[Federal Register Volume 79, Number 31 (Friday, February 14, 2014)]
[Notices]
[Page 8978]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-03239]


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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 
National Health Service Corps and NURSE Corps Interest Capture Form OMB 
No. 0915-0337--Revision.
    Abstract: The National Health Service Corps (NHSC) and the NURSE 
Corps of the Bureau of Clinician Recruitment and Service (BCRS), HRSA, 
are both committed to improving the health of the nation's underserved 
by uniting communities in need with caring health professionals and by 
supporting communities' efforts to build better systems of care. The 
NHSC and NURSE Corps Interest Capture Form, which will be used when 
exhibiting at national and regional conferences as well as when 
presenting on campuses to health profession students, is an optional 
form that a health profession student, licensed clinician, faculty 
member, or clinical site administrator can fill out and submit to BCRS 
representatives at the recruitment event. The purpose of the form is to 
enable individuals and clinical sites to ask BCRS for periodic program 
updates and other general information regarding opportunities with the 
NHSC and/or the NURSE Corps via email. Completed forms will contain 
information such as the names of the individual(s), their email 
address(es), their city and state, the organization where they are 
employed (or the school which they attend), the year they intend to 
graduate (if applicable), how they heard about the NHSC and/or the 
NURSE Corps, and the programs in which they are interested. Assistance 
in completing the form will be given by the BCRS staff person (or BCRS 
representative) who is present at the event.
    Need and Proposed Use of the Information: The need and purpose of 
this information collection is to share resources and information 
regarding the NHSC and NURSE Corps programs with interested conference/
event participants.
    Likely Respondents: Conference/event participants interested in the 
NHSC or NURSE Corps programs.
    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.

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                                                                                      Average
                                     Number of       Number of         Total        burden per     Total burden
            Form name               respondents    responses per     responses     response (in        hours
                                                    respondent                        hours)
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NHSC and NURSE Corps Interest              2,400               1           2,400            .025              60
 Capture Form...................
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    Total.......................           2,400               1           2,400            .025              60
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    Dated: February 7, 2014.
Jackie Painter,
Deputy Director, Division of Policy and Information Coordination.
[FR Doc. 2014-03239 Filed 2-13-14; 8:45 am]
BILLING CODE 4165-15-P