[Federal Register Volume 78, Number 116 (Monday, June 17, 2013)]
[Notices]
[Pages 36197-36198]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-14291]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service

[OMB Control Number 0917-0006]


Request for Public Comment: 60-Day Proposed Information 
Collection: Application for Participation in the IHS Scholarship 
Program

AGENCY: Indian Health Service.

ACTION: Notice.

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SUMMARY: In compliance with Section 3506 (c)(2)(A) of the Paperwork 
Reduction Act of 1995 which requires 60-days advance opportunity for 
public comment on proposed information collection projects, the Indian 
Health Service (IHS) is publishing for comment a summary of a proposed 
information collection to be submitted to the Office of Management and 
Budget (OMB) for review.
    Proposed Collection: Title: 0917-0006, ``Application for 
Participation in the IHS Scholarship Program.'' Type of Information 
Collection Request: Three year extension of the currently approved 
information collection, 0917-0006, ``Application for Participation in 
the IHS Scholarship Program.'' Form Number(s): IHS-856-3, IHS-856-5 
through 856-19, IHS-856-21 through 856-24, IHS-817, and IHS-818 are 
retained for use by the IHS Scholarship Program (IHSSP) as part of this 
current Information Collection Request. Reporting forms are found on 
the IHS Web site at www.ihs.gov/scholarship. Form Numbers: IHS-856, 
IHS-856-2, IHS-856-4, IHS-856-20, IHS-815, and IHS-816 have been 
deleted from the previous Information Collection Request in an effort 
to comply with the Paperwork Reduction Act (44 U.S.C. 3501 et seq.).
    Need and Use of Information Collection: The IHS Scholarship Branch 
needs this information for program administration and uses the 
information to: solicit, process, and award IHS Pre-graduate, 
Preparatory, and/or Health Professions Scholarship recipients; monitor 
the academic performance of recipients; and to place recipients at 
payback sites. The IHS Scholarship Program streamlined the application 
process by converting the IHS-856 to an electronic tool and reduced the 
number of required supplemental application and reporting forms to 
minimize the time needed by applicants and recipients to complete the 
application process and provide required information after receiving a 
scholarship from the IHSSP. The IHSSP application is electronically 
available on the internet at the IHS Web site at: http://www.ihs.gov/scholarship/apply_now.cfm.
    Affected Public: Individuals, not-for-profit institutions and 
State, local or Tribal Governments.
    Type of Respondents: Students pursuing health care professions.
    The table below provides: Types of data collection instruments, 
Estimated number of respondents, Number of responses per respondent, 
Annual number of responses, Average burden hour per response, and Total 
annual burden hours.

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                                  Number  of    Responses  per   Total  annual  Burden  hour per  Annual  burden
 Data collection instrument(s)    respondents      respondent      response         response*          hours
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Faculty/Employer Evaluation               1500               2            3000  0.42 (25 min)...            1250
 (IHS-856-3).
Delinquent Federal Debt (IHS-             1500               1            1500  0.13 ( 8 min)...             200
 856-5).
Course Curriculum Verification            1500               1            1500  0.70 (42 min)...            1050
 (IHS-856-6).
Verification of Acceptance or              500               1             500  0.13 ( 8 min)...              67
 Decline of Award (IHS-856-7).
Recipient's Initial Program               1200               1            1200  0.13 ( 8 min)...             160
 Progress Report (IHS-856-8).
Notification of Academic                    50               1              50  0.13 ( 8 min)...               7
 Problem (IHS-856-9).
Change of Status (IHS-856-10).              50               1              50  .045 (25 min)...              21
Request for Approval of                     20               1              20  0.13 ( 8 min)...               3
 Deferment (IHS-856-11).
Preferred Placement (IHS-856-              150               1             150  0.50 (30 min)...              75
 12).
Notice of Impending Graduation             170               1             170  0.17 (10 min)...              28
 (IHS-856-13).
Notification of Deferment                   20               1              20  0.13 (8 min)....               3
 Program (IHS-856-14).
Placement Update (IHS-856-15).             170               1             170  0.18 (11 min)...              31
Annual Status Report (IHS-856-             200               1             200  0.25 (15 min)...              50
 16).
Extern Site Preference Request             300               1             300  0.13 ( 8 min)...              40
 (IHS-856-17).
Request for Extern Travel                  150               1             150  0.10 ( 6 min)...              15
 Reimbursement (IHS-856-18).
Lost Stipend Payment (IHS-856-              50               1              50  0.13 ( 8 min)...               7
 19).
Summer School Request (IHS-856-            100               1             100  0.10 ( 6 min)...              10
 21).
Change of Name or Address (IHS-             20               1              20  0.13 (8 min)....               3
 856-22).
Request for Credit Validation               30               1              30  0.10 (6 min)....               3
 (IHS-856-23).
Faculty/Advisor Evaluation                1500               2            3000  0.42 (25 min)...            1250
 (IHS-856-24).
Scholarship Program Agreement              175               1             175  0.16 (10 min)...              29
 (IHS-817).

[[Page 36198]]

 
Health Professions Contract                225               1             225  0.16 (10min)....              38
 (IHS-818).
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    Total.....................  ..............  ..............           12580  ................            4340
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* For ease of understanding, burden hours are also provided in actual minutes.

    There are no direct costs to respondents other than their time to 
voluntarily complete the forms and submit them for consideration. The 
estimated cost in time to respondents, as a group, is $45,396 [4340 
burden hours X $10.46 per hour (2013 GS-3 hourly base pay rate)]. This 
total dollar amount is based upon the number of burden hours per data 
collection instrument, rounded to the nearest dollar. Request for 
Comments: Your written comments and/or suggestions are invited on one 
or more of the following points: (a) Whether the information collection 
activity is necessary to carry out an agency function; (b) whether the 
agency processes the information collected in a useful and timely 
fashion; (c) the accuracy of public burden estimate (the estimated 
amount of time needed for individual respondents to provide the 
requested information); (d) whether the methodology and assumptions 
used to determine the estimate are logical; (e) ways to enhance the 
quality, utility, and clarity of the information being collected; and 
(f) ways to minimize the public burden through the use of automated, 
electronic, mechanical, or other technological collection techniques or 
other forms of information technology.
    Send Comments and Requests for Further Information: Send your 
written comments and requests for more information on the proposed 
collection or requests to obtain a copy of the data collection 
instrument(s) and instructions to: Dr. Dawn Kelly, Chief, Scholarship 
Program, 801 Thompson Avenue, TMP Suite 450A, Rockville, MD 20852, call 
non-toll free (301) 443-6622, send via facsimile to (301) 443-6048, or 
send your email requests, comments, and return address to: 
[email protected].
    Comment Due Date: Comments regarding this information collection 
are best assured of having full effect if received within 60 days of 
the date of this publication.

    Dated: June 10, 2013.
Yvette Roubideaux,
Acting Director, Indian Health Service.
[FR Doc. 2013-14291 Filed 6-14-13; 8:45 am]
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