[Federal Register Volume 79, Number 102 (Wednesday, May 28, 2014)]
[Notices]
[Pages 30626-30627]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-12324]


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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 no later than June 27, 
2014.

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: National Health Service Corps 
Ambassador Portal.

    OMB No. 0915-xxxx--New.

    Abstract: The National Health Service Corps (NHSC), administered by 
the Health Resources and Services Administration, is 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 programs provide 
scholarships and repay educational loans for primary care physicians, 
dentists, nurse practitioners, physician assistants, behavioral health 
providers, and other

[[Page 30627]]

primary care providers who agree to practice in areas of the country 
that need them most.
    The NHSC invites individuals who are affiliated with academic, 
clinical, trade, and other public health related organizations to apply 
to be volunteers within the NHSC Ambassador Program. NHSC Ambassadors 
are dedicated volunteers who help educate and inform prospective NHSC 
members. Ambassadors give their time and talents to spread the word 
about the opportunities available through the NHSC and serve as 
additional local resources for current NHSC members. NHSC Ambassadors 
inspire and motivate students and providers to provide primary health 
care in communities with limited access to care.
    The NHSC Ambassador Portal will serve as both the application 
interface for interested individuals to apply and become NHSC 
Ambassadors, as well the public-facing online searchable database of 
Ambassador contact information. Applicants will create individual 
Ambassador profiles that will contain information such as name, email 
address(es), professional/employment information (including 
organization name and address), (or the school which they attend), 
phone number(s), which discipline of students and/or professionals they 
interact with, and a brief reason why they would like to be an 
Ambassador. Completed applications will be forwarded through the portal 
to NHSC staff for approval. If approved, the NHSC Ambassador will have 
the opportunity to add a brief professional biography and social 
network addresses to their profile. Assistance in completing the 
application will be provided through prompts via the online portal and 
also through the NHSC Customer Care Center, if necessary.
    Need and Proposed Use of the Information: The need and purpose of 
this information collection is to create a database where interested 
parties can search for NHSC Ambassadors (that meet specific search 
criteria) to serve as local resources on the NHSC programs. The other 
purpose is that NHSC can have access to volunteers who are available to 
spread important programmatic information on behalf of the NHSC.
    Likely Respondents: Individuals who are affiliated with academic, 
clinical, trade, and other public health related organizations.
    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 Information Collection Request are summarized in the table below.

                                     Total Estimated Annualized Burden Hours
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                                                     Number of                    Average burden
            Form name                Number of     responses per       Total       per response    Total burden
                                    respondents     respondent       responses      (in hours)         hours
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Ambassador Portal--New                       200               1             200             .10              20
 Applicants.....................
Ambassador Portal--Updates to                500               1             500             .10              50
 current Ambassador profiles....
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    Total.......................             700  ..............             700  ..............              70
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    Dated: May 20, 2014.
Jackie Painter,
Deputy Director, Division of Policy and Information Coordination.
[FR Doc. 2014-12324 Filed 5-27-14; 8:45 am]
BILLING CODE 4165-15-P