View Information Collection Request (ICR) Package

OMB Control No: 0915-0127	ICR Reference No: 199101-0915-003
Status: Historical Active	Previous ICR Reference No: 198804-0915-001
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: NATIONAL HEALTH SERVICE CORPS LOAN REPAYMENT PROGRAM AND THE NHSC STATE LOAN REPAYMENT PROGRAM (42 CFR PART 62)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/29/1991
	Date Received in OIRA: 01/30/1991
Terms of Clearance: This information collection is approved for use until April 30, 1992. Based on changes to the NHSC authorizing legislation, the regulations governing this program may be subject to change. Upon its next submission, HHS/HRSA should submit the scholarship application and the applicant information bulletin and highlight any revisions made necessary by changes in the law. ***************** Approval of the 'other' race category in Question 8 is conditional on the agency's ability to demonstrate that the data collected through this category can be aggregated to other basic race categories as outlined in Directive No. 15. Also, prior to use of the form, Question 8a reflects a printing error. Question 8a should be correctly numbered as Question 8.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/1992	04/30/1992	04/30/1991
Responses	3,601	0	2,480
Time Burden (Hours)	3,401	0	4,080
Cost Burden (Dollars)	0	0	0

Abstract: HEALTH PROFESSIONALS APPLYING TO THE NATIONAL HEALTH SERVICE CORPS (NHSC) LOAN REPAYMENT PROGRAM (LRP) APPLICATION PROVIDE INFORMATION NEEDED TO DETERMINE ELIGIBILITY. NHSC/LRP PARTICIPANTS PROVIDE INFORMATION ON TRAINING STATUS IN COMPLIANCE WITH PROGRAM REQUIREMENTS STATES APPLYING TO THE NHSC STATE LRP PROVIDE INFORMATION NEEDED TO DETERMINE ELIGIBILITY.

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

Federal Register Notices & Comments
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
NATIONAL HEALTH SERVICE CORPS LOAN REPAYMENT PROGRAM AND THE NHSC STATE LOAN REPAYMENT PROGRAM (42 CFR PART 62)

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	3,601	2,480	1,220	-99
Annual Time Burden (Hours)	3,401	4,080	-739	60
Annual Cost Burden (Dollars)	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

View ICR - OIRA Conclusion