[Federal Register Volume 78, Number 207 (Friday, October 25, 2013)]
[Notices]
[Page 63980]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-25184]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary

[Document Identifier HHS-OS-20521-30D]


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

AGENCY: Office of the Secretary, HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: In compliance with section 3507(a)(1)(D) of the Paperwork 
Reduction Act of 1995, the Office of the Secretary (OS), Department of 
Health and Human Services, has submitted an Information Collection 
Request (ICR), described below, to the Office of Management and Budget 
(OMB) for review and approval. The ICR is for renewal of the approved 
information collection assigned OMB control number 0937-0025, scheduled 
to expire on October 31, 2013. Comments submitted during the first 
public review of this ICR will be provided to OMB. OMB will accept 
further comments from the public on this ICR during the review and 
approval period.

DATES: Comments on the ICR must be received on or before November 25, 
2013.

ADDRESSES: Submit your comments to [email protected] or via 
facsimile to (202) 395-5806.

FOR FURTHER INFORMATION CONTACT: Information Collection Clearance 
staff, [email protected] or (202) 690-6162.

SUPPLEMENTARY INFORMATION: When submitting comments or requesting 
information, please include the OMB control number 0937-0025 and 
document identifier HHS-OS-20521-30D for reference.
    Information Collection Request Title: Reference Request for 
Applicants to the U.S. Public Health Service Commissioned Corps.
    OMB No.: 0937-0025.
    Abstract: The information collected will include personal 
information such as name, social security number, and date of birth. 
Other information will be responses to various questions regarding 
applicants' qualifications to join the Commissioned Corps of the U.S. 
Public Health Service.
    Need and Proposed Use of the Information: The Commissioned Corps of 
the U.S. Public Health Service has a need for the information in order 
to assess the qualifications of each applicant and make a determination 
whether the applicant meets the requirements to receive a commission. 
The information is used to make determinations on candidates/applicants 
seeking appointment to the Corps to assess their whether they are 
suitable for life in the uniformed services based upon a review of a 
variety of assessment factors including, but not limited to: personal 
adjustment, employment history, character, suitability investigation 
clearance, and a candidate's prior history of service in one of the 
uniformed services. Their potential for leadership as a commissioned 
officer and their ability to deal effectively with people is evaluated.
    Likely Respondents: Respondents would be applicants/candidates for 
a commission in the Commissioned Corps of the United States Public 
Health Service.
    Burden Statement: 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
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of       Number of      burden per     Total burden
                    Form name                       respondents   responses  per   response  (in       hours
                                                                    respondent        hours)
----------------------------------------------------------------------------------------------------------------
Prequalification Review.........................           8,000               1           15/60           2,000
PHS-50..........................................           1,000               1             1.0           1,000
PHS-1813........................................           4,000               1           15/60           1,000
Addendum: Commissioned Corps Personal Statement.           1,000               1           45/60             750
                                                 ---------------------------------------------------------------
    Total.......................................  ..............  ..............  ..............           4,750
----------------------------------------------------------------------------------------------------------------


Keith A. Tucker,
Information Collection Clearance Officer.
[FR Doc. 2013-25184 Filed 10-24-13; 8:45 am]
BILLING CODE 4150-49-P