View Information Collection Request (ICR) Package
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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:
0915-0146
ICR Reference No:
200801-0915-002
Status:
Historical Active
Previous ICR Reference No:
200307-0915-005
Agency/Subagency:
HHS/HSA
Agency Tracking No:
Title:
Application for Participation in the National Health Service Corps Scholarship Program
Type of Information Collection:
Reinstatement with change of a previously approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
02/22/2008
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/08/2008
Terms of Clearance:
Clarification: this ICR does not represent a PRA violation. Though it expired, HRSA did not use it to collect any information until it was reinstated. HRSA used that time to revise the application for greater utility, and the application has been much improved as a result. As experience with this new application grows, HRSA shall continue to monitor the extent to which it can predict retention.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
02/28/2011
36 Months From Approved
Responses
1,800
0
0
Time Burden (Hours)
5,400
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
The National Health Service Corps (NHSC) Scholarship Program offers scholarship awards to health professions students in return for the provision of full-time clinical services in a federally designated Health Professional Shortage Area. The NHSC Scholarship application collects information to select applicants for scholarship awards. The application information is necessary in order to determine those applicants that meet award criteria specified by Federal statute and regulation.
Authorizing Statute(s):
PL:
Pub.L. 107 - 251 1533
Name of Law: Health Care Safety Net Amendments of 2002
US Code:
42 USC 254
Name of Law: National Health Service Corps
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
72 FR 43283
08/03/2007
30-day Notice:
Federal Register Citation:
Citation Date:
73 FR 871
01/04/2008
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
Application for Participation in the National Health Service Corps Scholarship Program
1
1
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
1,800
0
0
-1,300
0
3,100
Annual Time Burden (Hours)
5,400
0
0
2,300
0
3,100
Annual Cost Burden (Dollars)
0
0
0
-8,000
0
8,000
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:
Cutting Redundancy
Short Statement:
After many years of use without change, the NHSC Scholarship Application has been reviewed and revised to provide more useful information for the application and selection process for awards. The progam has discontinued the interview portion of this information collection and has removed sections of the application that asked personal questions with limited utility. This program change has resulted in an increase in the burden on respondents in order to obtain information that will have substantially greater practical utility.
Annual Cost to Federal Government:
$53,225
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
Agency Contact:
Susan Queen 3014431129
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
01/07/2008
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