View Information Collection Request (ICR) Package
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View Information Collection (IC) List
View Supporting Statement and Other Documents
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:
0915-0127
ICR Reference No:
201011-0915-003
Status:
Historical Active
Previous ICR Reference No:
200906-0915-001
Agency/Subagency:
HHS/HSA
Agency Tracking No:
Title:
The National Health Service Corps (NHSC) Loan Repayment Program
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
01/10/2011
Retrieve Notice of Action (NOA)
Date Received in OIRA:
11/23/2010
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2014
36 Months From Approved
01/31/2011
Responses
41,225
0
31,111
Time Burden (Hours)
12,128
0
8,030
Cost Burden (Dollars)
0
0
0
Abstract:
The National Health Service Corps (NHSC) Loan Repayment Program (LRP) was established to assure an adequate supply of trained primary care health professionals to provide services in the neediest Health Professional Shortage Areas. Under this program, HHS agrees to repay the educational loans of the primary health care professionals. In return, the health professionals agree to service for a specified period of time in a federally designated HPSA approved by the Secretary for LRP participants.
Authorizing Statute(s):
PL:
Pub.L. 107 - 205 846
Name of Law: Nurse Reinvestment Act
PL:
Pub.L. 107 - 205 836h
Name of Law: National Education Loan Repayment Program
PL:
Pub.L. 111 - 5 VIII
Name of Law: American Recovery and Reinvestment Act
PL:
Pub.L. 111 - 148 5207
Name of Law: Patient Protection and Affordable Care Act of 2010
US Code:
42 USC 2541
Name of Law: NHSC Scholarship Program and Loan Repayment Program
Citations for New Statutory Requirements:
PL: Pub.L. 111 - 5 VIII Name of Law: American Recovery and Reinvestment Act
PL: Pub.L. 111 - 148 5207 Name of Law: Patient Protection and Affordable Care Act of 2010
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:
75 FR 17923
04/08/2010
30-day Notice:
Federal Register Citation:
Citation Date:
75 FR 51821
08/23/2010
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
6
IC Title
Form No.
Form Name
0127 NHSC Authorization to Release Information Form
0127-4
Authorization to Release Info
0127 NHSC Checklist
lrp checklist
lrp checklist
0127 NHSC Community Site Information Form
0127-2
Employment Verification and Community Site Info For
0127 NHSC Lender
lrp loan form
lrp loan form
0127 NHSC Loan Information and Verification Form
0127-3
Loan Information and Verification Form
NHSC Alumni Database
0127-5
Alumni contact info
NHSC Self-Certification Form
0127-6
NHSC Self-Certification
The National Health Service Corps (NHSC) Loan Repayment Program
0127-1
NHSC LRP
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
41,225
31,111
9,627
487
0
0
Annual Time Burden (Hours)
12,128
8,030
4,035
63
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Changing Regulations
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Cutting Redundancy
Short Statement:
An increase in total burden hours due to program change is being submitted. The program change is due to an additional increase in funding from the Affordable Care Act of 2010, to include approximately 5,175 annual respondents. A non-substantive change to collect and maintain basic contact information from applicants who complete their NHSC service is reflected with an additional 1,000 hours of annual burden. Two forms have been deleted due to redundancy. The net program change increase in total annual burden hours is 12,128, 11,128 of which is due to new statute and 1,000 of which is due to agency discretion.
Annual Cost to Federal Government:
$2,109,509
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]?
Yes
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Yes
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Nidhi Singh 301 443-0371 Nidhi.Singh@hrsa.hhs.gov
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:
11/22/2010
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