[Federal Register Volume 79, Number 132 (Thursday, July 10, 2014)]
[Notices]
[Pages 39406-39407]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-16075]


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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

AGENCY: Health Resources and Services Administration, HHS.

ACTION: Notice.

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SUMMARY: In compliance with Section 3507(a)(1)(D) of the Paperwork 
Reduction Act of 1995, the Health Resources and Services Administration 
(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 August 11, 
2014.

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: 
    Information Collection Request Title: National Health Service Corps 
Site Application and Site Recertification Application.
    OMB No. 0915-0230--Revision.
    Abstract: The National Health Service Corps (NHSC) of the Bureau of 
Health Workforce, HRSA, is committed to improving the health of the 
nation's underserved by uniting communities in need with caring health 
professionals, and by supporting their efforts to build better systems 
of care. NHSC-approved sites are health care facilities that provide 
comprehensive outpatient, ambulatory, primary health care services to 
populations residing in Health Professional Shortage Areas (HPSAs). 
Related inpatient services may be provided by NHSC-approved Critical 
Access Hospitals (CAHs). In order to become an NHSC-approved site, new 
sites must submit a Site Application for review and approval. Existing 
NHSC-approved sites are required to complete a Site Recertification 
Application in order to maintain their status as an approved site. Both 
the NHSC Site Application and Site Recertification Application request 
information on the clinical service site, sponsoring agency, 
recruitment contact, staffing levels, service users, charges for 
services, employment policies, and fiscal management capabilities. 
Assistance in completing these applications may be obtained through the 
appropriate State Primary Care Offices and the NHSC. The information 
collected on the applications is used for determining the eligibility 
of sites for the assignment of NHSC health professionals and to verify 
the need for NHSC clinicians. Approval as an NHSC service site is valid 
for 3 years. Sites wishing to remain eligible for the assignment of 
NHSC providers, must submit a Site Recertification Application every 3 
years.
    Need and Proposed Use of the Information: The need and purpose of 
this information collection is to obtain information for NHSC Site 
applicants. The information obtained from the NHSC Site Application and 
Site Recertification Application will be utilized to determine the 
eligibility of sites to participate in the NHSC as an approved service 
site.
    Likely Respondents: Health care facilities interested in 
participating in the NHSC and becoming an approved service site and 
existing NHSC-approved sites completing their Site Recertification 
Application.
    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 Information 
Collection Request 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 New Site Application.......           2,000               1           2,000             0.5           1,000
NHSC Site Recertification                  1,000               1           1,000             0.5             500
 Application....................
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    Total.......................           3,000  ..............           3,000  ..............           1,500
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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

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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.

    Dated: July 1, 2014.
Jackie Painter,
Acting Director, Division of Policy and Information Coordination.
[FR Doc. 2014-16075 Filed 7-9-14; 8:45 am]
BILLING CODE 4165-15-P