[Federal Register Volume 81, Number 100 (Tuesday, May 24, 2016)]
[Notices]
[Pages 32760-32761]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-12146]


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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 23, 
2016.

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: Corps Community Month Event Form 
OMB No. 0915-0362--Extension

    Abstract: Corps Community Month, formerly Corps Community Day, was 
created in 2011 and celebrates the National Health Service Corps (NHSC) 
every October. The NHSC is a program administered by the Bureau of 
Health Workforce (BHW) within HRSA. The goals of Corps Community Month 
encompass the following: Increase awareness of the NHSC to potential 
applicants and the greater primary health community; create a sense of 
community and connectedness among NHSC program participants, alumni, 
partners and staff; and underscore the NHSC's role in bringing primary 
health care services to the nation's neediest communities. Current 
program participants, alumni, NHSC Ambassadors, sites, primary care 
organizations, and professional associations plan events and report the 
details of their events to BHW so that they can be added to the state-
by-state map of events. To avoid duplication of effort, eliminate 
confusion regarding allowable event dates, avoid data entry errors, and 
implement a brief post-event satisfaction survey, BHW would like to 
continue to use the standard form that event planners use to report to 
BHW. The fillable form is available online and has 26 fields for event 
planners to populate to submit for inclusion on the map. There are also 
approximately five fields to populate following the event to measure 
satisfaction. Both the pre-event and post-event data fields are held in 
one form.
    Need and Proposed Use of the Information: The information collected 
is used and needed to highlight the impact of BHW and the NHSC programs 
in underserved and rural areas as part of outreach initiatives. Event 
information is captured and tracked to ensure that each HHS region is 
highlighted.
    Likely Respondents: Current program participants, alumni, NHSC 
Ambassadors, sites, primary care organizations, and professional 
associations
    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.

[[Page 32761]]



                                    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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Corps Community Month Event                  300               1             300            .066            19.8
 Planning Form..................
Corps Community Month Event                  300               1             300            .033             9.9
 Satisfaction...................
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    Total.......................           * 300  ..............           * 300  ..............            29.7
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* The same individuals complete both of the forms for a total of 300 respondents and responses.


Jason E. Bennett,
Director, Division of the Executive Secretariat.
[FR Doc. 2016-12146 Filed 5-23-16; 8:45 am]
 BILLING CODE 4165-15-P