[Federal Register Volume 62, Number 196 (Thursday, October 9, 1997)]
[Notices]
[Pages 52725-52726]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-26710]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Request for Public Comment: 60-day; Proposed Collection:
Application for Participation in the IHS Scholarship Program
SUMMARY: In compliance with Section 3506(c)(2)(A) of the Paperwork
Reduction Act of 1995, to provide a 60-day advance opportunity for
public comment on proposed data collection projects, the Indian Health
Service (IHS) is publishing for comment a summary of a proposed
information collection project to be submitted to the Office of
Management and Budget (OMB) for review.
PROPOSED COLLECTION: Title: 09-17-0006, ``Application for Participation
in the IHS Scholarship Program''. Type of Information Collection
Request: 3-year reinstatement, with change, of previously approved
information collection, 09-17-0006, ``Application for Participation in
the IHS Scholarship Program'' which expires 12/31/97. Form Numbers(s):
IHS-856, 856-2, through 856-8, IHS-815, IHS-816, IHS-818, D-02, F-02,
F-04, G-02, G-04, H-07, H-08, J-06, J-07, K-03, K-04, and L-03. 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 Pregraduate, Preparatory and/or Health
Professions Scholarship grantees and monitor the academic performance
of awardees, to place awardees at payback sites, and for awardees to
request additional program. Affected Public: Individuals, not-for-
profit institutions and State, local or Tribal Government. Type of
Respondents: Students pursuing health care professions.
Table 1 below provides: Type(s) of Data Collection Instruments,
Estimated Number of Respondents, Number of Responses per Respondent,
Average Burden Hour per Response, and Total Annual Burden Hour.
Table 1
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Average Total
Estimated Responses Annual burden Hour annual
Data collection instrument number of per number of per burden
respondents respondent responses response * hours
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Scholarship Application........................ 875 1 875 1.50 1,312
Checklist...................................... 875 1 875 0.13 114
Course Verification............................ 875 1 875 0.70 613
Faculty/Employer Application................... 1,750 1 1,1750 0.83 1,453
Justification.................................. 875 1 875 0.75 656
Federal Debt................................... 875 1 875 0.13 114
MPH only....................................... 50 1 50 0.83 42
Accept/Decline................................. 875 1 875 0.13 114
Stipend Checks................................. 100 1 100 0.13 13
Enrollment..................................... 1,400 1 1,400 0.13 182
Academic Problem/Change........................ 100 1 100 0.13 13
Request Assistance............................. 217 1 217 0.13 28
Summer School.................................. 193 1 193 0.10 19
Contract....................................... 1,400 1 1,400 0.27 378
Placement...................................... 250 1 250 0.18 45
Graduation..................................... 250 1 250 0.17 43
Site Preference................................ 150 1 150 0.13 20
Travel Reimb................................... 150 1 150 0.10 15
Status Report.................................. 250 1 250 0.25 63
Preferred Assignment........................... 200 1 200 0.75 150
Deferment...................................... 20 1 20 0.13 3
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Total...................................... 11,730 ........... ........... ........... 5,395
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* For ease of understanding, burden hours are also provided in actual minutes.
There are no Capital Costs, Operating Costs and/or Maintenance
Costs to report.
[[Page 52726]]
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, requests for more information on the proposed
project, or requests to obtain a copy of the data collection instrument
and instructions to: Mr. Lance Hodahkwen, Sr., M.P.H., IHS Reports
Clearance Officer, 12300 Twinbrook Parkway, Suite 450, Rockville, MD
20852-1601, or call non-toll free (301) 443-0461, fax (301) 443-1522,
or send your E-mail requests, comments, and return address to:
[email protected].
Comment Due Date: Your comments regarding this information
collection are best assured of having their full effect if received on
or before December 8, 1997.
Dated: October 19, 1997.
Michael H. Trujillo,
Assistant Surgeon General, Director.
[FR Doc. 97-26710 Filed 10-8-97; 8:45 am]
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