[Federal Register: May 3, 1999 (Volume 64, Number 84)] [Notices] [Page 23657] From the Federal Register Online via GPO Access [wais.access.gpo.gov] [DOCID:fr03my99-65] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency Information Collection Activities: Submission for OMB Review; Comment Request Periodically, the Health Resources and Services Administration (HRSA) publishes abstracts of information collection requests under review by the Office of Management and Budget, in compliance with the Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35). To request a copy of the clearance requests submitted to OMB for review, call the HRSA Reports Clearance Office on (301) 443-1129. The following request has been submitted to the Office of Management and Budget for review under the Paperwork Reduction Act of 1995: Proposed Project: Health Education Assistance Loan (HEAL) Program: Lender's Application for Insurance Claim Form and Request for Collection Assistance Form (OMB No. 0915-0036)--Revision This clearance request is for a revision of two forms that are currently approved by OMB. HEAL lenders use the Lenders Application for Insurance Claim to request payment from the Federal Government for federally insured loans lost due to borrowers' death, disability, bankruptcy, or default. The Lenders Application for Insurance Claim form (HRSA form 510) has been revised to reflect information necessary to approve a claim and identify supporting documentation submitted with the claim request. These revisions will facilitate the Department's efforts towards electronic claim request submissions. The Request for Collection Assistance form (HRSA form 513) is used by HEAL lenders to request federal assistance with the collection of delinquent payments from HEAL borrowers. No changes are proposed for the Request for Collection Assistance form. The estimates of annualized burden are as follows: ---------------------------------------------------------------------------------------------------------------- Number of Responses per Total Hours per Total burden Form respondents respondent responses response hours ---------------------------------------------------------------------------------------------------------------- HRSA--510....................... 20 75 1,500 30 minutes 750 HRSA--513....................... 20 1,260 25,200 10 minutes 4,208 ------------------------------------------------------------------------------- Total Burden................ 20 .............. .............. .............. 4,958 ---------------------------------------------------------------------------------------------------------------- Written comments and recommendations concerning the proposed information collection should be sent within 30 days of this notice to: Wendy A. Taylor, Human Resources and Housing Branch, Office of Management and Budget, New Executive Office Building, Room 10235, Washington, D.C. 20503. Dated: April 27, 1999. Jane Harrison, Director, Division of Policy Review and Coordination. [FR Doc. 99-11054 Filed 4-30-99; 8:45 am] BILLING CODE 4160-15-P