[Federal Register Volume 82, Number 33 (Tuesday, February 21, 2017)]
[Notices]
[Pages 11231-11232]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-03335]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Proposed Collection: 
Public Comment Request; The National Health Service Corps and NURSE 
Corps Interest Capture Form

AGENCY: Health Resources and Services Administration (HRSA), Department 
of Health and Human Services.

[[Page 11232]]


ACTION: Notice.

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SUMMARY: In compliance with the requirement for opportunity for public 
comment on proposed data collection projects of the Paperwork Reduction 
Act of 1995, HRSA announces plans to submit an Information Collection 
Request (ICR), described below, to the Office of Management and Budget 
(OMB). Prior to submitting the ICR to OMB, HRSA seeks comments from the 
public regarding the burden estimate below, or any other aspect of the 
ICR.

DATES: Comments on this ICR should be received no later than April 24, 
2017.

ADDRESSES: Submit your comments to [email protected] or by mail to the 
HRSA Information Collection Clearance Officer, Room 14N-29, 5600 
Fishers Lane, Rockville, MD 20857.

FOR FURTHER INFORMATION CONTACT: To request more information on the 
proposed project or to obtain a copy of the data collection plans and 
draft instruments, email [email protected] or call the HRSA 
Information Collection Clearance Officer at (301) 443-1984.

SUPPLEMENTARY INFORMATION: When submitting comments or requesting 
information, please include the information request collection title 
for reference, pursuant to Section 3506(c)(2)(A) of the Paperwork 
Reduction Act of 1995.
    Information Collection Request Title: The National Health Service 
Corps and NURSE Corps Interest Capture Form, OMB No. 0915-0337--
Extension.
    Abstract: HRSA's Bureau of Health Workforce administers the 
National Health Service Corps (NHSC) and the NURSE Corps programs, 
which are committed to improving the health of the underserved by 
connecting communities in need with health professionals and supporting 
communities' efforts to build better systems of care. The NHSC and 
NURSE Corps interest capture form, is an optional form that a health 
profession student, licensed clinician, faculty member, or clinical 
site administrator may complete to request information regarding 
opportunities and program updates with the NHSC and/or the NURSE Corps. 
Forms request information such as name, email, city and state, 
organization where employed (or the school attending), the year one 
intends to graduate (if applicable), and how one heard about the NHSC 
and NURSE Corps programs.
    Need and Proposed Use of the Information: The need and purpose of 
this information collection is to share information regarding the NHSC 
and NURSE Corps programs with interested individuals.
    Likely Respondents: Individuals 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.

                                     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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NHSC and NURSE Corps Interest              2,400               1           2,400            .025              60
 Capture Form...................
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    Total.......................           2,400  ..............           2,400  ..............              60
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    HRSA specifically requests comments on (1) the necessity and 
utility of the proposed information collection for the proper 
performance of the agency's functions, (2) the accuracy of the 
estimated burden, (3) ways to enhance the quality, utility, and clarity 
of the information to be collected, and (4) the use of automated 
collection techniques or other forms of information technology to 
minimize the information collection burden.

Jason E. Bennett,
Director, Division of the Executive Secretariat.
[FR Doc. 2017-03335 Filed 2-17-17; 8:45 am]
 BILLING CODE 4165-15-P