[Federal Register Volume 84, Number 204 (Tuesday, October 22, 2019)]
[Notices]
[Pages 56463-56464]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-22951]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Document Identifier OS-0937-0025]


Agency Information Collection Request. 60-Day Public Comment 
Request

AGENCY: Office of the Secretary, HHS.

ACTION: Notice.

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SUMMARY: In compliance with the requirement of the Paperwork Reduction 
Act of 1995, the Office of the Secretary (OS), Department of Health and 
Human Services, is publishing the following summary of a proposed 
collection for public comment.

DATES: Comments on the ICR must be received on or before December 23, 
2019.

ADDRESSES: Submit your comments to [email protected] or by calling 
(202) 795-7714.

FOR FURTHER INFORMATION CONTACT: When submitting comments or requesting 
information, please include the document identifier 0937-0025-60D, and 
project title for reference, to Sherrette Funn, the Reports Clearance 
Officer, [email protected], or call 202-795-7714.

SUPPLEMENTARY INFORMATION: Interested persons are invited to send 
comments regarding this burden estimate or any other aspect of this 
collection of information, including any of the following subjects: (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.
    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 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 
of the U.S. Public Health Service.

[[Page 56464]]



                                    Total Estimated Annualized Burden--Hours
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                                                                     Number of    Average burden
           Form name               Type of of        Number of    responses  per   per response    Total burden
                                   respondents      respondents      respondent     (in hours)         hours
----------------------------------------------------------------------------------------------------------------
Prequalification Questionnaire  Interested                 6,000               1           15/60            1500
                                 Health
                                 Professionals.
Form..........................  Health                     1,000               1             1.0            1000
PHS-50........................   Professionals.
Form PHS-1813.................  References                 4,000               1           15/60            1000
                                 (college
                                 professors/
                                 teachers).
Addendum: Commissioned Corps    Health                     1,000  ..............           45/60             750
 Personal Statement.             Professionals.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............           4,250
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Terry Clark,
Office of the Secretary, Asst Paperwork Reduction Act Reports Clearance 
Officer.
[FR Doc. 2019-22951 Filed 10-21-19; 8:45 am]
 BILLING CODE 4150-49-P