[Federal Register Volume 82, Number 78 (Tuesday, April 25, 2017)]
[Notices]
[Page 19069]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-08298]


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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; The National Health 
Service Corps and NURSE Corps Interest Capture Form, OMB No. 0915-
0337--Extension

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

ACTION: Notice.

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SUMMARY: In compliance with the Paperwork Reduction Act of 1995, 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 May 25, 
2017.

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: When submitting comments or requesting 
information, please include the information request collection title 
for reference, in compliance with 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. 
The form requests 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 Programs              2,400               1           2,400            .025              60
 Interest Capture Form..........
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    Total.......................           2,400  ..............           2,400  ..............              60
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Jason E. Bennett,
Director, Division of the Executive Secretariat.
[FR Doc. 2017-08298 Filed 4-24-17; 8:45 am]
 BILLING CODE 4165-15-P