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:
0915-0140
ICR Reference No:
200902-0915-001
Status:
Historical Active
Previous ICR Reference No:
200711-0915-003
Agency/Subagency:
HHS/HSA
Agency Tracking No:
Title:
The Nursing Education Loan Repayment Program
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
03/02/2009
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/27/2009
Terms of Clearance:
This IC is approved on the understanding that the only change is an increase in the number of respondents due to the Recovery Act, as per the justification memo.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2011
01/31/2011
01/31/2011
Responses
51,952
0
38,200
Time Burden (Hours)
40,528
0
29,800
Cost Burden (Dollars)
0
0
0
Abstract:
Approval is requested for the application and monitoring forms for the Nursing Education Loan Repayment Program (NELRP). Under the NELRP, registered nurses are offered the opportunity to enter into a contractual agreement to receive loan repayment for some of their qualifying education loan balances. This repayment is in exchange for agreeing to servie full-time as a registered nurse for 2-3 years at a health care facilitiy with a critical shortage of nurses.
Authorizing Statute(s):
US Code:
42 USC 297n
Name of Law: Public Health Service Act
PL:
Pub.L. 111 - 5 VIII
Name of Law: American Recovery and Reinvestment Act
Citations for New Statutory Requirements:
PL: Pub.L. 111 - 5 VIII Name of Law: American Recovery and Reinvestment Act
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 33233
06/15/2007
30-day Notice:
Federal Register Citation:
Citation Date:
72 FR 60379
10/24/2007
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
7
IC Title
Form No.
Form Name
Applicant Employment Verification Form
Application Checklist
Direct Deposit Sign-up Form
Loan Verification Form
2
Loan Verification Form
Participant Semi-Annual Employment Verification Form
7
Emp Verification Form
Pre-Award Script
6
Pre-Award Script
The Nursing Education Loan Repayment Program Application
1
Application
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
51,952
38,200
13,752
0
0
0
Annual Time Burden (Hours)
40,528
29,800
10,728
0
0
0
Annual Cost Burden (Dollars)
0
0
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:
No
Burden Reduction Due to:
Short Statement:
In response to the American Recovery and Reinvestment Act, HRSA's Nursing Education Loan Repayment Program is extending the application closing date by two weeks. This two week extension is expected to result in an additional 1,800 respondents and 10,260 total burden hours.
Annual Cost to Federal Government:
$837,294
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:
02/27/2009
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