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Proposed Information Collection: Request for Public Comment: 30-Day Notice

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Indian Health Service, HHS.


Request for public comment: 30 day proposed information collection: IHS Scholarship Program Application.


In compliance with Section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, for opportunity for public comment on proposed information collection projects, the Indian Health Service (IHS) has submitted to the Office of Management and Budget (OMB) a request to review and approve the information collection listed below. This proposed information collection project was previously published in the Federal Register (66 FR 66912) on February 24, 2004 and allowed 60-days for public comment. No public comment was received in response to the notice. The purpose of this notice is to allow 30-days for public comment to be submitted directly to OMB.

Proposed Collection: Title: 0917-0006, “IHS Scholarship Program Application.” Type of Information Collection Request: Previously Approved Collection. Form Number(s): IHS-856, 856-2, through 856-8, IHS-815, IHS-816, IHS-817, IHS-818, D-02, F-02, F-04, G-02, G-04, H-07, H-08, J-04, J-05, K-03, K-04, and L-03. Reporting formats are contained in an IHS Scholarship Program application booklet. Need and Use of Information Collection: The IHS Scholarship Branch needs this information for program administration and uses the information to solicit, process and award IHS Pre-graduate, Preparatory and/or Health Professions Scholarship grantees and monitor the academic performance of awardees, to place awardees at payback sites, and for awardees to request additional program. The IHS Scholarship Program plan to streamline the application to reduce the time needed by applicants to complete and provide the information and the plan to use information technology to make the application electronically available on the internet have been delayed. Affected Public: Individuals, not-for-profit institutions and State, local or Tribal Government. Type of Respondents: Students pursuing health care professions.

The table below provides: Types of data collection instruments, Estimated number of respondents, Number of responses per respondent, Annual number of responses, Average burden hour per response, and Total annual burden hour(s).

Data collection instruments(s)Number of respondentsResponse per respondentTotal annual responseBurden hour per response *Annual burden hours
Scholarship Application (IHS-856)1500115001.00 (60 min)1500
Checklist (856-2)1500115000.13 (8 min)195
Course Verification (856-3)1500115000.70 (42 min)1050
Faculty/Employer Application (856-4)1500230000.83 (50 min)2490
Justification (856-5)1500115000.75 (45 min)1125
Federal Debt (856-6)1500115000.13 (8 min)195
MPH only (856-7)251250.83 (50 min)21
Accept/Decline (856-8)65016500.13 (8 min)84
Receipt of Application (815)1500115000.03 (2 min)45
Address Change Notice (816)251250.02 (1 min)5525
Scholarship Program Agreement (817)85018500.05 (3 min)43
Stipend Checks (D-02)10011000.13 (8 min)13
Enrollment (F-02)1300113000.13 (8 min)169
Academic Problem/Change (F-04)501500.13 (8 min)6
Request Assistance (G-02)21712170.13 (8 min)28
Summer School (G-04)19311930.10 (6 min)19
Health Professions Contract (818)85018500.05 (3 min)33
Placement (H-07)25012500.18 (11 min)45
Graduation (H-08)25012500.17 (10 min)43
Site Preference (J-04)15011500.13 (8 min)20
Travel Reimb (J-05)15011500.10 (6 min)15
Status Report (K-03)25012500.25 (15 min)63
Preferred Assignment (K-04)20012000.75 (45 min)150
Request of Deferment (L-03)201200.13 (8 min)3
*For ease of understanding, burden hours are also provided in actual minutes.
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There are no Capital Costs, Operating Costs and/or Maintenance Costs to report.

Request for Comments: Your written comments and/or suggestions are invited on one or more of the following points: (a) Whether the information collection activity is necessary to carry out an agency function: (b) whether the agency processes the information collected in a useful and timely fashion; (c) the accuracy of public burden estimate (the estimated amount of time needed for individual respondents to provide the requested information); (d) whether the methodology and assumptions used to determine the estimate are logical; (e) ways to enhance the quality, utility, and clarity of the information being collected; and (f) ways to minimize the public burden through the use of automated, electronic, mechanical, or other technological collection techniques or other forms of information technology.

Direct Comments To OMB: Send your written comments and suggestions regarding the proposed information collection contained in this notice, especially regarding the estimated public burden and associated response time, to: Office of Management and Budget, Office of Regulatory Affairs, New Executive Office Building, Room 10235, Washington, DC 20503, Attention: Desk Officer for IHS.

To request more information on the proposed collection or to obtain a copy of the data collection instrument(s) and/or instruction(s), contact: Ms. Chris Ingersoll, IHS Reports Clearance Officer, 12300 Twinbrook Parkway, Suite 350, Rockville, MD 20852-1601, or call non-toll free (301) 443-5938 or send via facsimile to (301) 443-2316, or send your e-mail requests, comments, and return address to:

Comment Due Date: Comments regarding this information collection are best assured of having their full effect if received within 30-days of the date of this publication.

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Dated: April 29, 2004.

Charles W. Grim,

Assistant Surgeon General, Director, Indian Health Service.

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[FR Doc. 04-11599 Filed 5-21-04; 8:45 am]