[Federal Register Volume 78, Number 116 (Monday, June 17, 2013)]
[Notices]
[Pages 36197-36198]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-14291]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
[OMB Control Number 0917-0006]
Request for Public Comment: 60-Day Proposed Information
Collection: Application for Participation in the IHS Scholarship
Program
AGENCY: Indian Health Service.
ACTION: Notice.
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SUMMARY: In compliance with Section 3506 (c)(2)(A) of the Paperwork
Reduction Act of 1995 which requires 60-days advance opportunity for
public comment on proposed information collection projects, the Indian
Health Service (IHS) is publishing for comment a summary of a proposed
information collection to be submitted to the Office of Management and
Budget (OMB) for review.
Proposed Collection: Title: 0917-0006, ``Application for
Participation in the IHS Scholarship Program.'' Type of Information
Collection Request: Three year extension of the currently approved
information collection, 0917-0006, ``Application for Participation in
the IHS Scholarship Program.'' Form Number(s): IHS-856-3, IHS-856-5
through 856-19, IHS-856-21 through 856-24, IHS-817, and IHS-818 are
retained for use by the IHS Scholarship Program (IHSSP) as part of this
current Information Collection Request. Reporting forms are found on
the IHS Web site at www.ihs.gov/scholarship. Form Numbers: IHS-856,
IHS-856-2, IHS-856-4, IHS-856-20, IHS-815, and IHS-816 have been
deleted from the previous Information Collection Request in an effort
to comply with the Paperwork Reduction Act (44 U.S.C. 3501 et seq.).
Need and Use of Information Collection: The IHS Scholarship Branch
needs this information for program administration and uses the
information to: solicit, process, and award IHS Pre-graduate,
Preparatory, and/or Health Professions Scholarship recipients; monitor
the academic performance of recipients; and to place recipients at
payback sites. The IHS Scholarship Program streamlined the application
process by converting the IHS-856 to an electronic tool and reduced the
number of required supplemental application and reporting forms to
minimize the time needed by applicants and recipients to complete the
application process and provide required information after receiving a
scholarship from the IHSSP. The IHSSP application is electronically
available on the internet at the IHS Web site at: http://www.ihs.gov/scholarship/apply_now.cfm.
Affected Public: Individuals, not-for-profit institutions and
State, local or Tribal Governments.
Type of Respondents: Students pursuing health care professions.
The table below provides: Types of data collection instruments,
Estimated number of respondents, Number of responses per respondent,
Annual number of responses, Average burden hour per response, and Total
annual burden hours.
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Number of Responses per Total annual Burden hour per Annual burden
Data collection instrument(s) respondents respondent response response* hours
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Faculty/Employer Evaluation 1500 2 3000 0.42 (25 min)... 1250
(IHS-856-3).
Delinquent Federal Debt (IHS- 1500 1 1500 0.13 ( 8 min)... 200
856-5).
Course Curriculum Verification 1500 1 1500 0.70 (42 min)... 1050
(IHS-856-6).
Verification of Acceptance or 500 1 500 0.13 ( 8 min)... 67
Decline of Award (IHS-856-7).
Recipient's Initial Program 1200 1 1200 0.13 ( 8 min)... 160
Progress Report (IHS-856-8).
Notification of Academic 50 1 50 0.13 ( 8 min)... 7
Problem (IHS-856-9).
Change of Status (IHS-856-10). 50 1 50 .045 (25 min)... 21
Request for Approval of 20 1 20 0.13 ( 8 min)... 3
Deferment (IHS-856-11).
Preferred Placement (IHS-856- 150 1 150 0.50 (30 min)... 75
12).
Notice of Impending Graduation 170 1 170 0.17 (10 min)... 28
(IHS-856-13).
Notification of Deferment 20 1 20 0.13 (8 min).... 3
Program (IHS-856-14).
Placement Update (IHS-856-15). 170 1 170 0.18 (11 min)... 31
Annual Status Report (IHS-856- 200 1 200 0.25 (15 min)... 50
16).
Extern Site Preference Request 300 1 300 0.13 ( 8 min)... 40
(IHS-856-17).
Request for Extern Travel 150 1 150 0.10 ( 6 min)... 15
Reimbursement (IHS-856-18).
Lost Stipend Payment (IHS-856- 50 1 50 0.13 ( 8 min)... 7
19).
Summer School Request (IHS-856- 100 1 100 0.10 ( 6 min)... 10
21).
Change of Name or Address (IHS- 20 1 20 0.13 (8 min).... 3
856-22).
Request for Credit Validation 30 1 30 0.10 (6 min).... 3
(IHS-856-23).
Faculty/Advisor Evaluation 1500 2 3000 0.42 (25 min)... 1250
(IHS-856-24).
Scholarship Program Agreement 175 1 175 0.16 (10 min)... 29
(IHS-817).
[[Page 36198]]
Health Professions Contract 225 1 225 0.16 (10min).... 38
(IHS-818).
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Total..................... .............. .............. 12580 ................ 4340
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* For ease of understanding, burden hours are also provided in actual minutes.
There are no direct costs to respondents other than their time to
voluntarily complete the forms and submit them for consideration. The
estimated cost in time to respondents, as a group, is $45,396 [4340
burden hours X $10.46 per hour (2013 GS-3 hourly base pay rate)]. This
total dollar amount is based upon the number of burden hours per data
collection instrument, rounded to the nearest dollar. Request for
Comments: Your written comments and/or suggestions are invited on one
or more of the following points: (a) Whether the information collection
activity is necessary to carry out an agency function; (b) whether the
agency processes the information collected in a useful and timely
fashion; (c) the accuracy of public burden estimate (the estimated
amount of time needed for individual respondents to provide the
requested information); (d) whether the methodology and assumptions
used to determine the estimate are logical; (e) ways to enhance the
quality, utility, and clarity of the information being collected; and
(f) ways to minimize the public burden through the use of automated,
electronic, mechanical, or other technological collection techniques or
other forms of information technology.
Send Comments and Requests for Further Information: Send your
written comments and requests for more information on the proposed
collection or requests to obtain a copy of the data collection
instrument(s) and instructions to: Dr. Dawn Kelly, Chief, Scholarship
Program, 801 Thompson Avenue, TMP Suite 450A, Rockville, MD 20852, call
non-toll free (301) 443-6622, send via facsimile to (301) 443-6048, or
send your email requests, comments, and return address to:
[email protected].
Comment Due Date: Comments regarding this information collection
are best assured of having full effect if received within 60 days of
the date of this publication.
Dated: June 10, 2013.
Yvette Roubideaux,
Acting Director, Indian Health Service.
[FR Doc. 2013-14291 Filed 6-14-13; 8:45 am]
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