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: 0915-0278	ICR Reference No: 201301-0915-001
Status: Historical Active	Previous ICR Reference No: 200912-0915-002
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: NHSC Travel Request Worksheet
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: 02/08/2013
	Date Received in OIRA: 01/03/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2016	36 Months From Approved	02/28/2013
Responses	360	0	280
Time Burden (Hours)	24	0	17
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	360	280	80
Annual Time Burden (Hours)	24	17	7
Annual Cost Burden (Dollars)	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: The increase is due to an increase in the number of scholars.

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