View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0915-0149	ICR Reference No: 200706-0915-004
Status: Historical Active	Previous ICR Reference No: 200310-0915-005
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: Scholarships for Disadvantaged Students (SDS) Program
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/04/2007
	Date Received in OIRA: 06/11/2007
Terms of Clearance: This ICR is approved consistent with memo of August 31, 2007. HRSA agrees to use the revised and corrected forms, as well as provide respondents instructions for filling out the performance report.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2010	36 Months From Approved
Responses	500	0	0
Time Burden (Hours)	10,500	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	500	50	450
Annual Time Burden (Hours)	10,500	-75	10,575
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The SDS application form was discontinued temporarily following the last round of applications. There are no currently approved hours for this activity. At this time, HRSA will be offering funding opportunities for schools and a reinstatement of the application is requested, resulting in a program change. This program change will increase the burden hours from 0 to 10,500 total hours.

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