Indian Health Service.
In compliance with Section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995 which requires to provide a 60-days advance opportunity for public comment on proposed information collection projects, the Indian Health Service (IHS) is publishing for comment a summary of a proposed information collection to be submitted to the Office of Management and Budget (OMB) for review.
Proposed Collection: Title: 0917-0006, “Application for Participation in the IHS Scholarship Program.” Type of Information Collection Request: Three year extension, with change of currently approved information collection, 0917-0006, “Application for Participation in the IHS Scholarship Program.” Form Number(s): IHS-856, 856-2 through 856-24, IHS-815, IHS-816, IHS-817, and JHS-818. 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 information. The IHS Scholarship Program is streamlining the application to reduce the time needed by applicants to complete and provide the information and plans on using information technology to make the application electronically available on the Internet. Affected Public: Individuals, not-for-profit institutions and State, local or Tribal Governments. 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 hours.Start Printed Page 36715
|Data collection instrument(s)||Number of respondents||Responses per respondent||Total annual response||Burden hour per response*||Annual burden hours|
|Scholarship Application Bubble Sheet (IHS-856)||1,500||1||1,500||1.00 (60 min)||1,500|
|Application Checklist (IHS-856-2)||1,500||1||1,500||0.13 (8 min)||195|
|Faculty/Employer Evaluation (IHS-856-3)||1,500||2||3,000||0.83 (50 min)||2,490|
|Narrative Statements (IHS-856-4)||1,500||1||1,500||0.75 (45 min)||1,125|
|Delinquent Federal Debt (IHS-856-5)||1,500||1||1,500||0.13 (8 min)||195|
|Course Curriculum Verification (IHS-856-6)||1,500||1||1,500||0.70 (42 min)||1,050|
|Verification of Acceptance or Decline of Award (IHS-856-7)||650||1||650||0.13 (8 min)||84|
|Recipient's Initial Program Progress Report (IHS-856-8)||1,300||1||1,300||0.13 (8 min)||169|
|Notification of Academic Problem (IHS-856-9)||50||1||50||0.13 (8 min)||6|
|Change of Status (IHS-856-10)||50||1||50||0.45 (25 min)||6|
|Request for Approval of Deferment (IHS-856-11)||20||1||20||0.13 (8 min)||3|
|Preferred Placement (IHS-856-12)||200||1||200||0.75 (45 min)||150|
|Notice of Impending Graduation (IHS-856-13)||250||1||250||0.17 (10 min)||43|
|Notification of Deferment Program (IHS-856-14)||20||1||20||0.13 (8 min)||3|
|Placement Update (IHS-856-15)||250||1||250||0.18 (11 min)||45|
|Annual Status Report (IHS-856-16)||250||1||250||0.25 (15 min)||63|
|Extem Site Preference Request (IHS-856-17)||150||1||150||0.13 (8 min)||20|
|Request for Extern Travel Reimbursement (IHS-856-18)||150||1||150||0.10 (6 min)||15|
|Lost Stipend Payment (IHS-856-19)||100||1||100||0.13 (8 min)||13|
|Request for Tutorial Assistance (IHS-856-20)||217||1||217||0.13 (8 min)||28|
|Summer School Request (IHS-856-21)||193||1||193||0.10 (6 min)||19|
|Change of Name or Address (IHS-856-22)||20||1||20||0.13 (8 min)||6|
|Request for Credit Validation (IHS-856-23)||150||1||150||0.10 (6 min)||20|
|Faculty/Advisor Evaluation (IHS-856-24)||1,500||2||3,000||0.83 (50 min)||2,490|
|Acknowledgment Card (IHS-815)||1,500||1||1,500||0.03 (2 min)||45|
|Address Change Notice (IHS-816)||25||1||25||0.02 (1 min)||25|
|Scholarship Program Agreement (IHS-817)||850||1||850||0.05 (3 min)||43|
|Health Professions Contract (IHS-818)||850||1||850||0.05 (3 min)||33|
|* For ease of understanding, burden hours are also provided in actual minutes.|
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.
Send Comments and Requests for Further Information: Send your written comments and requests for more information on the proposed collection or requests to obtain a copy of the data collection instrument(s) and instructions to: Ms. Betty Gould, Regulations Officer, 801 Thompson Avenue, TMP, Suite 450, Rockville, MD, 20852, call non-toll free (301) 443-7899, send via facsimile to (301) 443-9879, or send your e-mail requests, comments, and return address to: email@example.com. Comment Due Date: Your comments regarding this information collection are best assured of having full effect if received within 60 days of the date of this publication.Start Signature
Dated: July 17, 2009.
Director, Indian Health Service.
[FR Doc. E9-17454 Filed 7-23-09; 8:45 am]
BILLING CODE 4165-16-M