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View ICR - OIRA Conclusion

OMB Control No: 0917-0006	ICR Reference No: 201308-0917-001
Status: Historical Active	Previous ICR Reference No: 201006-0917-001
Agency/Subagency: HHS/IHS	Agency Tracking No: 19731
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: 09/30/2013
	Date Received in OIRA: 08/23/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2016	36 Months From Approved	09/30/2013
Responses	12,580	0	17,855
Time Burden (Hours)	4,340	0	9,639
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	12,580	17,855	-5,275
Annual Time Burden (Hours)	4,340	9,639	-5,299
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: Using Information Technology

Short Statement: The program change (i.e., decrease in the burden hours by 5299 hours) is due to the deletion of six data collection instruments for individuals applying as either new or continuing scholars to the IHSSP, and an adjustment in the projected number of applicants and recipients who will be using these forms based on the last three years of IHSSP activity. The IHSSP streamlined the application process by converting the IHS-856 form series to an electronic tool and reduced the number of supplemental forms to minimize the burden hours.

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