[Federal Register Volume 90, Number 239 (Tuesday, December 16, 2025)]
[Notices]
[Pages 58254-58255]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2025-22931]
[[Page 58254]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Submission to the
Office of Management and Budget for Review and Approval; Public Comment
Request; Application and Other Forms Used by the National Health
Service Corps Scholarship Program, the National Health Service Corps
Students to Service Loan Repayment Program, and the Native Hawaiian
Health Scholarship Program--OMB No. 0915-0146--Revision
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
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. OMB may act on HRSA's ICR only after the 30-day
comment period for this notice has closed.
DATES: Comments on this ICR should be received no later than January
15, 2026.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to www.reginfo.gov/public/do/PRAMain. Find this information
collection by selecting ``Currently under Review--Open for Public
Comments'' or by using the search function.
FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance
requests submitted to OMB for review, email Samantha Miller, the HRSA
Information Collection Clearance Officer, at [email protected] or call
(301) 443-3983.
SUPPLEMENTARY INFORMATION:
Information Collection Request Title: Application and Other Forms
Used by the National Health Service Corps Scholarship Program, the
National Health Service Corps Students to Service Loan Repayment
Program, and the Native Hawaiian Health Scholarship Program, OMB No.
0915-0146--Revision.
Abstract: Administered by HRSA's Bureau of Health Workforce, the
National Health Service Corps (NHSC) Scholarship Program (SP), the NHSC
Students to Service Loan Repayment Program (S2S LRP), and the Native
Hawaiian Health Scholarship Program (NHHSP) provide scholarships or
loan repayment to qualified students who are pursuing primary care
health professions education and training. In return, students agree to
provide primary health care services in underserved communities located
in federally designated health professional shortage areas once they
are fully trained and licensed health professionals. Awards are made to
applicants who demonstrate the greatest potential for successful
completion of their education and training as well as commitment to
provide primary health care services to communities of greatest need.
The information from program applications, forms, and supporting
documentation is used to select the best qualified candidates for these
competitive awards, and to monitor program participants' enrollment in
school, postgraduate training, and compliance with program
requirements.
Although some program forms vary from program to program (see
program-specific burden charts below), required forms generally include
a program application, academic and non-academic letters of
recommendation, the authorization to release information, and the
acceptance/verification of good academic standing report. The NHSC SP
and the NHSC S2S LRP have added two forms for this information
collection request, which include a Proof of Citizenship document and
an essay. Additionally, the process used to monitor program
participants while in school via the Enrollment Verification Form has
been modernized and renamed to In-School Verification, which will allow
program participants to verify their enrollment status electronically,
bringing efficiency to the process. The NHHSP is not seeking to change
or add any forms or documentation.
A 60-day notice published in the Federal Register on August 5,
2025, vol. 90, No. 148; pp. 37529-31. There were no public comments.
Need and Proposed Use of the Information: The NHSC SP, S2S LRP, and
NHHSP applications, forms, and supporting documentation are used to
collect necessary information from applicants and schools that enable
HRSA to make selection determinations for the competitive awards and
monitor compliance (via training programs and sites) with program
requirements.
Likely Respondents: Qualified students who are pursuing education
and training in primary care health professions and are interested in
working in health professional shortage areas, schools at which such
students are enrolled, and post graduate training programs/sites which
such students will attend.
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:
NHSC SP Application
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Average
Number of Number of Total burden per Total burden
Form name respondents responses per responses response (hours)
respondent (in hours)
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NHSC Scholarship Program Application... 3,100 1 3,100 2.00 6,200.00
Letters of Recommendation.............. 3,100 2 6,200 1.00 6,200.00
Proof of Citizenship................... 3,100 1 3,100 0.20 620.00
Essay.................................. 3,100 1 3,100 1.00 3,100.00
Authorization to Release Information... 3,100 1 3,100 0.10 310.00
Acceptance/Verification of Good 3,100 1 3,100 0.25 775.00
Standing Report.......................
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Verification of Disadvantaged 615 1 615 0.25 153.75
Background Status.....................
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Total.............................. * 3,100 ............... 22,315 .......... 17,358.75
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* Certain documents are submitted by a subset of respondents consistent with program requirements.
NHSC Awardees/Schools/Post Graduate Training Programs/Sites
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Average
Number of Number of Total burden per Total burden
Form name respondents responses per responses response (hours)
respondent (in hours)
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Data Collection Worksheet.............. 550 1 550 1.00 550.00
Post Graduate Training Verification 383 1 383 0.50 191.50
Form..................................
In-School Verification................. 1,275 4 5,100 0.10 510.00
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Total.............................. * 1,275 ............... 6,033 .......... 1,251.50
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* Please note that the same group of respondents may complete each form as necessary.
NHSC S2S LRP Application
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Average
Number of Number of Total burden per Total burden
Form name respondents responses per responses response (hours)
respondent (in hours)
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NHSC Students to Service LRP 348 1 348 2.00 696.00
Application...........................
Proof of Citizenship................... 348 1 348 0.10 34.80
Essay.................................. 348 1 348 1.00 348.00
Letters of Recommendation.............. 348 1 348 2.00 696.00
Authorization to Release Information... 348 1 348 0.10 34.80
Acceptance/Verification of Good 348 1 348 0.25 87.00
Standing Report.......................
Verification of Disadvantaged 115 1 115 0.25 28.75
Background Status.....................
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Total.............................. * 348 ............... 2,203 .......... 1,925.35
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* Certain documents are submitted by a subset of respondents consistent with program requirements.
NHHSP Application
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Average
Number of Number of Total burden per Total burden
Form name respondents responses per responses response (hours)
respondent (in hours)
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NHHSP Program Application.............. 200 1 200 2.00 400.00
Letters of Recommendation.............. 400 1 400 0.25 100.00
Authorization to Release Information... 200 1 200 0.25 50.00
Acceptance/Verification of Good 40 1 40 0.25 10.00
Standing Report.......................
Scholar Enrollment Verification Form... 40 4 160 0.50 80.00
Change in Program Curriculum Form...... 40 1 40 0.25 10.00
NHHSP Graduation Documentation Form.... 40 1 40 0.25 10.00
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Total.............................. * 200 ............... 1,080 .......... 660.00
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* Certain documents are submitted by a subset of respondents consistent with program requirements.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2025-22931 Filed 12-15-25; 8:45 am]
BILLING CODE 4165-15-P