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: 0917-0006	ICR Reference No: 201006-0917-001
Status: Historical Active	Previous ICR Reference No: 200801-0917-002
Agency/Subagency: HHS/IHS	Agency Tracking No:
Title: Application for Participation in the IHS Scholarship Program
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: 08/13/2010
	Date Received in OIRA: 06/02/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2013	36 Months From Approved	02/28/2011
Responses	17,855	0	17,330
Time Burden (Hours)	9,639	0	6,539
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	17,855	17,330	525
Annual Time Burden (Hours)	9,639	6,539	3,100
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: This a reinstatement of a previously approved submission. Some of the forms were renumbered for placement in the application and student handbooks relative to the order in which they must be filled out and returned to the program. New forms were added to better address specific scholarship reporting requirements instead of E-mails and handwritten statements from scholars.

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.