[Federal Register Volume 81, Number 139 (Wednesday, July 20, 2016)]
[Notices]
[Pages 47175-47176]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-17108]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary

[Document Identifier: HHS-OS-0937-0025-30D]


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

AGENCY: Office of the Secretary, HHS.

ACTION: Notice.

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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 November 30, 2016. 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 July 8, 2016.

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.
    Information Collection Request Title: The Commissioned Corps of the 
U.S. Public Health Service Application.
    Abstract: The principal purpose for collecting the information is 
to permit HHS to determine eligibility for appointment of applicants 
into the Commissioned Corps of the U.S. Public Health Service (Corps). 
The Corps is one of the seven Uniformed Services of the United States 
(37 U.S.C. 101(3)), and appointments in the Corps are made pursuant to 
42 U.S.C. 204 et seq. and 42

[[Page 47176]]

CFR 21.58. The application consists of forms PHS-50, PHS-1813, and the 
Commissioned Corps Personal Statement.
    Likely Respondents: Candidates/Applicants to the Commissioned 
Corps.

                                    Total Estimated Annualized Burden--Hours
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                                                                                      Average
                                                     Number of       Number of      burden per     Total burden
                    Form name                       respondents    responses per   response (in        hours
                                                                    respondent        hours)
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Prequalification Questionnaire..................           6,000               1           15/60           1,500
PHS-50..........................................           1,000               1             1.0           1,000
Form PHS-1813...................................           4,000               1           15/60           1,000
 Addendum:
  Commissioned Corps Personal Statement.........           1,000               1           45/60             750
rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
    Total.......................................  ..............  ..............  ..............           4,250
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Terry S. Clark,
Asst Information Collection Clearance Officer.
[FR Doc. 2016-17108 Filed 7-19-16; 8:45 am]
 BILLING CODE 4150-49-P