    Dated: June 6, 2013.
Bahar Niakan,
Director, Division of Policy and Information Coordination.
[FR Doc. 2013-13923 Filed 6-11-13; 8:45 am]
BILLING CODE 4165-15-P