[Federal Register: August 10, 2007 (Volume 72, Number 154)]
[Notices]
[Page 45054-45055]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr10au07-96]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Request for Public Comment: 60-Day Proposed Information
Collection: Application for Participation in the IHS Scholarship
Program
AGENCY: Indian Health Service, HHS.
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 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, without change of currently
approved information collection, 0917-0006, ``Application for
Participation in the IHS Scholarship Program.'' Form Number(s): IHS-
856, 856-2 through 856-8, IHS-815, IHS-816, IHS-817, IHS-818, D-02, F-
02, F-04, G-02, G-04, H-07, H-08, J-04, J-05, K-03, K-04, and L-03.
Reporting formats are contained in an IHS Scholarship Program
application booklet. 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 grants and
monitor the academic performance of awardees and to place awardees at
payback sites. The IHS Scholarship Program is streamlining the
application to reduce the time needed by applicants to complete and
provide the information. The IHS Scholarship Program plans on using
information technology to make the application electronically available
on the internet. Affected Public: Individuals, not-for-profit
institutions and State, local or tribal government. 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 hour(s).
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Data collection Number of Responses per Total annual Burden hour per Annual burden
instruments(s) respondents respondent response response * hours
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Scholarship Application (IHS- 1500 1 1500 1.00 (60 min) 1500
856).......................
Checklist (856-2)........... 1500 1 1500 0.13 (8 min) 195
Course Verification (856-3). 1500 1 1500 0.70 (42 min) 1050
Faculty/Employer Application 1500 2 3000 0.83 (50 min) 2490
(856-4)....................
Justification (856-5)....... 1500 1 1500 0.75 (45 min) 1125
Federal Debt (856-6)........ 1500 1 1500 0.13 (8 min) 195
Job Experience (856-7)...... 25 1 25 0.83 (50 min) 21
Accept/Decline (856-8)...... 650 1 650 0.13 (8 min) 84
Receipt of Application (815) 1500 1 1500 0.03 (2 min) 45
Address Change Notice (816). 25 1 25 0.02 (1 min) 25
Scholarship Program 850 1 850 0.05 (3 min) 43
Agreement (817)............
Health Professions Contract 650 1 650 0.05 (3 min) 33
(818)......................
Stipend Check (D-02)........ 100 1 100 0.13 (8 min) 13
Enrollment (F-02)........... 1300 1 1300 0.13 (8 min) 169
Academic Problem/Change (F- 50 1 50 0.13 (8 min) 6
04)........................
Request Assistance (G-02)... 217 1 217 0.13 (8 min) 28
Summer School (G-04)........ 193 1 193 0.10 (6 min) 19
Placement (H-07)............ 250 1 250 0.18 (11 min) 45
Graduation (H-08)........... 250 1 250 0.17 (10 min) 43
Site Preference (J-04)...... 150 1 150 0.13 (8 min) 20
Travel Reimb (J-05)......... 150 1 150 0.10 (6 min) 15
Status Report (K-03)........ 250 1 250 0.25 (15 min) 63
Preferred Assignment (K-04). 200 1 200 0.75 (45 min) 150
Request of Deferment (L-03). 20 1 20 0.13 (8 min) 3
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Total................... 15,830 ................ .............. ................ 7,380
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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.
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)
[[Page 45055]]
whether the methodology and assumptions used to determine the estimates
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
collection, or requests to obtain a copy of the data collection
instrument(s) and instructions to: Mrs. Chris Rouleau, IHS Reports
Clearance Officer, 801 Thompson Ave., Suite 450, Rockville, MD 20852-
1601; call non-toll free (301) 443-5938; send via facsimile to (301)
443-2316; or send your e-mail requests, comments, and return address
to: Christina.Rouleau@ihs.gov.
Comment Due Date: Your comments regarding this information
collection are best assured of having full effect if received within 60
days of the date of this publication.
Dated: August 3, 2007.
Charles W. Grim,
Assistant Surgeon General, Director, Indian Health Service.
[FR Doc. 07-3895 Filed 8-9-07; 8:45 am]
BILLING CODE 4165-16-M